MedicarePartD.guide

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2015 Medicare Part D and Medicare Advantage Plans with Consistently Low CMS Quality Ratings

Star Ratings & plan quality · published Jan 22, 2015

The chart below lists the 2015 Medicare Advantage plans that have received low quality ratings for the last three years, and therefore members may qualify for a Special Enrollment Period (SEP) to leave the plan and enroll in a higher quality Medicare plan.  Click on the Plan ID to see plan details including service area and, link to formulary (drug list).

See more details about the SEP for members of plans that consistently receive low quality ratings.


State Carrier Plan Name Plan ID
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Dual Advantage (Regional PPO SNP) R6801-011
IA, IL, IN, NC, NE, NM, TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Gold Rx (PPO SNP) H0084-004
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Gold Rx (Regional PPO SNP) R6801-009
IA, IL, IN, NC, NE, NM, TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Medicare Advantage (PPO) H0084-001
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Medicare Advantage (Regional PPO) R6801-012
IA, IN CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Silver Rx (PPO SNP) H0084-014
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Silver Rx (Regional PPO SNP) R6801-008
PR FIRST MEDICAL HEALTH PLAN, INC. First Care+Plus (HMO) H5887-001
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Complete (HMO SNP) H5887-007
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Platino (HMO SNP) H5887-010
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Smart Premium (HMO) H5887-012
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Smart Value (HMO) H5887-013
TX SUPERIOR HEALTH PLAN, INC. Superior HealthPlan Advantage (HMO SNP) H5294-001
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Freedom (HMO-POS) H3327-038
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Grand (HMO SNP) H3327-043
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Power (HMO) H3327-001
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Power (HMO) H3327-040
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Prestige (HMO SNP) H3327-026
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Prestige (HMO SNP) H3327-042
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Total (HMO) H3327-002
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Total (HMO) H3327-041
LA WELLCARE OF LOUISIANA, INC. WellCare Access (HMO SNP) H1903-011
MS WINDSOR HEALTH PLAN, INC. WellCare Access (HMO SNP) H5698-200
AR WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-128
MS WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-134
SC WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-158
TN WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-140
TN WINDSOR HEALTH PLAN, INC. WellCare Dividend (HMO-POS) H5698-199
AR WINDSOR HEALTH PLAN, INC. Wellcare Emerald Value (HMO) H5698-063
SC WINDSOR HEALTH PLAN, INC. WellCare Emerald Value (HMO) H5698-159
TN WINDSOR HEALTH PLAN, INC. Wellcare Emerald Value (HMO) H5698-062
MS WINDSOR HEALTH PLAN, INC. WellCare Gold Essential (HMO) H5698-028
LA WELLCARE OF LOUISIANA, INC. WellCare Value (HMO) H1903-022
MS WINDSOR HEALTH PLAN, INC. WellCare Value (HMO-POS) H5698-198