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Healthcare CAHPS® Health Plan v4.0 Survey Template
Empower Patient-Centered Health Plan Evaluation with Trusted Feedback
Understanding how patients perceive their health plans is critical for every forward-thinking hospital, clinic, or healthcare network. With rising expectations and increasing competition, it’s no longer enough to simply offer care — patients expect transparency, convenience, and personalized service.
That’s where the CAHPS® Health Plan v4.0 Survey Template comes in. This standardized, research-based questionnaire is a powerful tool for measuring patient experiences with their health plans, helping providers improve service delivery, ensure regulatory alignment, and build stronger patient relationships.

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What Is the CAHPS® Health Plan Survey?
The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey is developed by the Agency for Healthcare Research and Quality (AHRQ). Version 4.0 is the latest iteration designed to evaluate subscribers’ recent experiences with their health plans, including services received, communication effectiveness, administrative support, and overall satisfaction.
This survey is built around key questions like:
- What is the name of your current health plan?
- How many specialists have you seen in the last 12 months?
- In general, how would you rate your overall health?
- How often were your health plan’s forms easy to fill out?
- Did you receive timely help from customer service?
The CAHPS® survey structure ensures that results are comparable across health plans, helping consumers make informed decisions and empowering providers to continuously improve.
Why Use a Health Plan Survey?
- Benchmark Performance Over Time: Track your progress over time and measure improvements using consistent data.
- Identify Strengths and Opportunities: Learn what’s working well and what needs improvement to guide staff training and operational planning.
- Support Consumer Choice: Help patients choose the right plan by providing transparent, data-driven comparisons.
- Boost Engagement and Loyalty: Demonstrate that feedback leads to action and improvements.
- Meet Accreditation and Compliance Needs: Align your feedback collection with national quality and reporting standards.
Why Use a Health Plan Survey?
- Benchmark Performance Over Time: Track your progress over time and measure improvements using consistent data.
- Identify Strengths and Opportunities: Learn what’s working well and what needs improvement to guide staff training and operational planning.
- Support Consumer Choice: Help patients choose the right plan by providing transparent, data-driven comparisons.
- Boost Engagement and Loyalty: Demonstrate that feedback leads to action and improvements.
- Meet Accreditation and Compliance Needs: Align your feedback collection with national quality and reporting standards.
Who Should Use the CAHPS® Health Plan v4.0 Survey?
This survey is ideal for:
- Health insurance providers
- Hospitals with managed care services
- Outpatient medical centers
- Integrated delivery systems
- Group practices and specialty clinics
- Accountable Care Organizations (ACOs)
What’s Inside the Survey Template?
The survey covers essential areas such as:
- Access to Healthcare Services: Scheduling, referrals, wait times
- Customer Service: Support responsiveness and helpfulness
- Plan Communication: Clarity of coverage, explanations of benefits
- Forms and Administration: Ease of completing paperwork and claims
- Overall Satisfaction: General impression of the health plan
Customize the Survey for Your Organization
SurveyLegend allows you to fully customize the survey to meet your unique requirements:
- Add or modify questions specific to your organization
- Support multilingual patients with translated versions
- Apply your own branding, language, and tone
- Enable anonymous or identifiable submissions
Mobile-Ready Design for On-the-Go Participation
Today’s healthcare consumers are mobile-first. Our survey platform ensures that your CAHPS® survey is visually optimized for any screen size, making it easy for participants to respond from anywhere — whether on a phone, tablet, or desktop.
Real-Time Analytics That Drive Results
Get real-time access to charts and metrics that help you:
- Track performance and trends over time
- Break down data by patient type, location, or plan
- Export results to Excel, Google Sheets, or PDF
- Share findings with leadership and stakeholders
Why Choose SurveyLegend?
Our platform makes it simple and effective to create, distribute, and analyze your CAHPS® Health Plan Survey:
- Intuitive drag-and-drop builder
- No technical expertise needed
- Secure and HIPAA-compliant
- Custom templates and question logic
- Responsive design for every device
Start Measuring Member Experience Today
Understanding your patients’ experience with their health plans is key to improving outcomes and maintaining a competitive advantage in the healthcare marketplace.
Register now and start building your customized CAHPS® Health Plan v4.0 survey today — for free.
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