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Quality scoring

Medicare Star Ratings, explained.

Medicare scores Advantage and Part D plans on a 5-star scale. The score affects when you can switch, plan bonuses, and how to spot quality.

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What the stars measure

Medicare combines dozens of measures into a single 5-star rating. Categories include:

  • Staying healthy: screenings, tests, vaccines
  • Managing chronic conditions: care coordination, follow-ups
  • Member experience: satisfaction surveys
  • Member complaints: how often members complain or leave
  • Customer service: ease of contacting the plan

5 stars = excellent. 1 star = poor. Most plans land between 3 and 4.5.

How to use star ratings

  • Within the same plan type and ZIP code, prefer 4-star plans or higher when premiums are similar.
  • Star ratings change yearly — a 5-star plan today may be a 4-star plan next year.
  • 5-star plans get a special enrollment period — you can switch to a 5-star plan once between December 8 and November 30, outside the normal AEP.

See our comparison framework for how to weigh stars against premium, network, and drug coverage.

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