CDPHP NCQA Ratings Remain Strong for 2021

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CDPHP NCQA Ratings Remain Strong for 2021

High-quality plans, personalized extras will be featured this open enrollment season

Albany, NY – September 16, 2021 –CDPHP has some of the top-rated commercial health plans in New York state, according to recent NCQA Health Insurance Plan Ratings. The health plan is also rated among the top plans in the nation in the areas of patient experience, prevention, and treatment.

“Even as we faced great uncertainty over the past 18 months, CDPHP persevered and continues to offer our members the highest quality of care and award-winning customer service,” said John D. Bennett, MD, president and CEO, CDPHP. “I highly encourage individuals to keep these ratings in mind when shopping for health care coverage this fall,” added Bennett.

NCQA rates plans on a scale of 1 to 5, where 5 is the highest score and 1 is the lowest. Plans were scored on consumer experience, prevention, and treatment, as well as NCQA accreditation.

Below is a breakdown of how all CDPHP plans are rated for 2021*:

  • Capital District Physicians’ Health Plan, Inc. – Commercial (HMO) – 5 out of 5

  • Capital District Physicians’ Healthcare Network Commercial (HMO/POS) – 5 out of 5

  • CDPHP Universal Benefits, Inc. – Commercial (PPO) – 4.5 out of 5

  • Capital District Physicians’ Healthcare Network – Self-Funded (PPO) – 4.5 out of 5

  • Capital District Physicians’ Health Plan, Inc. – Medicaid (HMO) – 4.5 out of 5

  • Capital District Physicians’ Health Plan, Inc. – Medicare (HMO) – 4.5 out of 5

  • CDPHP Universal Benefits, Inc. – Medicare (PPO) – 4.5 out of 5

CDPHP will complement our award-winning plans with a suite of enhancements and extras for 2022:

  • A $0 cost-share for primary care physician visits for children ages 18 and under. The deductible will apply to qualified high deductible plans for non-well preventive visits. The benefit does not apply to Standard plans.

  • A $0 cost-share for live video doctor visits with Doctor On Demand. The deductible will apply for qualified high deductible plans. This benefit does not apply to Standard plans.

  • An increase from $75 to $100 for the popular weight management reimbursement.

  • Eligible members can be reimbursed up to $400 per plan year for going to the gym or attending a digital fitness class, and their covered dependents can earn up to a combined $200 – a total of $600 per contract!

  • Access to our suite of mental health care services, many of which are available 24/7 and from the comfort of members’ homes.

  • Movn virtual cardiac rehabilitation, via an app, remote monitoring tools, a dedicated coach, and a personalized treatment plan, will help members improve their cardiac health from the comfort of home.

  • Ovia Health will provide digital support and personalized guidance for members on their parenthood journey. The program includes unlimited one-on-one support from an Ovia Health coach, access to daily health and wellness programs, symptom tracking, and more.

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa.

*Due to the COVID-19 crisis, NCQA did not issue ratings for 2020.

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About CDPHP®
Established in 1984, CDPHP is a physician-founded, member-focused and community-based not-for-profit health plan that offers high-quality affordable health insurance plans to members in 29 counties throughout New York. CDPHP is also on Facebook, Twitter, LinkedIn, and Instagram.

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