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March 23, 2022 | Tags: Medicare

As you’re comparing Medicare Advantage plans based on their benefits and costs, you may also want information on their quality. At the end of the day, we all want the best coverage possible for our money. Medicare Star ratings, which are determined by the Centers for Medicare & Medicaid Services (CMS), allow you to compare Medicare Advantage plans and Medicare Part D prescription drug plans based on many factors, including customer service, member satisfaction and quality of care.

How Medicare Star Ratings Work

Every year, CMS evaluates Medicare Advantage plans based on a 5-star rating system. These ratings measure the quality of services people enrolled in Medicare Advantage receive from their plans.

A plan’s rating takes into account a variety of sources:

  • Surveys of members enrolled in the plan – for example, how happy the members are with their plan
  • Information from the plan itself – for example, how many members chose to leave their plan
  • Third-party CMS contractors collecting additional data – for instance, a hospital reports how many members received important health screenings and appropriate care
  • Administrative data from CMS – includes regular monitoring activities on the plan’s performance

These details are combined to come up with the plan’s overall rating, which can range from 1 to 5 stars. A rating of 5 stars is considered “excellent.”

Medical Mutual's 2022 Medicare Star Ratings

Medical Mutual’s commitment to quality has been reflected in our Medicare Star ratings. Our Medicare Advantage PPO plans have earned Medicare’s highest rating – 5 out of 5 Stars for 2022. Our HMO plans are also highly rated, earning 4.5 out of 5 Stars.

Find out more about Medical Mutual’s 2022 Star Ratings.

How to Use Medicare Star Ratings When Looking for a Plan

Overall, it’s best to choose the highest rated plan you can afford as plans with low Star ratings are generally associated with poor health outcomes. You can view all plans available in your area and compare their ratings by visiting the Plan Finder on Medicare.gov. If you are currently enrolled in a Medicare plan and are not happy with your coverage, you can switch to a Medical Mutual’s 5-star PPO plan now.

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