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- 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 to switch from your current Medicare plan to a Medicare plan with a “5-star” quality rating. You can use this Special Enrollment Period only once between December 8 and November 30.
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You’ll be returned to Original Medicare for coverage of your health services. You can only switch to a 5-star Medicare Prescription Drug Plan if one is available in your area. If you move from a Medicare Advantage Plan that has drug coverage to a 5‑star Medicare Advantage Plan that doesn’t, you may lose your prescription drug coverage.
The highest rating a plan can have is 5-star. Just because a policy is 5-star in your area doesn’t mean it’s the top-rated plan in the country. There is no nationwide plan that has a 5-star rating. The best option for you could be the most expensive for your spouse. A suitable policy is the most affordable one for YOU.
As of 2021, there were a total of 21 Medicare Part D and Medicare Advantage plans with 5-star ratings. This includes plans by carriers such as Health Sun, BCBS, KelseyCare and Kaiser Permanente. While other plans received lesser ratings, all plans received a rating of at least 2.5.
Change from a less-than-5-star prescription drug plan to a 5-star prescription drug plan. Switch between 5-star Medicare Advantage plans. Switch between 5-star prescription drug plans. If you move from a Medicare Advantage plan with prescription drug coverage that is less than 5 star to just a 5-star prescription drug plan during the SEP, you’ll be automatically enrolled in Original Medicare.
5-Star Rated Medicare Advantage and Prescription Drug Plans 1) Wellness Visits: screenings, vaccines and tests 2) Customer Service from the Health Plan 3) Complaints, problems with service, and improvement of the health plan’s performance 4) Member experience with the plan 5) Managing long term or ...
All Medicare Advantage plans (Medicare Part C) and Medicare prescription drug plans (Medicare Part D) are assigned an annual star rating by the Centers for Medicare & Medicaid Services (CMS). 1 A five-star rating system is used, with one star being given to the lowest-rated plans, and five stars being reserved for only the highest-rated plans.
* The average Star Rating is weighted by enrollment. 5-Star Contracts A total of 23 contracts are highlighted on the Medicare Plan Finder with a high performing indicator indicating they earned 5 stars; 20 are MA-PD contracts (Table 3), one is an MA-only contract (Table 4), and two are PDPs (Table 5).
The Medicare 5-Star Special Election Period (SEP) may be a good time to switch to a 5-star rated Medicare Advantage plan, Medicare Prescription Drug Plan, or Medicare Cost Plan. Medicare plans are assessed for a variety of factors, including member satisfaction, customer service, use of needed services and preventive care, and more.
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.