2016 Medicare Advantage Star Ratings Released
Here are the highest and lowest-rated plans for the upcoming year
The criteria for ratings is slightly different for each plan, as shown on MedicareInteractive.org.
Medicare Advantage Plans:
- Staying Healthy: Screenings, Tests and Vaccines
- Managing Chronic Conditions
- Plan Responsiveness and Care
- Member Complaints, Problems and Leaving the Plan
- Customer Service
Prescription Drug Plans:
- Customer Service
- Member Complaints, Problems and Leaving the Plan
- Member Experience with Plan
- Drug Pricing and Patient Safety
Plans are rewarded for high scores and penalized for recurring low ratings. If a plan has 4 or more stars, Medicare pays them an extra 5% per member in their monthly payments. If a plan is rated with 5 stars, the plan can enroll new customers year round- a coveted bonus.
If plans have less than 3 stars for three years, the Medicare Prescription Drug Plan Finder will flag them with a caution sign, and won’t allow beneficiaries to enroll on the Medicare website.
These are the highest-performing Medicare Advantage- Prescription Drug (MA-PD) Plans for 2016:
These are the highest and lowest-rated local Prescription Drug Plans for 2016. The highest-rated are in green, and the lowest-rated are in red.
For more information on Star Ratings, see this page from Medicare.gov.