Connecticare Private Insurance: What You Need To Know

ConnectiCare is a health insurance company based in Connecticut that offers a range of health insurance options, including HMO, PPO, HSA, and individual products. The company serves over 240,000 members in Connecticut, Western Massachusetts, and several counties in New York. ConnectiCare's health plans cover costs for medical care related to illnesses, injuries, and health conditions, and also include benefits such as free preventive care, prescription drug coverage, and mental health services. With a focus on customer satisfaction, ConnectiCare provides in-person assistance and online tools to help members understand their plans and manage their health.

ConnectiCare's health insurance plans

ConnectiCare is a top-performing health insurance company based in Connecticut, serving over 240,000 members. It is a member of the HIP (Health Insurance Plan of New York) Family of Health Plans and is under the umbrella of EmblemHealth, one of the largest nonprofit healthcare providers in the US. ConnectiCare offers a wide range of health insurance options, including HMO, PPO, HSA, and individual products.

The company has a large network of participating hospitals and providers, including 126 hospitals and approximately 20,000 providers. ConnectiCare's health network consists of almost 900,000 professionals, ensuring that members have access to quality care.

ConnectiCare plans offer free preventive care, including annual check-ups, screenings, flu shots, and other vaccinations. They also provide prescription drug coverage, with some drugs at no cost, such as birth control and medicine to prevent heart disease. Mental health care is also covered, including substance use disorder, anxiety, and depression treatment. Specialist care, diagnostic testing, and hospital treatment are included, as well as pediatric dental coverage for children up to age 19.

Additionally, ConnectiCare plans provide the flexibility to visit any hospital in Connecticut and access specialists without referrals. Emergency and urgent care are also covered, no matter where members travel. With their myConnectiCare portal, members can conveniently view claims, estimate treatment costs, pay premiums, and more.

ConnectiCare has received recognition for its high member satisfaction score for customer service and has been ranked highly by the NCQA (National Committee for Quality Assurance).

ConnectiCare's history and awards

ConnectiCare is a leading health insurance plan in Connecticut, serving approximately 245,000 members across the state and in parts of neighbouring states. It was founded in 1981 and has been dedicated to making Connecticut a healthier place to live and work. ConnectiCare is part of the EmblemHealth family of companies, which was formed in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP).

ConnectiCare has received several awards and recognitions for its customer service and member satisfaction. In the 2007 Consumer Assessment of Health Plans Survey (CAHPS), ConnectiCare received a higher member satisfaction score for customer service than any of its competitors, including major companies such as Aetna, Anthem Blue Cross and Blue Shield, and United HealthCare. The company was also ranked #1 for having the least number of justified complaints among all health plans in Connecticut in 2007, marking the third consecutive year it received this honour from the Connecticut Insurance Department.

ConnectiCare has received the "Excellent" Accreditation from the National Committee for Quality Assurance (NCQA) with Distinction in Member Connections, Care Management, and Health Improvement. This accreditation is a testament to the company's commitment to providing quality services and continuously improving to meet the changing demands of its consumers.

In addition to its awards, ConnectiCare has played an important role in keeping Connecticut healthy by offering affordable health insurance, in-person customer service, and forming partnerships with local organisations that promote healthy living in their communities. The company offers a full range of products and services for businesses, municipalities, individuals, and those who are Medicare-eligible, ensuring that everyone has access to the care they need.

ConnectiCare's customer satisfaction

ConnectiCare is a private health insurance company based in Farmington, Connecticut, serving over 240,000 members. The company has received recognition for its customer satisfaction, including:

• Ranked #5 on the U.S. News and World Report/NCQA list of America's Best Health Plans in 2007. This ranking was based on a combination of member satisfaction, clinical performance, and accreditation.
• In the 2007 Consumer Assessment of Health Plans Survey (CAHPS), ConnectiCare received a higher member satisfaction score for customer service than any of its competitors, including Aetna, Anthem Blue Cross and Blue Shield, and United HealthCare.
• Ranked #1 for having the least number of justified complaints of all health plans in Connecticut for 2007. This was the third consecutive year ConnectiCare earned this honour from the Connecticut Insurance Department.
• In February 2019, ConnectiCare won bronze for contact centre of the year (up to 100 seats) in the financial services industries and silver for customer service management team of the year at The Stevie Awards.
• In February 2020, ConnectiCare centres won silver for innovation in customer service, bronze for best customer engagement initiative, and bronze for best customer satisfaction strategy at The Stevie Awards.

ConnectiCare offers a range of health insurance options, including HMO, PPO, HSA, and individual products. The company also provides Medicare Advantage plans, which offer additional benefits beyond Original Medicare, such as vision, dental, hearing, and preventive services.

ConnectiCare's commitment to customer satisfaction is evident through its award-winning customer service, personalized health programs, and strong relationships with community health systems. The company conducts routine, focused surveys, such as the Consumer Assessment of Health Plan Satisfaction (CAHPS) survey, to monitor member satisfaction and implement quality improvement activities.

ConnectiCare's website also outlines the rights and responsibilities of its members, demonstrating its commitment to transparency and ensuring members can actively participate in decision-making regarding their healthcare.

ConnectiCare's health network

ConnectiCare is a health insurance company based in Connecticut. It is a member of the HIP (Health Insurance Plan of New York) Family of Health Plans and is under the umbrella of EmblemHealth, one of the largest nonprofit healthcare providers in the US. ConnectiCare has a large health network consisting of almost 900,000 professionals, serving over 240,000 people. Its health network includes 126 participating hospitals and approximately 20,000 participating providers. The company's coverage area includes Connecticut, Western Massachusetts, and Orange, Putnam, Rockland, and Westchester counties in New York.

ConnectiCare offers a full range of health insurance options, including HMO, PPO, HSA, and individual products. The company continually develops new plans to meet the changing demands of consumers, government, and businesses. ConnectiCare's plans are designed to be affordable and competitive, offering quality health coverage to individuals and families. The company also provides group plans for employers, with options for small and large groups.

One of the standout features of ConnectiCare is its focus on customer satisfaction. According to the 2007 Consumer Assessment of Health Plans Survey (CAHPS), ConnectiCare received a higher member satisfaction score for customer service than any of its competitors. The company was also ranked #1 for having the least number of justified complaints among all health plans in Connecticut in 2007, earning this top honour for three consecutive years.

ConnectiCare's health plans offer a range of benefits to their members. These benefits include free preventive care, such as annual check-ups, screenings, flu shots, and other vaccinations. The plans also cover prescription drug costs, with some drugs available at no cost, such as birth control and medicine to prevent heart disease. ConnectiCare also offers convenient options like doctor visits by phone or video, mental healthcare services, specialist care without referrals, diagnostic testing, hospital treatment, and emergency care while travelling. Additionally, ConnectiCare provides access to a large network of doctors and hospitals through their SOLO plans, which also allow members to save money tax-free in health savings accounts (HSAs).

ConnectiCare's dental plans

ConnectiCare is a Connecticut-based health insurance company that offers a full range of health insurance options, including dental plans. ConnectiCare's dental plans are designed to help members maintain good oral hygiene and prevent potential health risks associated with poor oral health, such as diabetes and heart disease.

ConnectiCare contracts with Healthplex to manage the dental needs of its members. Healthplex has a large network of participating dentists and specialists. Members can choose from two dental Point of Service (POS) plans or a dental indemnity plan. The dental POS plan offers cost savings by staying within the Healthplex network. Services provided by a non-network dentist will be reimbursed according to the out-of-network allowance, with the member being responsible for any remaining costs.

On the other hand, the dental indemnity plan provides more flexibility in choosing a dentist with no network restrictions. This plan offers reimbursement of 50% of the billed amount for dental services, up to the plan's annual maximum. This option allows members to seek care from any Medicare-approved dental provider.

ConnectiCare also offers optional supplemental dental benefits for an additional monthly premium. These benefits can be added to specific ConnectiCare plans, providing members with preventive and comprehensive dental services. The preventive benefits include oral exams, cleanings, fluoride treatments, and standard x-rays every six months, as well as complete series x-rays once every 36 months. The comprehensive dental services cover basic restorative treatments, such as fillings, and major procedures, including crowns, dentures, endodontics, periodontics, and oral surgery.

Frequently asked questions