Provider Satisfaction Survey

Please take a few minutes to complete this brief survey on the quality of your interactions with BlueChoice® HealthPlan. We welcome your feedback and appreciate your honesty. With your help, we hope to strengthen the bond between us and our providers.

This survey is for quality improvement purposes and all participants will remain anonymous.

BlueChoice HealthPlan is an independent licensee of the Blue Cross and Blue Shield Association.

Question Title

* 1. What is your specialty or your office’s specialty?

Family Medicine, Internal Medicine or Pediatrics

OB/GYN

Other (please specify)

***Please indicate your answer to the following questions about you or your office’s network relationship with BlueChoice HealthPlan (NOT BlueChoice® Medicaid).***

Question Title

* 2. How many years have you or your office participated in BlueChoice HealthPlan’s network?

1-2

3-4

Question Title

* 3. BlueChoice HealthPlan insures about ___% of your patients.

<15%

16-30%

31-50%

51-70%

>70%