Quality matters

Staying focused on providing the best for our members

We are committed to providing you with a superior level of care and service. Our goal is to ensure the right care, at the right place, at the right time and with the right provider. And we're thrilled to be recognized for our quality efforts.

NCQA accredited health plan excellent logo

Awarded "Excellent Accreditation" Status for Commercial HMO Plans
Accreditation status is one of the most important indicators of how a health plan stacks up for quality. We receive Accreditation by the National Committee for Quality Assurance (NCQA), which is an independent, not-for-profit organization that evaluates health plans based on over 50 standards of care and service to determine health plan Accreditation status. Our “Excellent Accreditation” shows that we deliver exceptional service.

four and a half stars

Rated 4.5 out of 5 Stars for Commercial HMO Plans for 2020
NCQA Private Health Insurance Plan Ratings 2019-2020 help consumers easily compare health plans based on quality of care and service. Our rating of 4.5 is in the top 17% of commercial plans in Wisconsin and 8% in the nation.

five stars

Rated 5 Stars out of 5 Stars for 2022 Medicare Advantage Plans
Prevea360's Medicare Advantage plan earned a 5 out of 5 Stars for 2022 from the Centers for Medicare and Medicaid Services (CMS) as part of its annual assessment of all Medicare Advantage plans. A Star Rating of 5 is Medicare's highest rating and demonstrates our commitment to providing high-quality care and service.

Learn more about our 5 Star Rating - English
Learn more about our 5 Star Rating - Spanish

four stars

Prevea360 Health Plan is rated 4 out of 5 Stars for Commercial HMO by the State of Wisconsin Group Health Insurance Program
The State of Wisconsin gives health plans a rating based on nine key care measurements. This rating shows how far reaching our efforts are and why our members should have every confidence in our ability to care for them.

We received the highest rating of health plans given by the state.

You're in the right place for quality

We’re working hard every day to provide the highest-quality coverage possible. It’s the kind of peace of mind that comes with being a Prevea360 Health Plan member.

Member Satisfaction/Quality of care. We measure our member satisfaction through a nationally-standardized member satisfaction survey, known as CAHPS. And we monitor our quality of care through a nationally standardized set of measures: Healthcare Effectiveness and Data Information Set (HEDIS).
Patient Safety. Patient Safety is one of the most important aspects of health care. Prevea360 Health Plan is committed to providing you with information that enables you to take an active role in obtaining the safest care possible.
Quality Improvement Program. We are committed to improving the health and health care of our members. We provide educational materials and resources to help members make informed decisions regarding their health.
HIPAA Transactions. Prevea360 Health Plan supports all HIPAA-compliant electronic transactions.
Fraud. Together, we can work to help control the cost of health care.

Prevea360 Health Plan is constantly monitoring our quality performance through national and regional standards as determined by the National Committee for Quality Assurance (NCQA).

NCQA is an independent, not-for-profit organization dedicated to measuring the quality and awarding levels of accreditation based on the results of the Healthcare Effectiveness Data and Information Set (HEDIS® is a registered trademark of the National Committee for Quality Assurance. NCQA HEDIS Compliance Audit® is a registered trademark of NCQA) and the Consumer Assessment of Healthcare Providers and Systems (CAHPS®).

These standards are purposely set high to encourage health plans to continuously improve the quality of care and customer service.

Every year, Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

woman with pet dog

View our Medicare disclaimer.
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Updated: 10/16/2021