Too many Americans overpay for health insurance and still don’t get the plan that’s best for them. Selecting the right health plan is an important decision and shouldn’t be based solely on how much you pay for a monthly premium. You need access to three things rolled into one plan: quality medical services, low out-of-pocket healthcare costs and good customer service.
Our Quality Score is unique in the healthcare market. It combines a plan’s quality ratings from unbiased government and nonprofit data along with our own analysis of a plan’s financial value. The HealthPocket Quality Score examines a variety of factors including clinical quality measures on treatment and preventative care, premiums and cost-sharing (e.g. deductibles, co-pays), and customer satisfaction.
HealthPocket uses this information to personalize rankings based on the health plans available in your area. We believe this personalization is important since people typically don’t care about a national ranking of health plans but rather a comparative ranking of the plans available in their area.
Our Quality Score is a ranking from 1 to 10. The higher the score, the better the plan. By comparing Quality Scores, people often learn that plans with similar premiums can have very different quality as well as the most expensive plan is not necessarily the best plan.
A plan will receive an NR Rating (“Not Rated”) if the health plan does not report its clinical quality and customer satisfaction data or if that information was not made public through the government and non-profit entities we examine.
Quality Scores for individual & family health plans follow HealthPocket’s quality/cost/satisfaction methodology and examines factors such as:
Quality Scores for Medicare insurance plans also adhere to HealthPocket’s methodology of combining performance on quality medical services, out-of-pocket costs, and customer satisfaction and review issues such as:
When a person enters medications, the quality score is adjusted for local plans to reflect changes in these plans’ total out-of-pocket expenses (including drug copays) and their relative ranking among one another.
Quality Scores for small business health plans follow HealthPocket’s quality/cost/satisfaction methodology and examines factors such as: