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HealthMetrix Research Selects 2017 Medicare Advantage Plans for Exceptional Benefit Value & Overall Performance


News provided by

HealthMetrix Research Inc.

Oct 17, 2016, 09:00 ET

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COLUMBUS, Ohio, Oct. 17, 2016 /PRNewswire/ -- Medicare Advantage plans in over 100 cities will be recognized for exceptional value in the design of their medical and Part D prescription drug benefits available effective January 1.  The 2017 Senior Choice Gold Award recipients were selected from Medicare Advantage plans across 47 states and Puerto Rico based on cost-sharing analysis conducted by HealthMetrix Research Inc. and MedicareNewsWatch.com.  The 2017 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 established industry award is unique for considering both forward-looking 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 2017 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 creates a higher bar for all Medicare Advantage competitors.  HealthMetrix Research commends those organizations for this distinctive dual recognition."           

The award criteria were based on 2017 benefits and cost-sharing approved by Medicare for the selected plans.  Estimated annual out-of-pocket costs published on Medicare Plan Finder (www.Medicare.gov) include applicable plan copayments, deductibles and premiums adjusted for beneficiaries' health status (Excellent, Good, Poor).  The HealthMetrix Research cost-sharing analysis is available at www.MedicareNewsWatch.com.  HealthMetrix Research neither recommends nor endorses specific Medicare plans.

2017 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.   

East

 

* Past year Senior Choice Gold Award recipient

 

Albany

   Fidelis (4 Star)

Atlanta

   Kaiser Permanente (5 Star)

Baltimore

   Kaiser Permanente* (5 Star)

Boston

   United Healthcare  (4.5 Star)

Bradenton 

   Humana* (4 Star)

Buffalo

   Centers Plan for Healthy Living

Burlington

   United Healthcare  (4.5 Star)

Charleston SC

   Humana 

Charleston WV

   Coventry Health Care* (4.5 Star)

Charlotte

   Aetna* (4 Star)

Columbia SC

   America's 1st Choice*

Concord NH

   Harvard Pilgrim* (4 Star)

Fort Lauderdale

   Simply Healthcare (4.5 Star)

Fort Myers-Naples

   Humana (4 Star)

Greensboro

   Humana (4 Star)

Harrisburg

   Aetna* (4 Star)

Hartford

   United Healthcare    (4.5 Star)

Jacksonville

   Florida Blue

Miami

   Coventry Health Care (4.5 Star) 

New Jersey  Bergen, Essex, Hudson,
                        Passaic, Union

   United Healthcare  (4.5 Star)

New York City                 Westchester
                        Bronx, Kings, Manhattan

      Nassau, Queens, Staten Island, Suffolk

   Fidelis (4 Star)
   Liberty Health Advantage
   Quality Health Plans

Orlando

   Simply Healthcare (4.5 Star)

Pensacola

   Humana* (4 Star)

Philadelphia

   Humana  (4.5 Star)

Pittsburgh

   Highmark* (4.5 Star)

Portland ME

   Harvard Pilgrim (5 Star)

Port Richey

   Ultimate Health Plans (4 Star)

Providence

   Blue Cross Blue Shield* (4.5 Star)

Raleigh

   FirstCarolinaCare (4 Star)

Richmond

   Anthem* (4.5 Star)

Rochester

   Excellus (4 Star) 

San Juan PR

   Humana (4 Star)

Sarasota

   Aetna (4.5 Star)

Springfield MA

   Fallon Health (4.5 Star)

Syracuse

   Fidelis (4 Star)

Tallahassee

   WellCare*

Tampa-St. Petersburg

   CarePlus (4 Star)

Washington DC

   Kaiser Permanente* (5 Star)

West Palm Beach

   CarePlus (4 Star)

Wilmington DE

   Aetna (4 Star)

 

Midwest
 

* Past year Senior Choice Gold Award recipient

 

Akron

   Humana  (4.5 Star)

Baton Rouge

   Peoples Health (4 Star)

Birmingham

   Humana

Chattanooga

   Blue Cross Blue Shield

Chicago

   Humana*

Cincinnati

   Humana  (4.5 Star) 

Cleveland

   Medical Mutual

Columbus

   Medical Mutual

Dayton

   Medical Mutual

Des Moines

   Coventry Health Care (4.5 Star)

Detroit

   Harbor Health Plan

Fargo

   Humana

Fort Wayne

   Humana  

Grand Rapids

   Blue Care Network (4.5 Star)

Indianapolis

   Humana   

Jackson MS

   Magnolia Health

Kansas City

   Blue Cross Blue Shield

Knoxville

   Blue Cross Blue Shield

Lansing

   Priority Health  (4 Star)

Little Rock

   QualChoice*

Louisville

   Humana*

Memphis

   Blue Cross Blue Shield

Milwaukee

   Network Health (4.5 Star) 

Minneapolis-St. Paul

   UCare (4.5 Star) 

Nashville

   Humana  (4.5 Star)

New Orleans

   Peoples Health (4 Star)

Oklahoma City

   Generations Healthcare

Omaha

   HeartlandPlains Health*

Peoria

   Meridian Health Plan

St. Louis

   Essence Healthcare* (4.5 Star)

Sioux Falls

   Coventry Health Care (4.5 Star)

Toledo

   Medical Mutual

Tulsa

   Generations Healthcare

Wichita

   Coventry Health Care* (4 Star)

 

West

 

 

* Past year Senior Choice Gold Award recipient
 

Albuquerque

   Presbyterian Health Plan

Austin

   Amerigroup*

Bakersfield

   Brand New Day*

Billings

   Blue Cross Blue Shield*

Boise

   SelectHealth

Dallas

   Aetna

Denver-Colorado Springs

   Kaiser Permanente*  (5 Star)

El Paso

   Aetna (4 Star)

Fort Worth

   Care N' Care

Fresno

   Health Net (4 Star)

Honolulu

   Humana*

Houston

   Aetna

Las Vegas

   CareMore* (4 Star)

Los Angeles                (Riverside)

        (Los Angeles, Orange, San Bernardino)

                                    (Ventura)

   Brand New Day
   CareMore
   Kaiser Permanente  (5 Star)

Modesto

   Golden State

Oakland

   Health Net (4 Star)

Phoenix

   Blue Cross Blue Shield

Portland

   Kaiser Permanente  (5 Star) 

Reno

   Prominence Health Plan

Sacramento

   Anthem*

Salt Lake City

   Aetna* (4 Star)

San Antonio

   Aetna*

San Diego

   Health Net (4 Star) 

San Francisco

   Health Net

San Jose

   Alignment Health*

Santa Fe

   Christus Health

Seattle

   Group Health Cooperative (4.5 Star)

Stockton

   Alignment Health*

Tucson

   CareMore* (4 Star) 

www.MedicareNewsWatch.com

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

SOURCE HealthMetrix Research Inc.

Related Links

http://www.hmos4seniors.com

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