Fair Square Medicare Wordmark

How Are Medicare Star Ratings Determined?

Cover image
By Daniel Petkevich
Sep 6, 2023

Medicare Star Ratings are used to evaluate and compare the quality and performance of Medicare Advantage and Prescription Drug Plans. These ratings help beneficiaries make informed decisions about their healthcare options. The star ratings range from 1 to 5 stars, with higher ratings indicating better quality and performance.

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.
The following are some of the factors that typically contribute to Medicare Star Ratings:
  1. 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.
  2. Member Experience: This involves member satisfaction surveys, feedback, and how well the plan handles member complaints and appeals.
  3. Preventive Care: Plans are rated on how well they encourage and provide preventive services such as vaccinations, screenings, and wellness visits.
  4. Customer Service: The quality of customer service, including call center support and timely responses to member inquiries and complaints.
  5. 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.
  6. Member Complaints and Appeals: How efficiently and effectively the plan addresses member complaints and appeals.
  7. Health Plan Responsiveness and Care: How well the plan responds to members' needs and coordinates care among healthcare providers.
It's important to note that the specific measures and weight assigned to each factor may vary from year to year. The

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.
For the most up-to-date and detailed information on Medicare Star Ratings, visit

Medicare.gov

. You can also speak with one of our Mediare experts by scheduling a chat at

fairsquaremedicare.com

or by calling 1-888-454-2383. We're looking forward to talking to you!

Stay Up to Date on Medicare!

Join the Fair Square Medicare Newsletter to stay informed on cost savings, changes to Medicare, and other valuable healthcare information.

Recommended Articles

senior couple working in a greenhouse stock image
Medicare Supplement Plans for Low-Income Seniors
Mar 23, 2023
Cover image
Fair Square Bulletin: We're Revolutionizing Medicare
Apr 27, 2023
Illustrated referential images of a hospital bill, coins, cash in a wallet, a calculator, and a magnifying glass
What Are Medicare Part B Excess Charges?
Jan 6, 2023
woman in a hospital wearing a bandana being shown information by her doctor stock photo
Medicare Advantage Plans for Disabled People Under 65
Mar 24, 2023
Cover image
The Fair Square Bulletin: The End of the COVID Emergency Declaration
May 30, 2023
Diagnosis overactive bladder stock image
Does Medicare Cover PTNS?
Dec 9, 2022
Abortion stock image
Does Medicare Cover Abortion Services?
Dec 13, 2022
Cover image
Fair Square Client Newsletter: AEP Edition
Oct 2, 2023
HIFU treatment stock image
Is HIFU Covered by Medicare?
Nov 21, 2022
elderly woman with glasses having difficulty reading her phone stock image
Is Vitrectomy Surgery Covered by Medicare?
Dec 2, 2022
Cover image
The Fair Square Bulletin: June 2023
Jun 30, 2023
Senior person holding tissue roll near a toilet bowl, using walker to walk to the bathroom stock photo
Is Emsella Covered by Medicare?
Nov 21, 2022
Senior woman fretting in front of her laptop stock photo
How Medicare Costs Can Pile Up
Oct 11, 2022
Medicare Enrollment Periods stock image
Explaining the Different Enrollment Periods for Medicare
Feb 3, 2023
Kansas farm stock photo
Medicare Savings Programs in Kansas
Mar 22, 2023
Medigap on a post-it note surrounded by a stethoscope stock image
Do Medicare Supplement Plans Cover Dental and Vision?
Dec 8, 2022
The feet of a man suffering from foot pain stock photo
Does Medicare Cover Krystexxa?
Nov 18, 2022
Older woman during an eye exam
Does Medicare Cover Diabetic Eye Exams?
Jan 11, 2023

More of our articles

13 Best Ways for Seniors to Stay Active in Columbus

13 Best Ways for Seniors to Stay Active in Indianapolis

13 Best Ways for Seniors to Stay Active in Jacksonville

13 Best Ways for Seniors to Stay Active in Phoenix

14 Best Ways to Stay Active in Charlotte

2023 Medicare Annual Election Period (AEP)

2024 Medicare Price Changes

Can Doctors Choose Not to Accept Medicare?

Can I Have Two Primary Care Physicians?

Can I Laminate My Medicare Card?

Can Medicare Advantage Plans be Used Out of State?

Comparing All Medigap Plans | Chart Updated for 2023

Costco Pharmacy Partners with Fair Square

Do All Hospitals Accept Medicare Advantage Plans?

Do I Need to Renew My Medicare?

Do You Need Books on Medicare?

Does Medicare Cover an FMT?

Does Medicare Cover Boniva?

Does Medicare Cover Cala Trio?

Does Medicare Cover Cardiac Ablation?

Does Medicare Cover Cervical Disc Replacement?

Does Medicare Cover COVID Tests?

Does Medicare cover Deviated Septum Surgery?

Does Medicare Cover Driving Evaluations?

Does Medicare Cover Exercise Physiology?

Does Medicare Cover Flu Shots?

Does Medicare Cover Ilumya?

Does Medicare Cover Kidney Stone Removal?

Does Medicare Cover Kyphoplasty?

Does Medicare Cover Medical Marijuana?

Does Medicare Cover Mental Health?

Does Medicare Cover Nuedexta?

Does Medicare Cover Robotic Surgery?

Does Medicare Cover Scleral Lenses?

Does Medicare Cover Shock Wave Therapy for Plantar Fasciitis?

Does Medicare Cover SI Joint Fusion?

Does Medicare Cover Stair Lifts?

Does Medicare Cover Tymlos?

Does Medicare Cover Urodynamic Testing?

Does Medicare Cover Vitamins?

Does Medicare Cover Xiafaxan?

Does Medicare Pay for Allergy Shots?

Does Medicare Pay for Bunion Surgery?

Does Medicare pay for Opdivo?

Does Medicare Pay for Varicose Vein Treatment?

Does Medicare Require a Referral for Audiology Exams?

Does Retiring at Age 62 Make Me Eligible for Medicare?

Does Your Medicare Plan Cover B12 Shots?

Does Your Plan Include A Free Gym Membership?

Everything About Your Medicare Card + Medicare Number

Health Savings Accounts (HSAs) and Medicare

How is Medicare Changing in 2023?

How Much Does Open Heart Surgery Cost with Medicare?

How Much Does Xeljanz Cost with Medicare?

How to Enroll in Social Security

Is Balloon Sinuplasty Covered by Medicare?

Is Gainswave Covered by Medicare?

Is PAE Covered by Medicare?

Is the Shingles Vaccine Covered by Medicare?

Medigap vs. Medicare Advantage

Plan G vs. Plan N

The Fair Square Bulletin: November 2023

The Fair Square Bulletin: October 2023

Welcome to Fair Square's First Newsletter

What Is a Medicare Supplement SELECT Plan?

What is the 8-Minute Rule on Medicare?

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

What's the Deal with Flex Cards?

What's the Difference Between HMO and PPO Plans?

When Can You Change Medicare Supplement Plans?

Your Medicare One-Stop-Shop

Your guide to Medicare Parts A & B, Medicare Advantage, and Medigap. 100% free.
Get the Fair Square Bulletin

Medicare savings tips, helpful guides, and more.

About

Medicare 101

Current Clients

Medicare Supplement Plans

Medicare Advantage Plans

Fair Square 2024

Terms of Use
Notice of Privacy Practices

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. © 2024 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