How Are Medicare Star Ratings Determined?
Stay Up to Date on Medicare!
- Clinical Outcomes: This includes measures of how well the plan manages chronic conditions such as diabetes, heart disease, and high blood pressure. It also considers how often members receive recommended screenings and vaccinations.
- Member Experience: This involves member satisfaction surveys, feedback, and how well the plan handles member complaints and appeals.
- Preventive Care: Plans are rated on how well they encourage and provide preventive services such as vaccinations, screenings, and wellness visits.
- Customer Service: The quality of customer service, including call center support and timely responses to member inquiries and complaints.
- Drug Pricing and Patient Safety: For Prescription Drug Plans, factors include the accuracy of drug pricing, ensuring appropriate medication use, and reducing the risk of adverse drug events.
- Member Complaints and Appeals: How efficiently and effectively the plan addresses member complaints and appeals.
- Health Plan Responsiveness and Care: How well the plan responds to members' needs and coordinates care among healthcare providers.
Centers for Medicare & Medicaid Services (CMS)
evaluates plans annually and updates the Star Ratings accordingly. Beneficiaries can use these ratings as a guide to choose a plan that meets their healthcare needs and preferences.Medicare.gov
. You can also speak with one of our Mediare experts by scheduling a chat atfairsquaremedicare.com
or by calling 1-888-454-2383. We're looking forward to talking to you!Stay Up to Date on Medicare!
Recommended Articles
More of our articles
13 Best Ways for Seniors to Stay Active in Columbus
13 Best Ways for Seniors to Stay Active in Indianapolis
2024 Fair Square Client Retention and Satisfaction Report
Are Medicare Advantage Plans Bad?
Can I Change My Primary Care Provider with an Advantage Plan?
Can I Laminate My Medicare Card?
Do All Hospitals Accept Medicare Advantage Plans?
Do I Need Medicare If My Spouse Has Insurance?
Do Medicare Supplement Plans Cover Dental and Vision?
Do You Need Books on Medicare?
Do You Need Medigap if You're Eligible for Both Medicare and Medicaid?
Does Medicare Cover Air Purifiers?
Does Medicare Cover an FMT?
Does Medicare Cover Cartiva Implants?
Does Medicare Cover Cervical Disc Replacement?
Does Medicare Cover COVID Tests?
Does Medicare Cover Hearing Aids?
Does Medicare Cover Hepatitis C Treatment?
Does Medicare cover Hyoscyamine?
Does Medicare Cover Ilumya?
Does Medicare Cover Incontinence Supplies?
Does Medicare Cover Inqovi?
Does Medicare Cover Iovera Treatment?
Does Medicare Cover Jakafi?
Does Medicare Cover Ketamine Infusion for Depression?
Does Medicare Cover Light Therapy for Psoriasis?
Does Medicare Cover Linx Surgery?
Does Medicare Cover LVAD Surgery?
Does Medicare Cover Nuedexta?
Does Medicare Cover Ofev?
Does Medicare Cover Ozempic?
Does Medicare Cover Robotic Surgery?
Does Medicare Cover RSV Vaccines?
Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?
Does Medicare Cover TENS Units?
Does Medicare Cover the Urolift Procedure?
Does Medicare Cover the WATCHMAN Procedure?
Does Medicare Cover Urodynamic Testing?
Does Medicare Cover Wart Removal?
Does Medicare Pay for Bunion Surgery?
Does Medicare Pay for Funeral Expenses?
Does Medicare Require a Referral for Audiology Exams?
Does Retiring at Age 62 Make Me Eligible for Medicare?
Finding the Best Dental Plans for Seniors
Finding the Best Vision Plans for Seniors
Health Savings Accounts (HSAs) and Medicare
How Do Medicare Agents Get Paid?
How is Medicare Changing in 2025?
How Much Does Medicare Cost?
How Much Does Rexulti Cost with Medicare?
How to Choose a Medigap Plan
How Your Employer Insurance and Medicare Work Together
Is Gainswave Covered by Medicare?
Is HIFU Covered by Medicare?
Is PAE Covered by Medicare?
Is the Shingles Vaccine Covered by Medicare?
Medicare & Ozempic
Medicare Advantage MSA Plans
Medicare Explained
Medicare Supplement Plans for Low-Income Seniors
Medigap vs. Medicare Advantage
Saving Money with Alternative Pharmacies & Discount Programs
The Fair Square Bulletin: October 2023
What Are Medicare Part B Excess Charges?
What Is a Medicare Supplement SELECT Plan?
What Is Medical Underwriting for Medigap?
What People Don't Realize About Medicare
What To Do If Your Medicare Advantage Plan Is Discontinued
What to Do When Your Doctor Doesn't Take Medicare
When to Choose Medicare Advantage over Medicare Supplement
Why Is Medicare So Confusing?
Why You Should Keep Your Medigap Plan
Medicare savings tips, helpful guides, and more.
Virgil Insurance Agency, LLC (DBA Fair Square Medicare) and www.fairsquaremedicare.com are privately owned and operated by Help Button Inc. Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. This is a solicitation of insurance. A licensed agent/producer may contact you. Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and, in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. Virgil Insurance Agency is a licensed and certified representative of Medicare Advantage HMO, HMO SNP, PPO, PPO SNP and PFFS organizations and stand-alone PDP prescription drug plans. Each of the organizations we represent has a Medicare contract. Enrollment in any plan depends on contract renewal. The plans we represent do not discriminate on the basis of race, color, national origin, age, disability, or sex. Plan availability varies by region and state. For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov. © 2025 Help Button Inc
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
MULTIPLAN_FairSquareMedicare_01062022_M