The same Medicare Advantage health insurance plan has ranked
No. 1 for five years in a row.
Karla Bowsher • September
20, 2019
For the
fifth year in a row, seniors say one particular Medicare Advantage health
insurance plan is the best.
That
plan is the Kaiser Foundation Health Plan, according to J.D. Power’s 2019
Medicare Advantage Study, which is the fifth edition of the annual study.
In
other words, the Kaiser Foundation Health Plan has ranked No. 1 for as long as
J.D. Power has been doing this study, which is based on a poll of Medicare
Advantage plan members. For the 2019 study, more than 3,200 such members from
across the U.S. were polled.
J.D.
Power’s latest Medicare
Advantage Study ranks plans based on an overall satisfaction score
on a 1,000-point scale.
The
score itself is based on six factors. Listed in order of importance, they are:
- Coverage
and benefits
- Provider choice
- Cost
- Customer service
- Information and
communication
- Billing and
payment
The best — and the rest — of Medicare Advantage plans
The
average overall satisfaction score among Medicare Advantage plans in J.D.
Power’s study this year is 795 — a 1-point improvement from last year.
Five of
those plans earned above-average overall satisfaction scores. They are:
- Kaiser
Foundation Health Plan: Overall satisfaction score of 833 out of 1,000 points
- Highmark: 818
- Humana: 803
- Aetna: 801
- Centene: 799
The
plans that earned below-average overall satisfaction scores are:
- Anthem: 788
- UnitedHealthcare: 784
- Cigna-HealthSpring: 781
- WellCare: 773
- Blue Cross Blue
Shield of Minnesota: 769
- Blue Cross Blue
Shield of Michigan: 762
Medicare Advantage versus Original Medicare
Medicare
Advantage plans are one of two main types of Medicare health insurance plans.
The other type is known as Original Medicare.
Original
Medicare is offered directly by the federal government’s Medicare program,
whereas Medicare Advantage plans are offered by private insurers that have been
approved by the government’s Medicare program.
Medicare
Advantage plans must cover the
same services that Original Medicare covers but can cover other
expenses as well. (We detail some of the services that Original Medicare does
not cover in “5 Health Care
Costs That Medicare Does Not Cover.”)
So,
from one Medicare Advantage plan to the next, coverage and costs can differ widely.
J.D.
Power notes that Medicare Advantage plans are increasingly popular, with plan
membership growing nearly 10% between 2018 and 2019.
“That’s
1.6 million beneficiaries being added to a relatively small number of health
plans in a very short time frame,” says James Beem, managing director for
Global Healthcare Intelligence at J.D. Power
As a
whole, HMO Medicare Advantage plans are rated higher for overall customer
satisfaction than PPO ones, J.D. Power found. The average overall customer
satisfaction score is 804 among HMO plans and 794 among PPO plans this year.
The gap
between these two types of Medicare Advantage plans has narrowed, though. Two
years ago, the average overall satisfaction score was 810 among HMO plans and 790
among PPO plans.
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