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2023 Medicare Plan Star Rating Details

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Plan Quality and Performance Ratings

Information on quality can help you compare Medicare plans. Higher quality means better care and value. Looking at this plan’s star rating tells you how well the plan performs overall and in different categories. Medicare measures how well health and prescription drug plans perform.
Guide to Medicare Star Ratings
5 Stars: Excellent
4 Stars: Above Average
3 Stars: Average
2 Stars: Below Average
1 Star: Poor
NtED:Not enough data available
NEW:Plan too new to be measured
N/A:Not applicable
NtR:Plan not required to report measure
SML:Plan too small to be measured
NoD:No data availalble
NtO:Benefit not offered by plan

2023 Mutual of Omaha Rx (S7126) Star Rating Details
Mutual of Omaha Rx Plus (PDP) (S7126-011-0)
Benefit Details           
The Mutual of Omaha Rx Plus (PDP) (S7126-011-0)
in CMS PDP Region 12 which includes: AL TN
Star Rating Category & Measures20232022
Overall Star Rating [?]2 down from last year3.5
Summary Rating of Prescription Drug Plan Quality [?]2 down from last year3.5
Drug Plan Customer Service4 up from last year3
  • Call Center — Foreign Language Interpreter and TTY Availability
up from last year
Member Complaints and Changes in the Drug Plan’s Performance1 down from last year3
  • Complaints about the Drug Plan (higher score is better - means fewer complaints)
down from last year4
  • Members Choosing to Leave the Plan (higher score is better - means fewer members leaving)
11
  • Improvement (if any) in the Drug Plan's Performance
down from last year5
Member Experience with the Drug Plan22
  • Members’s Rating of Drug Plan
down from last year2
  • Ease of Getting Prescriptions Filled When Using the Plan
22
Drug Safety and Accuracy of Drug Pricing44
  • Medicare.gov Plan Finder Drug Price Accuracy (higher score is better)
55
  • Medication Adherence for Diabetes Medications
down from last year4
  • Medication Adherence for Hypertension (RAS antagonists)
down from last year4
  • Medication Adherence for Cholesterol (Statins)
44
  • MTM Program Completion Rate for CMR
33
  • Statin Use in Persons with Diabetes
33



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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
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    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • 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.
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  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.