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Over Thirteen million people can take advantage of the 2020 "5-Star" Medicare plan Special Enrollment Period.

Star Ratings & plan quality · published Mar 30, 2020

Over 13 million people have access to 2020 Medicare Part D plans and Medicare Advantage plans with a 5-Star quality rating - and this means these people have the option of using a once-a-year Special Enrollment Period (SEP) to change to a 5-Star Medicare plan during the year.

A little background: What is the 5-Star Special Enrollment Period?

Special Enrollment Periods (SEPs) allow you to change Medicare Part D or Medicare Advantage plans outside of the annual Open Enrollment Period (AEP) that runs from October 15th through December 7th.  But, SEPs are usually granted only for exceptional reasons or circumstances (such as when you move to a new area of the country).  However, one of the most accessible Special Enrollment Periods (available in specific areas of the country) is the 5-star Special Enrollment Period. The 5-star SEP allows anyone in the Service Area the opportunity to leave their current Medicare plan and join a 5-star Medicare Part D or Medicare Advantage plan - at any time during the year.  You can even leave your 5-star rated Medicare plan to join another 5-star plan that may be available in your area.

You can click here to read more about the 5-star Special Enrollment Period - with a few cautions about choosing your 5-star plan.  You can click here to read more about other Special Enrollment Periods.

How is it possible that 13 million Medicare beneficiaries can use the 2020 5-star SEP?

In 2020, 5-star rated Medicare Part D prescription drug plans (PDPs) are available in all counties in four states and 5-Star rated Medicare Advantage plans are available in 299 counties across 18 states.

Currently*, there are approximately 12,391,523 Medicare beneficiaries enrolled in a Medicare plan that has a star rating of less than 5 stars - and these people are living in counties where a 5-star Medicare Advantage plan is available (MA, MAPD, or SNPs).

A total of 1,317,137 Medicare beneficiaries are enrolled in a Medicare plan that has a star rating of less than 5 stars and are living in states where a 5-star stand-alone Medicare Part D prescription drug plan (PDP) is available, but these people are not enrolled in the 5-star plan.

(*Using January 2020 CMS Enrollment Data)

More about the 5-star Medicare plans that are available in 2020

The charts below lists the Medicare Part D and Medicare Advantage plans that have a 5-Star CMS quality rating for the plan year 2020.

You can click on the plan name to see plan details including service area, link to formulary (drug list) and enrollment options.

The plans below all qualify for the 2020 5-star Special Enrollment Period (SEP).

 Medicare beneficiaries currently enrolled any MA, MAPD, or PDP plan (including people already enrolled in another Medicare plan with 5-star rating) can take advantage of the 5-star Special Enrollment Period. The 5-star rating SEP can only be used one time during the plan year.   You can click here to read more about the 5-star SEP.

Remember:  If you are currently enrolled in a Medicare Advantage plan (MA or MAPD), and you join a 5-star stand-alone prescription drug plan (PDP), you will be disenrolled from your Medicare Advantage plan and returned to Original Medicare Part A and Part B -- along with your new prescription drug plan.
5-Star Rated
Stand-Alone Medicare Part D Prescription Drug Plans (PDP)
State Carrier Plan Name (Plan ID)
CT MA RI VT Anthem Blue Cross and Blue Shield Blue MedicareRx Premier (PDP) (S2893-003)
CT MA RI VT Anthem Blue Cross and Blue Shield Blue MedicareRx Value Plus (PDP) (S2893-001)

Remember:  If you are currently enrolled in a stand-alone Medicare Part D plan (PDP) and wish to join a 5-star Medicare Advantage plan (MAPD or SNP), you must also be enrolled in Original Medicare Part A and Part B - and meet the eligibility requirements for the Medicare Advantage plan.  Click here to read more about 5-star SEP cautions.

5-Star Rated
Medicare Advantage Plans (MA, MAPD)

State
Carrier
Plan Name (Plan ID)		 Nbr of Counties
CA Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) - (H0524-003-0) 2
CA Kaiser Permanente Kaiser Permanente Senior Advantage Solano (HMO) - (H0524-008-0) 1
CA Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) - (H0524-013-0) 8
CA Kaiser Permanente Kaiser Permanente Senior Advantage Inland Empire (HMO) - (H0524-015-0) 2
CA Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP) - (H0524-029-0) 7
CA Kaiser Permanente Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) - (H0524-030-0) 24
CA Kaiser Permanente Kaiser Permanente Senior Advantage Marin San Mateo (HMO) - (H0524-031-0) 2
CA Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) - (H0524-032-0) 3
CA Kaiser Permanente Kaiser Permanente Senior Advantage Contra Costa (HMO) - (H0524-033-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Ventura (HMO) - (H0524-034-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Kern (HMO) - (H0524-035-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Basic Kern (HMO) - (H0524-036-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage San Diego (HMO) - (H0524-037-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) - (H0524-038-0) 5
CA Kaiser Permanente Kaiser Permanente Senior Advantage Santa Clara (HMO) - (H0524-039-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) - (H0524-040-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Basic Stanis (HMO) - (H0524-041-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) - (H0524-042-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) - (H0524-043-0) 1
CA Kaiser Permanente Kaiser Permanente Senior Advantage Basic Fresno (HMO) - (H0524-046-0) 5
CA Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) - (H0524-051-0) 8
CA Kaiser Permanente Kaiser Permanente Senior Advantage Santa Cruz (HMO) - (H0524-054-0) 1
CO Kaiser Permanente Kaiser Permanente Senior Advantage Core (HMO) - (H0630-013-0) 10
CO Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP) - (H0630-014-0) 10
CO Kaiser Permanente Kaiser Permanente Senior Advantage Silver (HMO) - (H0630-015-0) 10
CO Kaiser Permanente Kaiser Permanente Senior Advantage Gold (HMO) - (H0630-016-0) 10
CO Kaiser Permanente Kaiser Permanente Senior Advantage Core (HMO) - (H0630-017-0) 2
CO Kaiser Permanente Kaiser Permanente Senior Advantage Core (HMO) - (H0630-020-0) 2
CO Kaiser Permanente Kaiser Permanente Senior Advantage Silver (HMO) - (H0630-021-0) 2
DC Kaiser Permanente Kaiser Permanente Medicare Advantage High DC (HMO) - (H2172-001-0) 1
DC Kaiser Permanente Kaiser Permanente Medicare Advantage Standard DC (HMO) - (H2172-003-0) 1
DC Kaiser Permanente Kaiser Permanente Medicare Advantage w/o Part D (HMO) - (H2172-005-0) 1
FL CarePlus Health Plans, Inc. CareOne (HMO) - (H1019-001-0) 1
FL CarePlus Health Plans, Inc. CareOne PLUS (HMO) - (H1019-006-0) 1
FL CarePlus Health Plans, Inc. CareNeeds PLUS (HMO D-SNP) - (H1019-023-0) 2
FL CarePlus Health Plans, Inc. CareNeeds PLUS (HMO D-SNP) - (H1019-024-0) 1
FL CarePlus Health Plans, Inc. CareNeeds PLUS (HMO D-SNP) - (H1019-026-0) 4
FL CarePlus Health Plans, Inc. CareNeeds PLUS (HMO D-SNP) - (H1019-028-0) 6
FL CarePlus Health Plans, Inc. CareOne (HMO) - (H1019-043-0) 2
FL CarePlus Health Plans, Inc. CareOne PLUS (HMO) - (H1019-057-0) 6
FL CarePlus Health Plans, Inc. CareFree (HMO) - (H1019-065-0) 2
FL CarePlus Health Plans, Inc. CareOne (HMO) - (H1019-069-0) 2
FL CarePlus Health Plans, Inc. CareNeeds PLUS (HMO D-SNP) - (H1019-073-0) 2
FL CarePlus Health Plans, Inc. CareFree PLUS (HMO) - (H1019-076-0) 1
FL CarePlus Health Plans, Inc. CareNeeds (HMO D-SNP) - (H1019-077-0) 6
FL CarePlus Health Plans, Inc. CareNeeds (HMO D-SNP) - (H1019-079-0) 4
FL CarePlus Health Plans, Inc. CareNeeds (HMO D-SNP) - (H1019-081-0) 2
FL CarePlus Health Plans, Inc. CareNeeds (HMO D-SNP) - (H1019-083-0) 1
FL CarePlus Health Plans, Inc. CareNeeds (HMO D-SNP) - (H1019-085-0) 2
FL CarePlus Health Plans, Inc. CareExtra (HMO) - (H1019-089-0) 1
FL CarePlus Health Plans, Inc. CareNeeds PLUS (HMO D-SNP) - (H1019-090-0) 2
FL CarePlus Health Plans, Inc. CareNeeds (HMO D-SNP) - (H1019-091-0) 2
FL CarePlus Health Plans, Inc. CareFree (HMO) - (H1019-092-0) 6
FL CarePlus Health Plans, Inc. CareFree (HMO) - (H1019-094-0) 1
FL CarePlus Health Plans, Inc. CareOne PLUS (HMO) - (H1019-098-0) 1
FL CarePlus Health Plans, Inc. CareFree (HMO) - (H1019-099-0) 1
FL CarePlus Health Plans, Inc. CareNeeds PLUS (HMO D-SNP) - (H1019-100-0) 1
FL CarePlus Health Plans, Inc. CareNeeds (HMO D-SNP) - (H1019-101-0) 1
FL CarePlus Health Plans, Inc. CareOne (HMO) - (H1019-102-0) 1
FL CarePlus Health Plans, Inc. CareOne PLUS (HMO) - (H1019-103-1) 1
FL CarePlus Health Plans, Inc. CareOne PLUS (HMO) - (H1019-103-2) 3
FL CarePlus Health Plans, Inc. CareFree (HMO) - (H1019-104-1) 1
FL CarePlus Health Plans, Inc. CareFree (HMO) - (H1019-104-2) 3
FL Florida Blue HMO FHCP Medicare Rx Plus (HMO-POS) - (H1035-002-0) 2
FL Florida Blue HMO FHCP Medicare Rx (HMO) - (H1035-006-0) 2
FL Florida Blue HMO FHCP Medicare Premier Plus (HMO) - (H1035-011-0) 2
FL Florida Blue HMO FHCP Medicare Rx Savings (HMO) - (H1035-014-0) 2
FL Florida Blue HMO FHCP Medicare Flagler Advantage (HMO) - (H1035-016-0) 1
FL Florida Blue HMO BlueMedicare Classic (HMO) - (H1035-017-0) 1
FL Florida Blue HMO BlueMedicare Classic (HMO) - (H1035-018-0) 1
FL Florida Blue HMO BlueMedicare Classic (HMO) - (H1035-019-0) 19
FL Florida Blue HMO BlueMedicare Classic (HMO) - (H1035-020-0) 3
FL Florida Blue HMO BlueMedicare Classic (HMO) - (H1035-021-0) 4
FL Florida Blue HMO BlueMedicare Classic Plus (HMO) - (H1035-022-0) 1
FL Florida Blue HMO BlueMedicare Classic Plus (HMO) - (H1035-023-0) 2
FL Florida Blue HMO BlueMedicare Premier (HMO) - (H1035-024-0) 1
FL Florida Blue HMO BlueMedicare Premier (HMO) - (H1035-025-0) 1
FL Florida Blue HMO BlueMedicare Premier (HMO) - (H1035-026-0) 2
FL Florida Blue HMO BlueMedicare Complete (HMO D-SNP) - (H1035-027-0) 1
FL Florida Blue HMO BlueMedicare Complete (HMO D-SNP) - (H1035-028-0) 2
FL Florida Blue HMO BlueMedicare Complete (HMO D-SNP) - (H1035-029-0) 2
FL Florida Blue HMO BlueMedicare Complete (HMO D-SNP) - (H1035-030-0) 2
FL Florida Blue HMO BlueMedicare Complete (HMO D-SNP) - (H1035-031-0) 2
FL Florida Blue HMO BlueMedicare Complete (HMO D-SNP) - (H1035-032-0) 1
FL Florida Blue HMO BlueMedicare Premier (HMO) - (H1035-033-0) 2
FL Florida Blue HMO BlueMedicare Premier (HMO) - (H1035-034-0) 1
FL Florida Blue HMO BlueMedicare Saver (HMO) - (H1035-035-0) 1
FL Florida Blue HMO BlueMedicare Saver (HMO) - (H1035-037-0) 3
FL Florida Blue HMO BlueMedicare Saver (HMO) - (H1035-038-0) 2
FL Florida Blue HMO BlueMedicare Saver (HMO) - (H1035-039-0) 1
FL Florida Blue HMO FHCP Medicare Premier Advantage (HMO) - (H1035-040-0) 2
FL HealthSpring of Florida, Inc. Leon Medical Centers Health Plans - Leon Cares (HMO) - (H5410-001-0) 1
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Advantage (HMO) - (H5410-004-0) 5
FL HealthSpring of Florida, Inc. Cigna-HealthSpring TotalCare (HMO D-SNP) - (H5410-013-0) 5
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Preferred (HMO) - (H5410-018-0) 5
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Preferred (HMO) - (H5410-024-0) 5
FL HealthSpring of Florida, Inc. Cigna-HealthSpring TotalCare (HMO D-SNP) - (H5410-025-0) 5
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Preferred Part B Savings (HMO) - (H5410-026-0) 5
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Preferred (HMO) - (H5410-027-0) 2
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Preferred Part B Savings (HMO) - (H5410-028-0) 2
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Preferred (HMO) - (H5410-029-0) 4
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Preferred Part B Savings (HMO) - (H5410-030-0) 4
FL HealthSpring of Florida, Inc. Cigna-HealthSpring TotalCare (HMO D-SNP) - (H5410-031-0) 2
FL HealthSpring of Florida, Inc. Cigna-HealthSpring TotalCare (HMO D-SNP) - (H5410-032-0) 4
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Primary (HMO) - (H5410-033-0) 5
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Primary (HMO) - (H5410-034-0) 2
FL HealthSpring of Florida, Inc. Cigna-HealthSpring Primary (HMO) - (H5410-035-0) 4
FL HealthSun Health Plans, Inc. HealthSun SunPlus Advantage Plan (HMO) - (H5431-001-0) 1
FL HealthSun Health Plans, Inc. HealthSun MediMax (HMO) - (H5431-006-0) 2
FL HealthSun Health Plans, Inc. HealthSun HealthAdvantage Plan (HMO) - (H5431-012-0) 1
FL HealthSun Health Plans, Inc. HealthSun HealthAdvantage Plan (HMO) - (H5431-013-0) 1
FL HealthSun Health Plans, Inc. HealthSun MediMax (HMO) - (H5431-014-0) 1
GA Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO) - (H1170-002-0) 12
GA Kaiser Permanente Senior Advantage Medicare Medicaid Plan (HMO D-SNP) - (H1170-008-0) 12
GA Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO) - (H1170-009-0) 12
GA PruittHealth Premier PruittHealth Premier (HMO I-SNP) - (H3291-001-0) 37
GA PruittHealth Premier PruittHealth Premier D-SNP (HMO D-SNP) - (H3291-002-0) 13
HI Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced (HMO) - (H1230-001-0) 1
HI Kaiser Permanente Kaiser Permanente Senior Advantage Basic (HMO) - (H1230-003-0) 1
HI Kaiser Permanente Senior Advantage Medicare Medicaid (HMO D-SNP) - (H1230-008-0) 2
HI Kaiser Permanente Kaiser Permanente Senior Advantage Maui (HMO) - (H1230-013-0) 1
HI Kaiser Permanente Kaiser Permanente Senior Advantage Hawaii Island (HMO) - (H1230-014-0) 1
IA Medical Associates Health Plan, Inc. Medical Associates SmartPlan (Cost) - (H1651-001-0) 5
IA Medical Associates Health Plan, Inc. Medical Associates Basic Plan (Cost) - (H1651-002-0) 5
IA Medical Associates Health Plan, Inc. Medical Associates Community Plan (Cost) - (H1651-004-0) 5
IA Medical Associates Health Plan, Inc. Medical Associates Freedom Plan (Cost) - (H1651-008-0) 5
IA Medical Associates Health Plan, Inc. MercyOne Cedar Valley Senior Plan (Cost) - (H1651-010-0) 8
IA Medical Associates Health Plan, Inc. Central Iowa Health Senior Plan (Cost) - (H1651-011-0) 23
IA Medical Associates Health Plan, Inc. MercyOne Clinton Community Senior Plan (Cost) - (H1651-012-0) 4
IA Medical Associates Health Plan, Inc. Quad Cities Community Health Senior Plan (Cost) - (H1651-013-0) 5
IA Medical Associates Health Plan, Inc. Mercy Cedar Rapids Senior Plan (Cost) - (H1651-014-0) 8
IA Medical Associates Health Plan, Inc. MercyOne North Iowa Senior Plan (Cost) - (H1651-015-0) 13
IA Medical Associates Health Plan, Inc. Mercy Iowa City Senior Plan (Cost) - (H1651-016-0) 5
IA Medical Associates Health Plan, Inc. Omaha Community Senior Plan (Cost) - (H1651-022-0) 9
IA Medical Associates Health Plan, Inc. MercyOne Siouxland Senior Plan (Cost) - (H1651-024-0) 5
IA Senior Preferred Gundersen Senior Preferred Elite (w/Rx) (HMO) - (H5262-001-0) 5
IA Senior Preferred Gundersen Senior Preferred Value (w/Rx) (HMO) - (H5262-003-0) 5
IA Senior Preferred Gundersen Senior Preferred Value (no Rx) (HMO) - (H5262-004-0) 5
IA Senior Preferred Gundersen Senior Preferred Elite (no Rx) (HMO) - (H5262-005-0) 5
IA Senior Preferred Gundersen Senior Preferred Core (w/Rx) (HMO) - (H5262-021-0) 5
IL Medical Associates Health Plan, Inc. Medical Associates SmartPlan (Cost) - (H1651-003-0) 1
IL Medical Associates Health Plan, Inc. Medical Associates Community Plan (Cost) - (H1651-005-0) 1
IL Medical Associates Health Plan, Inc. Medical Associates Freedom Plan (Cost) - (H1651-009-0) 1
IL Medical Associates Health Plan, Inc. Quad Cities Community Health Senior Plan (Cost) - (H1651-017-0) 1
IL Senior Preferred SwedishAmerican Senior Preferred Elite (w/Rx) (HMO) - (H5262-018-0) 1
IL Senior Preferred SwedishAmerican Senior Preferred Value (w/Rx) (HMO) - (H5262-019-0) 1
IL Senior Preferred SwedishAmerican Senior Preferred Elite (no Rx) (HMO) - (H5262-020-0) 1
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO) - (H2256-001-1) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO) - (H2256-001-2) 5
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx Plus (HMO) - (H2256-001-6) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO) - (H2256-015-1) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO) - (H2256-015-2) 5
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime Rx (HMO) - (H2256-015-6) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO) - (H2256-016-1) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Prime No Rx (HMO) - (H2256-016-2) 5
MA Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO) - (H2256-018-1) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO) - (H2256-018-7) 5
MA Tufts Health Plan Tufts Medicare Preferred HMO Value Rx (HMO) - (H2256-018-8) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Value No Rx (HMO) - (H2256-019-1) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Value No Rx (HMO) - (H2256-019-7) 5
MA Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO) - (H2256-026-1) 2
MA Tufts Health Plan Tufts Medicare Preferred HMO Basic Rx (HMO) - (H2256-026-2) 5