Healthcare Insurance Member Satisfaction Survey

Healthcare Insurance Member Satisfaction Survey — Form Fields

This surveys template includes 10 fields. Measure health insurance member satisfaction with coverage, claims, and customer service. Free to customize and use on ZenBuild.

• Plan type (dropdown selection, required) — options: HMO, PPO, EPO, HDHP/HSA, Medicare Advantage, Medicaid
• Ease of Understanding Your Coverage (rating, required)
• Speed of Claims Processing (rating, required)
• Customer Service Quality (rating, required)
• Network of Available Providers (rating, required)
• Have you had a claim denied in the past year? (multiple choice, required) — options: Yes, No
• Was the denial appropriately resolved? (multiple choice, optional) — options: Yes, Partially, No, Still pending
• Areas needing improvement (checkboxes, optional) — options: Claim Processing, Network Coverage, Premium Costs, Customer Service, Prescription Coverage, Mental Health Benefits
• Additional feedback on your insurance experience (long text, optional)
• Overall Member Satisfaction (rating, required)