HealthMetrix Research Selects 2013 Medicare Advantage Plans for Exceptional Benefit Value & Overall Performance
COLUMBUS, Ohio, Oct. 15, 2012 /PRNewswire/ -- Medicare Advantage plans in 75 cities will be recognized for exceptional value in the design of their medical and Part D prescription drug benefits available for 2013 Medicare plan enrollees. The 2013 Senior Choice Gold Award recipients were selected from Medicare Advantage plans across 95 cities based on independent cost-sharing comparisons conducted annually by HealthMetrix Research Inc. and MedicareNewsWatch.com. The 2013 Senior Choice Gold Award selections include special recognition for plans achieving at least 4-star overall ratings for quality and performance as reported by the Centers for Medicare & Medicaid Services (CMS).
According to HealthMetrix Research Inc. president Alan Mittermaier:
"This award is unique by considering both forward-looking independent cost-sharing comparisons along with measurable quality and performance ratings. Each award recipient has demonstrated a commitment to excellence in the design of their 2013 Medicare plan benefits, copayments, deductibles and premiums including the Part D prescription drug benefits. Numerous award recipients have also achieved exceptional performance results and are setting higher standards for themselves and the entire Medicare Advantage industry. HealthMetrix Research applauds these organizations for this distinctive dual recognition."
The award criteria were based on 2013 benefits and cost-sharing approved by Medicare for the selected plans. Estimated annual out-of-pocket costs consider beneficiaries' health status (healthy, episodic, chronic) and utilization of the most common health plan benefits (physician office visits, emergency care, hospital care, home health visits, prevention care, prescriptions). HealthMetrix Research cost-sharing comparisons for are available at www.MedicareNewsWatch.com. HealthMetrix Research neither recommends nor endorses specific Medicare plans.
2013 Senior Choice Gold Award Recipients
Medicare Advantage plans receive overall ratings annually on a 1 to 5 star scale; 5 stars = excellent performance, 1 star = poor performance. A minimum 3 star rating is required for selection except for plans too new to be rated for 2013.
| East |
|
| Albany |
WellCare |
| Atlanta |
Kaiser Permanente (4.5 Star) |
| Baltimore |
Kaiser Permanente (5 Star) |
| Boston |
Fallon Community Health Plan (4.5 Star) |
| Bradenton |
Humana (4.5 Star) |
| Buffalo |
WellCare |
| Fort Lauderdale |
Optimum Healthcare |
| Harrisburg |
Geisinger Gold (4.5 Star) |
| Hartford |
WellCare |
| Miami |
Humana (4.5 Star) |
| New Jersey |
United Healthcare |
| New York City (Bronx, Kings, Manhattan, Queens, Staten Island) |
Optimum Healthcare |
| (Nassau) |
Healthfirst |
| Orlando |
Preferred Care Partners (4 Star) |
| Pensacola |
Humana (4.5 Star) |
| Philadelphia |
HealthAmerica (4 Star) |
| Pittsburgh |
UPMC Health Plan (4 Star) |
| Portland, ME |
Martin's Point (4.5 Star) |
| Raleigh |
Blue Cross Blue Shield (4 Star) |
| Richmond |
Humana |
| Rochester |
Blue Cross Blue Shield of Western NY (4.5 |
| Sarasota |
Optimum Healthcare |
| Tampa-St. Petersburg |
Optimum Healthcare |
| Washington, DC |
Kaiser Permanente (5 Star) |
| West Palm Beach |
WellCare |
|
Midwest |
|
| Akron-Canton |
SummaCare (4 Star) |
| Baton Rouge |
Peoples Health |
| Birmingham |
HealthSpring |
| Chattanooga |
HealthSpring |
| Chicago |
Humana (4 Star) |
| Cincinnati |
MediGold |
| Cleveland |
SummaCare (4 Star) |
| Columbus |
MediGold |
| Dayton |
MediGold |
| Des Moines |
Coventry Health Care (4 Star) |
| Detroit |
HealthPlus (4.5 Star) |
| Fort Wayne |
Humana |
| Grand Rapids |
Blue Care Network (4.5 Star) |
| Kansas City |
Coventry Health Care (4 Star) |
| Knoxville |
HealthSpring |
| Louisville |
WellCare |
| Memphis |
HealthSpring |
| Milwaukee |
United Healthcare |
| Minneapolis-St. Paul |
HealthPartners (5 Star) |
| Mobile |
HealthSpring |
| Montgomery |
HealthSpring |
| Nashville |
HealthSpring |
| New Orleans |
Peoples Health |
| Rapid City |
Coventry Health Care (4 Star) |
| St. Louis |
Essence Healthcare (4.5 Star) |
| Toledo |
SummaCare (4 Star) |
| Wichita |
Coventry Health Care (4 Star) |
|
West |
|
| Albuquerque-Santa Fe |
Lovelace Medicare |
| Austin |
Humana |
| Billings |
New West Health Services |
| Boise |
Regence BlueShield |
| Dallas-Fort Worth |
WellCare |
| Denver-Colorado Springs |
Kaiser Permanente (5 Star) |
| Fresno |
Health Net |
| Honolulu |
Akamai by HMSA (4.5 Star) |
| Las Vegas |
Health Plan of Nevada |
| Los Angeles (Los Angeles & Orange) (Ventura) |
Central Health Plan Kaiser Permanente (5 Star) |
| Modesto |
Care1st |
| Oakland |
Easy Choice |
| Oklahoma City |
Secure Horizons |
| Phoenix |
CareMore |
| Portland |
Humana (4.5 Star) |
| Sacramento |
Blue Shield (4 Star) |
| Salt Lake City |
SelectHealth |
| San Diego |
Easy Choice |
| San Francisco |
Care1st |
| San Jose |
Care1st |
| Seattle |
Community HealthFirst |
| Tucson |
CareMore |
| Tulsa |
Lovelace Medicare |
Contact: Alan Mittermaier, President - HealthMetrix Research Inc.
614-236-8345
SOURCE HealthMetrix Research Inc.
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