Health Insurance Blog

J.D. Powers & Associates rated the top private health plans in the heartland states (Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota), and the results were as follows.

Similar to many of the other 17 regions in the JD Power Survey, a Blue Cross Blue Shield health plan took top honors.

Blue Cross Blue Shield of Nebraska was named the top health plan in this region based on overall customer experience and among the best in the nation.

Three other Blue Cross plans were rated as “better than most”  (4 stars out of 5 in overall experience):  BCBS Kansas, Wellmark BCBS Iowa, and BCBS Kansas City.

Health plans Aetna, CIGNA, UnitedHealthCare, and Coventry Healthcare were rated as being below average.

More information about health insurance in the heartland states:  Nebraska health insurance, Iowa, Kansas, Minnesota, Missouri, North Dakota, South Dakota

The state of Florida was not included in the Southeast region when J.D. Powers ranked the top health plans in the Southeast, in their rating of the top health plans in 17 distinct regions, Florida is its own region.  That being said, J.D. Power and Associates rated Blue Cross Blue Shield of Florida as the top rated health plan in Florida.

BCBSFL was rated as being among the best health plans in the country, as was Humana, coming in just behind the Florida Blue Cross Blue Shield plan.

Other Florida health plans that were rated as part of this study included UnitedHealthCare, CIGNA, and Aetna.  UnitedHealthCare was given 4 stars out of 5 in overall experience (better than most) while CIGNA & Aetna were given 2 stars, a below average rating.

More about Florida health insurance.

J.D. Power and Associates rating of the top health plans for the South East Central region lists two health plans tied for the top spot for 2009 - Anthem Blue Cross Blue shield of Kentucky and BlueCross BlueShield of Alabama.

CIGNA & Humana finished close behind while still receiving designation as being among the nations best.

Aetna & Blue Cross Blue Shield of Tennessee were rated as “about average” while  United HealthCare and Blue Cross Blue Shield of Mississippi were rated below average.

Continuing the coverage of J.D. Power and Associates 2009 health plan ratings, below are their ratings of leading health plans in Colorado.

1. Kaiser Foundation Health Plans was rated the top health plan in Colorado and among the best in the nation.  In addition to this top rating in Colorado, their were also rated tops in California as well.
2. Aetna -For the most part average across the board
3. CIGNA - Rated among the best nationally in terms of provider choice, but simply average in overall experience
4. Anthem Blue Cross Blue Shield of CO - Rated among the best nationally in terms of provider choice, but simply average in overall experience
5. Great-West HealthCare - below average
6. UnitedHealthCare - below average

More information about Colorado health insurance

According to J.D. Power and Associates, Kaiser Foundation Health Plan was the top rated California health plan based on their 2009 survey.

Based on their survey and analysis of more than 130 health plans nationally (broken up into 17 distinct regions), Kasier Foundation Health plan was the tops in the California region and among the best nationally.

The other health plans from California that were surveyed all performed below average.  They included:  Blue Cross of California, Blue Shield of California, Aetna, HealthNet, Pacificare, and CIGNA.

More information about the J.D. Power 2009 Health Plan Ratings.

More information about California health insurance.

Young healthy adults are attractive targets for health insurance companies.  Consequently some insurers tailor affordable health insurance plans at this segment of the population with individual health plans between $40 and $70 per month.

Two health insurers who offer such products are Aetna (Bodyguard) and Wellpoint (Tonik).  Keep in mind in order to keep monthly premiums low, the insurers have shifted a greater portion of the health care costs to the member, and thus higher out of pocket expenses should be expected.

In a nutshell, the trade-off is lower monthly premiums in exchange for paying a larger amount out of pocket.

These low-cost health plans might be right for you if you are healthy, don’t currently require any perscription drugs and don’t participate in excessively risky activities where severe accidents would be likely.

The top four providers of Florida health insurance recently met to discuss health care under a Barack Obama administration, says Jeremy Cox of the Jacksonville Times-Union. Representatives from Humana, UnitedHealth, Blue Cross Blue Shield of Florida, and Aetna were in attendance.

The insurers believe that President Obama should enact a health insurance mandate for all Americans if, as they predict, he will require insurers to cover individuals with pre-existing conditions. They think that the cost will be prohibitive for carriers otherwise. At the moment, Obama has not publicly supported a mandate, and how exactly one would be carried out is unknown. He has supported a role for the private sector in universal health care, but that role will most likely be a change from the current market.

Instead of the plans Obama and congressional Democrats have proposed for health care reform, the insurance companies would prefer that the government focus mainly on enrolling eligible but currently uninsured individuals in federal-run programs like Medicaid and Medicare, Jeremy says. While the insurance companies agreed that greater coverage is a priority, they claim the task of covering other Americans should be left to them through innovative new plans.

The top North Carolina health insurance plans as ranked by US News and World report’s annual health plan ranking report are displayed below.  Of particular note is that a number of health insurers including the states oldest and largest health insurance company, BCBSNC, have chosen to not supply internal data that is required to provide accurate health plan rankings.  As a result, BCBSNC, as well other North Carolina health plans were not included in the 2008 rankings.

The top North Carolina health plans that particiapted in this report are

1. CIGNA Healthcare of North Carolina
2. Aetna Health of the Carolinas
3. UnitedHealthcare of North Carolina

Following up on a story reported a couple of days ago, UnitedHealth Group has agreed to pay $350 Million to settle a billing dispute related to out of network claims.  In addition, UnitedHealth pledged $50 Million and Aetna $20 Million to create a new database to determine our of network claims payment.  The previous database that was used was operated by Ingenix, a UnitedHealth subsidiary which was at the center of the dispute.

The Ingenix database, contained claims payment data that is contributed by health insurance companies.  The data is then used to set “usual and customary” charges for certain procedures, when members receive care outside of their network.

The lawsuit alleged that health insurance companies lowered the payment data when adding to the database, which allowed them to lower payments for future claims.  The patient would then be billed the difference.

An investigation by the New York Attorney General’s Office found that health insurers had underpaid by 10-28% as a result of the inaccurate data in the database.

TradingMarkets.com reports that Aetna health insurance has made improvements to NYC Community Plan, its slate of health care offerings for small business owners and their employees. The plan, launched one year ago, is intended to make New York health insurance more accessible for groups that are traditionally underserved. It’s currently available in the New York City boroughs of Brooklyn, Manhattan, Staten Island, the Bronx, and Queens. Hopefully, Aetna will soon introduce similar products in other markets.

Changes to the plan include:

• unlimited generic pharmacy benefits in a calendar year
• discounts on branded medications
• lower co-payments for hospital visits

With cooperation from doctors, hospitals, and other providers, Aetna has actually managed to lower premiums of small business health insurance to as little as $243 per month!

(Photo credit: fergusonphotography under CC 2.0)