Advantage Plans

Star ratings for the Medicare prescription drug plan

 A comparison of prescription drug plans would not be complete without considering the star rating of the plans in your area



What Medicare wants is to make sure that the quality level of Medicare Advantage Plans stays high and constant.



In this effort, the are classified each year on a scale that varies from 1 to 5 stars. One star represents poor performance, while a five star rating is considered excellent. Plan ratings are published each year in the fall, before the open enrollment period begins and beneficiaries can enroll or change plans.


The overall score makes it easier for Medicare beneficiaries (ie you) to compare plans, based on quality and past performance.



Medicare uses several criteria to evaluate the quality of prescription drug plans. The information is obtained from satisfaction surveys of members and health care providers in order to give a general rating of performance stars.



The criteria for the plans cover the following topics:


Stay healthy, including how often members had a variety of screening tests, shots, and other screenings that help them stay healthy.


Control chronic (long-term) conditions, including the frequency with which members undergo certain tests and treatments that help them control their condition

Health plan response and care, including satisfaction ratings of members with the plan


Customer service, including how well the plan handles calls and makes decisions about member appeals

Member complaints and findings of the Medicare audit, including how often members filed a complaint about the drug plan and the Medicare audit findings of the plan


Members’ experience with the medication plan, including member satisfaction

The price of medications and patient safety, including the drug plan values ​​prescription drugs and provides updated information on the Medicare website, and how often members with certain medical conditions get prescription drugs that are considered safer and clinically recommended for your condition. and the costs of prescription drugs


If you have limited income and resources, you may qualify to get help paying for some health care costs and prescription drugs. The program is called Additional Help. It is a subsidy from the federal government. It helps pay for the Medicare Part D premium, annual deductible, coinsurance, and co-payments. You also will not have a period without coverage or a late penalty.


Currently, to qualify for Extra Help, also called a low-income subsidy (LIS), your annual income and resources must be below these limits:


Single person: income of less than $ 17,505 and countable resources of less than $ 13,440.


Married person living with a spouse and not with other dependents: Income less than $ 23,595 and countable resources less than $ 26,860.

We are always asked what is included and not included in the accounting resources. Here is the official list:


The accounting resources include:


Money in a checking or savings account.



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