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The Importance of Medicare’s Star Ratings

Peoples Health has earned Medicare’s highest rating AGAIN! 5 out of 5 stars for 2023!*

For the second year in a row, Peoples Health earned a 5-star rating from Medicare! This tells you that Peoples Health is consistently considered a high-quality plan—one that keeps our members satisfied and helps them live healthier lives.

What are Star Ratings?

Medicare developed its Star Rating system to give people with Medicare an objective measure of a plan’s performance. The rating system gives people a way to consider quality as well as cost as they make their enrollment decisions. Medicare evaluates plans every year and scores them on a scale of 1 to 5 stars, with 5 stars indicating the highest performance. The results are posted every fall, usually in October.

Peoples Health is a proven leader in health care quality.

Medicare started rating Medicare Advantage plans in 2008, and Peoples Health has always scored high. Peoples Health is the only Medicare Advantage organization in Louisiana to achieve the highest rating in the state for six years straight. And for the second year in a row, Peoples Health earned 5 out of 5 stars, Medicare’s highest rating!*

Peoples Health’s 5-star rating is an overall rating—a combination of the two broad categories of health plan and drug plan quality.

Do you know that Medicare allows people to switch to the highest-quality plans outside of the annual enrollment period?

Since Peoples Health earned Medicare’s highest rating—5 out of 5 stars for 2023—you may be able to enroll today and start receiving our 5-star benefits next month.

When it comes to quality, don’t take our word for it. Take Medicare’s.

When most people shop for a Medicare plan, they look at benefits and cost. But be sure to check the plans’ star rating. It tells how well the plan is performing and how satisfied their members are with the plan. A higher star rating means a higher quality plan.

Much of the information Medicare uses to rate a plan is based on data, like member records and claims. But understanding member experience can’t be found in data alone. For that, Medicare goes straight to the source and surveys actual plan members.
Where can people find information on a plan’s star rating? 

 

Medicare takes into consideration a range of items, including:

5 out of 5 Stars_wording

Preventive Care

How well the plan helps members stay healthy and improve their health.

Chronic Care

How well the plan helps members with long-term conditions manage their care

Customer Service

The quality of call center services and how well the plan processes appeals and new enrollments in a timely manner

Disenrollments or
Complaints

How many members left the plan, submitted complaints or had issues getting services

Part D
Coverage

Including drug plan pricing and patient safety

Member
Experience

How satisfied members are with the plan

learn more about star ratings

Why are star ratings important?

Medicare created its star rating system to provide consumers with an easy, unbiased way to compare plans. When most people shop for a Medicare plan, they look at benefits and cost. But when you’re comparing plans that are similar in cost and coverage, look at the star rating. That tells you how well the plan is performing and how satisfied members are with the plan. A higher star rating means a higher quality plan.

Medicare reviews plan performance yearly and releases new star ratings each fall. This means plan ratings may change from year to year.

If a plan receives a low star rating (less than 3 stars) for three years in a row, they are issued a warning from Medicare. 

Medicare started rating Medicare Advantage plans in 2008, and Peoples Health has always scored high. And for the second year in a row, Peoples Health earned 5 out of 5 stars—Medicare’s highest rating!*

This tells you that Peoples Health is consistently considered a top-notch plan, helping members live their healthiest lives and keeping them satisfied.

How many five star plans are there?

It’s not an easy task to reach 5-star status. For 2023, only 57 Medicare Advantage plans with prescription drug coverage were rated 5 stars. That’s less than 12% of all plans.**

We’re thrilled to announce that Peoples Health has been rated 5 out of 5 stars by Medicare for the second year in a row!

Where can people find information on a plan’s star rating?

You can compare plans side by side and their star rating at medicare.gov or call 1-800-MEDICARE. You’ll see a gold star icon next to a plan if they are 5 stars, and you’ll see a red alert icon if the plan is low performing. New plan ratings come out each October and apply for the next calendar year.

If a plan has no rating, the plan is new or there might not be enough information for a rating to be done.

Can I enroll in Peoples Health plan outside of the Annual Enrollment Period?

Most people can change their coverage during the Annual Enrollment Period from Oct. 15 through Dec. 7.

However, there are exceptions that allow you to enroll outside of this period. For example, if you are new to Medicare, if you have Medicaid or if you move, you qualify for a special enrollment period.

You can also qualify for a special enrollment period if you want to enroll in or switch to a 5-star plan, like Peoples Health for 2023.* This means that you can enroll outside of Medicare’s Annual Enrollment Period.

You may only use this special enrollment period once per calendar year.

Star RAtings Summaries

2022 Star Ratings

Peoples Health 2022 Medicare Star Ratings Summary for PPO plans:

Star ratings for 2022 updated by Medicare in October 2021.

2023 Star Ratings

Peoples Health 2023 Medicare Star Ratings Summary for PPO plans:

Peoples Health 2023 Medicare Star Ratings Summary for D-SNP plans:

Star ratings for 2023 updated by Medicare in October 2022.

*Every year, Medicare evaluates plans based on a 5-star rating system. Peoples Health plans under Medicare contract H1961 are rated 5 out of 5 stars for 2023.

** Source: https://www.cms.gov/files/document/2023-medicare-star-ratings-fact-sheet.pdf

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