How are 5-star plans rated?

How are 5-star plans rated?

Medicare Advantage and Medicare Part D Prescription drug plans are rated using a variety of criteria by the Centers for Medicare and Medicaid Services (CMS).

Health Services

Medicare Advantage plans are assessed in the following categories:

  • Preventive Health including screenings and vaccinations
  • Chronic disease management
  • Quality of care
  • Member relations including how complaints are handled
  • The number of members who leave the plan
  • Customer service

Prescription Drug Services

Medicare Part D Prescription Drug plans and Medicare Advantage Prescription Drug plans are assessed in the following categories:

  • Prescription drug safety
  • Fair pricing of prescription drugs
  • Member relations including how complaints are handled
  • Customer service

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How are 5-star plans rated?