*Plans in each category pay different amounts of the total covered costs of an average person’s care. This takes into account the plans’ monthly premiums, deductibles, copayments, coinsurance, and out-of-pocket maximums. The actual percentage you’ll pay in total or per service will depend on the services you use during the year.
**CMS rates qualified health plans (QHPs) offered through the Marketplaces using the Quality Rating System (QRS), which is based on third-party validated clinical measure data and QHP Enrollee Survey response data. CMS calculates QRS ratings annually using a 5-star scale. QHP issuers contract with HHS-approved survey vendors that independently conduct the QHP Enrollee Survey each year. QRS ratings and QHP Enrollee Survey results may change from one year to the next. For more information, please see CMS’ Health Insurance Marketplace Quality Initiatives website at: http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Health-Insurance-Marketplace-Quality-Initiatives.html.
***Unity Health Plans’ Commercial HMO / POS plans are rated 4.5 out of 5 among NCQA’s Private Health Insurance Plan Ratings 2016 – 2017. Unity has consistently maintained an Excellent Accreditation status through NCQA since 2002.
The Prime Network is available to individuals and families living in Columbia, Dane, Dodge, Green, Iowa, Jefferson and Sauk Counties.