Member Satisfaction

 

The 2009 Member Satisfaction Survey did not have any changes from the 2008 survey.

 

Areas of interest include:

  • Getting Needed Care
  • Getting Care Quickly
  • How well Doctors Communicate
  • Customer Service
  • Claims Processing
  • Shared Decision Making
  • Plan Information on Costs
  • Health Promotion and Education
  • Coordination of Care
  • Rating of Health Care
  • Rating of Personal Doctor
  • Rating of Specialist
  • Rating of Health Plan

Optima Health conducts three surveys: one for our Commercial HMO/POS members, one for our Medicaid members and for the first time a survey for our Commercial PPO members.

 

Here are some of the results of this year’s survey:

 

Commercial HMO/POS

  • 88.2% overall satisfaction with Optima’s customer service
  • 90.1% overall satisfaction with Optima’s claim processing
  • 82.3% overall satisfaction with member’s personal doctor
  • 77.4% overall satisfaction with member’s specialist
  • 70.5% overall satisfaction with Optima Health

 

Commercial PPO

  • 77.7% overall satisfaction with Optima’s customer service
  • 82.1% overall satisfaction with Optima’s claim processing
  • 86.6% overall satisfaction with member’s personal doctor
  • 86.5% overall satisfaction with member’s specialist
  • 57.6% overall satisfaction with Optima Health

 

Medicaid

  • 84.1% overall satisfaction with Optima’s customer service
  • 81.5% overall satisfaction with member’s personal doctor
  • 85.5% overall satisfaction with member’s specialist
  • 82.1% overall satisfaction with Optima Health

The above percentages represent the number of members who gave the above questions an 8, 9 or 10 on a scale of 0-10.

 

Last Updated October 19, 2009 2:12:32 PM