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Paying Claims

Look for differences of at least four percent.

Smaller differences often are not significant

Paying Claims

How HMOs scored on a member survey of care and service
  • 0% (Worse)
  • (Better) 100%
Western Health Advantage 94% Horizontal bar, 94 units
Blue Cross HMO - CaliforniaCare 88% Horizontal bar, 88 units
Blue Shield of California HMO 86% Horizontal bar, 86 units
Health Net of California, Inc. 85% Horizontal bar, 85 units
PacifiCare of California 85% Horizontal bar, 85 units
Kaiser Permanente - Northern California 81% Horizontal bar, 81 units
Aetna Health of California Inc. 80% Horizontal bar, 80 units
CIGNA HealthCare of CA 75% Horizontal bar, 75 units
Kaiser Permanente - Southern California 75% Horizontal bar, 75 units

About This Rating

What Was Measured?

What percentage of HMO members highly rated their HMO on paying claims correctly and quickly?

These results are based on a survey of a sample of HMO members.

Why Is It Important?

High scores mean that HMO members’ reported that claims were paid correctly and quickly and there were no surprises in the amount that the member owed.