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Latest Medicare News on Star Ratings & Plan Quality

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Category: Star Ratings & Plan Quality

Back To News Home . Browse All (19) Items in Category

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The Medicare Part D Plan Quality Star Rating System
The Medicare Prescription Drug Plan Rating System is based on  based on the survey data. Plans are given a number of  "stars" out of a maximum of five (5) stars. Here is a ...

Star Ratings for the 2012 Medicare Advantage Plans by Health Plan Type
Medicare uses information from member satisfaction surveys, plans, and health care providers to give overall performance star ratings to Medicare Advantage plans. These ratings are an incentive for Me ...

Comparing 2013 and 2014 Medicare Plan Star Ratings
Medicare Advantage plans and Prescription Drug plans can earn a star rating from one to five stars. A 2-star rating means below average performance and a 5-star rating is considered exc ...

Questions and Answers about the Special Enrollment Period for 5-Star Rated Medicare Plans
Question: My insurance agent told me that I could get out of my current Medicare Advantage plan and join a Medicare plan with a “5-star” rating anytime during 2012. Yes, if a 5-star ra ...

2013 Medicare Advantage Plans with a CMS 5-Star Quality Rating
The chart below lists the Medicare Advantage Plans that have a 5-Star CMS quality rating for the plan year 2013.  Click on the Plan ID to see plan details including service area, link t ...

2012 Medicare Advantage Plans with a CMS 5-Star Quality Rating
The chart below lists the Medicare Advantage Plans that have a 5-Star CMS quality rating for the plan year 2012.  The 2013 plan quality ratings will be available in October, 2012.&n ...

Comparing 2011 and 2012 Medicare Plan Star Ratings
Medicare Advantage plans and Prescription Drug plans can earn a star rating from one to five stars. A 2-star rating means below average performance and a 5-star rating is considered exc ...

Star Ratings for the 2013 Medicare Advantage Plans by Health Plan Type
Medicare uses information from member satisfaction surveys, plans, and health care providers to give overall performance star ratings to Medicare Advantage plans. These ratings are an incentive for Me ...

Comparing 2012 and 2013 Medicare Plan Star Ratings
Medicare Advantage plans and Prescription Drug plans can earn a star rating from one to five stars. A 2-star rating means below average performance and a 5-star rating is considered exc ...

2014 Medicare Part D and Medicare Advantage Plans with a CMS 5-Star Quality Rating
The chart below lists the Medicare Part D and Medicare Advantage plans that have a 5-Star CMS quality rating for the plan year 2014.  Click on the Plan ID to see plan details including se ...

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Good News: More than 11 million people can take advantage of the 2017 "5-Star" Medicare plan Special Enrollment Period.
A bit of good news: in 2017 more than 11 million people have access to Medicare Part D plans and Medicare Advantage plans with a 5-Star quality rating - and this means these people have the option of ...

2017 Medicare Part D (PDP) and Medicare Advantage plans (MA, MAPD, SNP) with a CMS 5-Star Quality Rating
The charts below lists the Medicare Part D and Medicare Advantage plans that have a 5-Star CMS quality rating for the plan year 2017.You can click on the plan name to see plan details including servic ...

2017 Medicare Advantage Plans with Consistently Low CMS Quality Ratings
Only five 2017 Medicare Advantage plans (from two providers) have received low-quality ratings for the last three years, and therefore members may qualify for a Special Enrollment Period (SEP) to leav ...

Star Ratings for the 2015 Medicare Advantage Plans by Health Plan Type
Medicare uses information from member satisfaction surveys, plans, and health care providers to give overall performance star ratings to Medicare Advantage plans. These ratings are an incentive for Me ...

Limitations on using the 2015 "5-Star" Medicare plan Special Enrollment Period due to plan availability.
What is the 5-Star Special Enrollment Period? Special Enrollment Periods allow you to change Medicare plans outside of the annual Open Enrollment Period (October 15th through December 7th) and ar ...

Comparing 2014 and 2015 Medicare Plan Quality Star Ratings
The Centers for Medicare & Medicaid Services (CMS) annually awards Medicare Advantage plans (MAs and MAPDs) and stand-alone Medicare Part D prescription drug plans (PDPs) an overall (summary) qual ...

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

2015 Medicare Part D and Medicare Advantage Plans with a CMS 5-Star Quality Rating
The chart below lists the Medicare Part D and Medicare Advantage plans that have a 5-Star CMS quality rating for the plan year 2015.  Click on the Plan ID to see plan details including servi ...

Why don't more people take advantage of the "5-Star" Medicare plan Special Enrollment Period?
Limited plan availability. "5 Star" Medicare Part D and Medicare Advantage plans are available only in a few areas across the country. Currently, the only "5 Star" stand-alone Medicare Part D presc ...

2014 Medicare Part D and Medicare Advantage Plans with a CMS 5-Star Quality Rating
The chart below lists the Medicare Part D and Medicare Advantage plans that have a 5-Star CMS quality rating for the plan year 2014.  Click on the Plan ID to see plan details including se ...


Back To News Home . Browse All (19) Items in Category




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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.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.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • 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.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • 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.