Medicare Star Ratings shine the light on quality. The ratings indicate how well a health plan performs overall; the better the Star Rating, the better the care is delivered. When comparing plans, you should consider star power, as well as costs and coverage.

How health plans are rated

A health plan's Star Rating is adjusted each year based on how well it performs on a total of 50 measures in five categories:

• Helping members stay healthy: screenings, tests and vaccines
• Managing chronic (long-term) conditions
• Plan responsiveness and care
• Member complaints, problems getting services and number of members who leave the plan
• Customer service

Drug plans are rated on numbers four and five in the list above, as well as member experience with the drug plan and drug pricing and patient safety.

Five stars for quality

Star Ratings are available each fall. A plan can get ratings between one and five stars, as determined by the Centers for Medicare and Medicaid Services (CMS).

Aim for the stars with Priority Health

Our HMO-POS plans were awarded 4.5 stars (out of 5) by CMS in their 2022 Medicare plan ratings.

• PriorityMedicare Key^SM (HMO-POS)
• PriorityMedicare Value^SM (HMO-POS)
• PriorityMedicare^SM(HMO-POS)

And, our PPO plans were awarded 4 stars (out of 5) by CMS. 

• PriorityMedicare Ideal^SM (PPO)
• PriorityMedicare Edge^SM (PPO)
• PriorityMedicare Compass^SM (PPO)
• PriorityMedicare Vital^SM (PPO)
• PriorityMedicare Merit^SM (PPO)
• PriorityMedicare Select^SM (PPO)

Pick a plan that shines

You can switch to a Medicare plan that has an overall 5-star rating at any time once during each year. So, if you're unhappy with the plan you choose and a 5-star Medicare plan is offered in your area, it may be a better option for you.

You can learn more about plan ratings by going to medicare.gov/find-a-plan or calling 1.800.MEDICARE (1.800.633.4227). TTY users should call 1.877.486.2048.

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