Providing one of the most beneficial sources for health insurance consumers each year, J.D. Power and Associates gathers several thousand private health plan members and finds our which plans offer the best overall products.
In 2013, 33,000 policyholders from across the country, including several thousand members in Pennsylvania, were surveyed on their coverage. Together, they provided us with a better understanding of which health plans do the most for their customers in terms of benefits, providers, customer service, and other components of coverage in 17 of the most populous regions.
The factors considered were information and communication; coverage and benefits; provider choice; claims processing; statements; approval processes; and customer service.
Geisinger Health Plan members rated theirs as the highest quality plan in Pennsylvania for the second consecutive year, though considerably lower than the 2012 rating. The company scored 739 out of 1,000 points overall, being especially strong in a majority of factors including coverage and benefits; customer service; approval; and information and communication. A few points shy of Geisinger, UPMC Health Plan also did very well by its members.
Highmark fell from second to third place in a year, receiving 724 points. Actually, most Pennsylvania plans exceeded the regional average by at least a point or two, as you can see in the graph.
The J.D. Power Circles accompany the point score, indicating to consumers that both Geisinger and UPMC are “among the best” in the state. Capital Blue Cross earned a “better than most” rating. Health insurance in Pennsylvania, at least this past year, is certainly some of the best in the nation – and you have your choice of plenty of reputable, customer-satisfying plans.
The Pennsylvania regional average was 709, which is seven points above the 17-region average. However, from 2011 to 2012, the state’s average decreased by nine points, so there is still some progress to make for Pennsylvania health plans. Those who are sitting at the below-average line are likely the culprits for this change.
As a consumer, it is always important to keep an open mind and do enough research on a company before you commit to a health plan. This is a good indicator of how effective these plans in Pennsylvania are, but also keep in mind that an “average” includes extremes, as well. Take a look at our Company pages to find out more about health insurers in your state, or call us at 888 803 5917 to get an expert’s opinion and assistance.
1. J.D. Power and Associates. 2013 Member Health Plan Study.