What are Medicare “ Star Ratings” ? Murrieta – Temecula – Hemet
A 5-star rating is the best, while a 1-star rating is the worst. When you’re trying to choose a Medicare Advantage or Part D (prescription drug) plan, all the choices can be overwhelming. The star rating program was put in place to help you decide which plan is right for you. Medicare Advantage with prescription drug coverage (MA-PD) plans are rated on up to 44 unique quality and performance measures; MA-only plans (without prescription drug coverage) are rated on up to 32 measures, and stand-alone PDP plans are rated on up to 14 measures. The measures used to determine the ratings, including things like the following:
How the plan emphasizes staying healthy, including things like screenings, tests, and vaccines
How the plan manages chronic conditions
The quality of care people with the plan receive
Member complaint reports
Plan operations, including things like, how they make decisions about appeals, and the results of audits
Member experience
You can use the ratings, along with premiums, out-of-pocket costs, and benefits, to choose the right Medicare Advantage plan for you.
- “Overall Star Rating.” Medicare Plan Finder features a star rating system for Medicare health and drug plans. The “Overall Star Rating” gives an overall rating of the plan’s quality and performance for the types of services each plan offers. A plan can get a rating between 1 and 5 stars. A 5-star rating is considered excellent. If a Medicare Advantage Plan, Medicare drug plan or Medicare Cost Plan with a 5-star rating is available in your area, you can use the 5-star Special Enrollment Period (once a year) to switch from your current Medicare plan to a Medicare plan with the 5-star rating.
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Jay and Heather Gray / Father Daughter Team / Murrieta – Temecula – Hemet
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