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HealthMetrix Research Selects 2015 Medicare Advantage Plans for Exceptional Benefit Value & Overall Performance


News provided by

HealthMetrix Research Inc.

Oct 15, 2014, 01:00 ET

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COLUMBUS, Ohio, Oct. 15, 2014 /PRNewswire/ -- Medicare Advantage plans in 85 cities will be recognized for exceptional value in the design of their medical and Part D prescription drug benefits available for 2015 Medicare plan enrollees.  The 2015 Senior Choice Gold Award recipients were selected from Medicare Advantage plans across 47 states based on independent cost-sharing comparisons conducted by HealthMetrix Research Inc. and MedicareNewsWatch.com.  The 2015 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 the recently announced quality and performance ratings.  Each award recipient has demonstrated a commitment to excellence in the design of their 2015 Medicare plan benefits, copayments, deductibles and premiums including the Part D prescription drug benefits.  Over 50% of the award recipients also achieved at least 4-star CMS overall ratings for exceptional performance that sets a higher bar for all Medicare Advantage competitors.  HealthMetrix Research commends these organizations for this distinctive dual recognition."           

The award criteria were based on 2015 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.     

2015 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 2015.


East

* Past year Senior Choice Gold Award recipient

Albany

   Visiting Nurse Service of NY CHOICE

Atlanta

   WellCare

Baltimore

   Kaiser Permanente* (5 Star)

Bradenton 

   Humana* (4.5 Star)

Buffalo

   Independent Health* (4.5 Star)

Burlington VT

   AARP United HealthCare

Charleston WV

   Coventry Health Care*

Charlotte NC

   Aetna

Columbia SC

   America's 1st Choice

Concord NH

   Harvard Pilgrim*

Fort Lauderdale

   Preferred Care Partners (4 Star)

Fort Myers

   Freedom Health (4 Star)

Harrisburg

   Aetna

Hartford

   Health New England (4.5 Star)

Jacksonville

   Florida Healthcare Plus*

Miami

   CarePlus (5 Star)

New Jersey (Bergen, Somerset, Union)
                      (Essex, Hudson, Passaic)

   Aetna (4 Star)
   CarePoint Health Plans

New York City                            (Westchester)
         (Nassau, Queens, Suffolk, Staten Island)

   Visiting Nurse Service of NY CHOICE
   Quality Health Plans

Orlando

   Florida Healthcare Plus*

Pensacola

   Humana* (4.5 Star)

Philadelphia

   Health Partners Plans

Pittsburgh

   HealthAmerica* (4.5 Star)

Portland ME

   Martin's Point* (5 Star)

Providence

   Blue Cross Blue Shield* (4 Star)

Richmond

   Anthem*

Rochester

   Aetna (4 Star) 

Sarasota

   BeHealthy

Syracuse

   Aetna (4 Star)

Tallahassee

   WellCare

Tampa-St. Petersburg

   WellCare

Washington, DC

   MedStar

West Palm Beach

   Florida Healthcare Plus*

Wilmington DE

   Cigna HealthSpring*

 

Midwest

* Past year Senior Choice Gold Award recipient

Baton Rouge

   Humana* (4 Star)

Chicago

   Humana* (4 Star)

Cincinnati

   MediGold* (4 Star)

Columbus

   MediGold* (4 Star)

Dayton

   Premier Health Plan

Davenport-Bettendorf-Moline-
Rock Island (Quad Cities)

   Meridian Health Plan*

Des Moines

   Coventry Health Care* (4.5 Star)

Detroit

   Meridian Health Plan

Fort Wayne

   Humana (4 Star)

Grand Rapids

   Meridian Health Plan

Indianapolis

   Humana (4 Star)

Jackson MS

   Cigna HealthSpring

Kansas City

   Humana (4 Star)

Little Rock

   Humana (4 Star)

Louisville

   WellCare*

Memphis

   BlueCross BlueShield (4 Star)

Milwaukee

   Humana* (4.5 Star)

Minneapolis-St. Paul

   HealthPartners* (4.5 Star) 

Nashville

   BlueCross BlueShield (4 Star)

New Orleans

   Humana* (4 Star)

Oklahoma City

   Blue Cross Blue Shield

Omaha

   Coventry Health Care* (4 Star)

Peoria

   Humana (4.5 Star)

St. Louis

   Essence Healthcare* (4.5 Star)

Toledo

   Humana (4 Star)

Wichita

   Coventry Health Care* (4 Star)

 

West

* Past year Senior Choice Gold Award recipient

Albuquerque

   Blue Cross Blue Shield (4 Star)

Austin

   Amerigroup

Bakersfield

   Aetna

Billings

   Blue Cross

Boise

   Blue Cross* (4.5 Star)

Colorado Springs

   Kaiser Permanente* (5 Star)

El Paso

   Care1st*

Fort Worth

   WellCare

Fresno

   Blue Shield (4 Star)

Honolulu

   Humana (4.5 Star)

Las Vegas

   Humana* (4 Star)

Los Angeles (Los Angeles & Orange)

                     (Riverside & San Bernardino)

                     (Ventura)

   Care1st
   Citizens Choice Healthplan*
   Blue Shield* (4 Star)

Modesto

   Citizens Choice Healthplan

Oakland

   Care1st*

Oklahoma City

   Blue Cross Blue Shield*  

Phoenix

   CareMore*

Portland

   Health Net (4 Star)

Sacramento

   Humana (4 Star)

Salt Lake City

   Humana* (4 Star)

San Diego

   Care1st*

San Francisco

   Care1st*

San Jose

   Citizens Choice Healthplan*

Santa Fe

   Humana (4 Star)

Seattle

   Amerigroup*

Stockton

   Citizens Choice Healthplan

Tucson

   CareMore*

www.MedicareNewsWatch.com

Contact:   Alan Mittermaier, President - HealthMetrix Research Inc.  614-236-8345    

SOURCE HealthMetrix Research Inc.

Related Links

http://www.MedicareNewsWatch.com

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