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Top 10 Medicare Health Plans

Using over 100 criteria, US News along with the National Committee for Quality Assurance (NCQA) compiled a thorough ranking of America’s top health insurance providers. Medicare and commercial providers were separated into their own lists with the best of the best achieving high scores for customer satisfaction, NCQA accreditation, illness prevention, and medical treatment.

Since Medicare is a federal program for Americans aged 65 and older, the criteria used to rank a provider focused on the specific needs of seniors. Heart disease, cancer screenings, arthritis management, and blood pressure control were some of the specific issues addressed. The handling of claims, level of communication of the doctors and quality of the specialists were factored into the provider’s final score as well.

Top Ten Medicare Healthcare Plans

  1. Kaiser Foundation Health Plan of Colorado (HMO) Score 89.0
  2. Fallon Community Health Plan (HMO) Score 88.8
  3. Geisinger Health Plan (HMO) Score 88.1
  4. Tufts Associated HMO Score 88.0
  5. Capital Health Plan (HMO) Score 87.6
  6. MVP Health Care (HMO) Score 87.3
  7. Kaiser Foundation Health Plan of the NW (HMO) Score 87.2
  8. Kaiser Foundation Health Plan of Southern Cal. (HMO) Score 87.2
  9. Kaiser Foundation Health Plan of the NW (Demo Plan) Score 87.1
  10. Capital District Physician’s Health Score 87.0

It should also be noted that Kaiser Foundation Health Plan and Aetna Health had several locations that ranked among the top fifty (50) best Medicare plans.

If your local is not represented on this list then start by searching for a provider with NCQA accreditation. It would appear that seniors should be especially careful when considering a health insurance provider without the NCQA seal of approval. Non-accredited plans ranked significantly lower in helping it’s members manage their heart disease, diabetes, or cholesterol. Postpartum care was also lacking along with some of their preventative care measures. Medicare plans without that did not meet NCQA standards showed lower breast cancer and colon cancer screening rates along with lags in osteoporosis testing.

For a dynamic a up-to-the-minute ranking of health insurance providers in your area you can check out the NCQA report card at The National Association of Insurance Commissioners (NAIC) is another useful resource. By contacting your local NAIC office you can learn about complaints or other important issues regarding your health insurance provider of choice. Your local office may even have a free clinic to help you navigate the health insurance maze.