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Complaint Index
All Health Maintenance Organizations
(Including Medicaid and Medicare Business)


Missouri Department of Insurance Complaint Index
All Health Maintenance Organizations
(Including Medicaid and Medicare Business) for1996

The complaint index measures how many consumer complaints the Missouri Department of Insurance has received in the past three years relative to the amount of business a specific company writes in Missouri. The index is based on all complaints received, whether or not they were valid.

The higher the index number, the worse the complaint ratio. As a rule:

......100 percent means that the department received the normally expected number of complaints about that company.

......99 percent or less indicates the company was the subject of less than the normally expected number of complaints.

.......More than 100 percent shows the department received more than the normally expected number of complaints about that company.

The 1996 MDI Consumer Complaint Guide covers only the highest-volume companies writing insurance in Missouri.



Complaint Index
All Health Maintenance Organizations
(Including Medicaid and Medicare Business)

COMPANY 3 YEAR COMPLAINT INDEX
BlueAdvantage 68
BlueCare (Good Health HMO Inc.) 90
BlueChoice (HMO Missouri Inc.) 166
BMA Selectcare Inc 196
Cigna Healthplan of KS/MO Inc 192
Cigna Healthplan of St. Louis Inc 170
Citizens Advantage 180
Community Care Plus 0
Community Health Plan 202
Exclusive Healthcare Inc 80
Gencare Health Systems 73
Group Health Plan Inc. 98
Healthcare U.S.A. 0
Healthlink HMO Inc. 233
Healthnet Inc 349
Humana Health Plan Inc 183
Humana Kansas City Inc 57
Kaiser Foundation Health Plan 157
Mercy Health Plans of MO Inc 0
Metrahealth Care Plan of Kansas City Inc. 175
Metrahealth Care Plan of St. Louis 174
Partners HMO 57
Physicians Health Plan 73
Principal Health Care of KC Inc 270
Prudential Health Care Plan Inc 83
Truman Medical Center Inc 0

Whenever possible, HMOs are listed by their d/b/a's or name for doing business.)



Help others to make an informed decision

.....If you are interested in sharing your claims experience with others take the time to add your story concerning an insurance company, adjuster or contractor to our Speakers' Corner or Consumer Survey. In the past this individual experience has been unavailable with a few exceptions, other than as part of a statistic on consumer satisfaction. Become more than a statistic by sharing your experience with others.


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