Medicare Star Ratings

What are Medicare Star Ratings?

Hi, you may be wondering, what are Medicare Star Ratings? Medicare star ratings are a system the Centers for Medicare and Medicaid Services (CMS) uses to measure the healthcare service quality for Medicare Advantage plans, Medicare Part D prescription drug plans, and Medicare-approved private fee-for-service plans. Medicare star ratings are on a scale of one to five stars and five stars is the highest quality level. Ratings are calculated based on patient satisfaction, the availability and accessibility of healthcare services, and the overall effectiveness of the healthcare services provided.

Medicare star ratings help Medicare beneficiaries understand their healthcare coverage options by comparing the quality of different Medicare plans. The ratings are updated annually, and Medicare plans with a four-star rating or higher are eligible for certain financial incentives like bonus payments. Medicare beneficiaries are able to use Medicare Plan Finder tools, but we can help you compare plans and find one that will meet your needs. Importantly, beneficiaries can consider star ratings reviewing Medicare plans because the ratings provide valuable information about the healthcare service quality provided by the plan(s).

Medicare star ratings are a system the Centers for Medicare and Medicaid Services uses to measure the healthcare service quality for Medicare Advantage plans, Medicare Part D prescription drug plans, and Medicare-approved private fee-for-service plans. Ratings are based on a scale of one to five stars and five stars represents the highest quality level. Medicare star ratings help Medicare beneficiaries compare healthcare coverage options related to the quality of different Medicare plans. Ratings are updated annually and Medicare plans with a four-star rating or higher are eligible for certain financial incentives.

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We do not offer every plan available in your area. Currently we represent 23 organizations nationwide which offer 1,779 products nationwide. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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