Medicare Ratings Guide

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  • Medicare Advantage Star Ratings in Oregon 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Oregon 2026

    Total MA Plans in Oregon 28
    State Average Star Rating 4.1 / 5.0 stars
    Plans Rated 4+ Stars (est.) 36%
    National Average Star Rating 3.9 / 5.0 stars
    Oregon vs. National Average Above average (+0.2)
    5-Star Plans (est.) 12% of plans
    4-4.5 Star Plans (est.) 24% of plans

    How CMS Star Ratings Work in Oregon

    Every Medicare Advantage plan operating in Oregon receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in Oregon is rated 4.1 stars — above the national average of 3.9 stars.

    2026 Star Rating Distribution in Oregon

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 12% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 9% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 15% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 59% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for Oregon Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In Oregon, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in Oregon.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in Oregon

    To find the current CMS star rating for any Medicare Advantage plan in Oregon, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    Oregon average star rating 4.1 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in Oklahoma 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Oklahoma 2026

    Total MA Plans in Oklahoma 26
    State Average Star Rating 3.7 / 5.0 stars
    Plans Rated 4+ Stars (est.) 9%
    National Average Star Rating 3.9 / 5.0 stars
    Oklahoma vs. National Average Below average (-0.2)
    5-Star Plans (est.) 4% of plans
    4-4.5 Star Plans (est.) 5% of plans

    How CMS Star Ratings Work in Oklahoma

    Every Medicare Advantage plan operating in Oklahoma receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in Oklahoma is rated 3.7 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in Oklahoma

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 4% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 0% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 5% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 86% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for Oklahoma Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In Oklahoma, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in Oklahoma.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in Oklahoma

    To find the current CMS star rating for any Medicare Advantage plan in Oklahoma, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    Oklahoma average star rating 3.7 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in Ohio 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Ohio 2026

    Total MA Plans in Ohio 58
    State Average Star Rating 4.0 / 5.0 stars
    Plans Rated 4+ Stars (est.) 28%
    National Average Star Rating 3.9 / 5.0 stars
    Ohio vs. National Average Above average (+0.1)
    5-Star Plans (est.) 10% of plans
    4-4.5 Star Plans (est.) 18% of plans

    How CMS Star Ratings Work in Ohio

    Every Medicare Advantage plan operating in Ohio receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in Ohio is rated 4.0 stars — above the national average of 3.9 stars.

    2026 Star Rating Distribution in Ohio

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 10% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 6% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 12% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 67% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for Ohio Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In Ohio, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in Ohio.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in Ohio

    To find the current CMS star rating for any Medicare Advantage plan in Ohio, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    Ohio average star rating 4.0 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in North Dakota 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: North Dakota 2026

    Total MA Plans in North Dakota 8
    State Average Star Rating 3.7 / 5.0 stars
    Plans Rated 4+ Stars (est.) 9%
    National Average Star Rating 3.9 / 5.0 stars
    North Dakota vs. National Average Below average (-0.2)
    5-Star Plans (est.) 4% of plans
    4-4.5 Star Plans (est.) 5% of plans

    How CMS Star Ratings Work in North Dakota

    Every Medicare Advantage plan operating in North Dakota receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in North Dakota is rated 3.7 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in North Dakota

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 4% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 0% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 5% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 86% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for North Dakota Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In North Dakota, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in North Dakota.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in North Dakota

    To find the current CMS star rating for any Medicare Advantage plan in North Dakota, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    North Dakota average star rating 3.7 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in North Carolina 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: North Carolina 2026

    Total MA Plans in North Carolina 54
    State Average Star Rating 3.9 / 5.0 stars
    Plans Rated 4+ Stars (est.) 21%
    National Average Star Rating 3.9 / 5.0 stars
    North Carolina vs. National Average At national average
    5-Star Plans (est.) 8% of plans
    4-4.5 Star Plans (est.) 13% of plans

    How CMS Star Ratings Work in North Carolina

    Every Medicare Advantage plan operating in North Carolina receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in North Carolina is rated 3.9 stars — at the national average of 3.9 stars.

    2026 Star Rating Distribution in North Carolina

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 8% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 3% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 10% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 74% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for North Carolina Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In North Carolina, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in North Carolina.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in North Carolina

    To find the current CMS star rating for any Medicare Advantage plan in North Carolina, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    North Carolina average star rating 3.9 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in New York 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: New York 2026

    Total MA Plans in New York 62
    State Average Star Rating 4.1 / 5.0 stars
    Plans Rated 4+ Stars (est.) 36%
    National Average Star Rating 3.9 / 5.0 stars
    New York vs. National Average Above average (+0.2)
    5-Star Plans (est.) 12% of plans
    4-4.5 Star Plans (est.) 24% of plans

    How CMS Star Ratings Work in New York

    Every Medicare Advantage plan operating in New York receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in New York is rated 4.1 stars — above the national average of 3.9 stars.

    2026 Star Rating Distribution in New York

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 12% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 9% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 15% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 59% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for New York Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In New York, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in New York.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in New York

    To find the current CMS star rating for any Medicare Advantage plan in New York, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    New York average star rating 4.1 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in New Mexico 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: New Mexico 2026

    Total MA Plans in New Mexico 18
    State Average Star Rating 3.8 / 5.0 stars
    Plans Rated 4+ Stars (est.) 13%
    National Average Star Rating 3.9 / 5.0 stars
    New Mexico vs. National Average Below average (-0.1)
    5-Star Plans (est.) 6% of plans
    4-4.5 Star Plans (est.) 7% of plans

    How CMS Star Ratings Work in New Mexico

    Every Medicare Advantage plan operating in New Mexico receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in New Mexico is rated 3.8 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in New Mexico

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 6% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 0% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 7% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 82% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for New Mexico Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In New Mexico, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in New Mexico.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in New Mexico

    To find the current CMS star rating for any Medicare Advantage plan in New Mexico, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    New Mexico average star rating 3.8 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in New Jersey 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: New Jersey 2026

    Total MA Plans in New Jersey 38
    State Average Star Rating 4.0 / 5.0 stars
    Plans Rated 4+ Stars (est.) 28%
    National Average Star Rating 3.9 / 5.0 stars
    New Jersey vs. National Average Above average (+0.1)
    5-Star Plans (est.) 10% of plans
    4-4.5 Star Plans (est.) 18% of plans

    How CMS Star Ratings Work in New Jersey

    Every Medicare Advantage plan operating in New Jersey receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in New Jersey is rated 4.0 stars — above the national average of 3.9 stars.

    2026 Star Rating Distribution in New Jersey

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 10% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 6% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 12% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 67% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for New Jersey Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In New Jersey, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in New Jersey.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in New Jersey

    To find the current CMS star rating for any Medicare Advantage plan in New Jersey, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    New Jersey average star rating 4.0 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in New Hampshire 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: New Hampshire 2026

    Total MA Plans in New Hampshire 14
    State Average Star Rating 4.0 / 5.0 stars
    Plans Rated 4+ Stars (est.) 28%
    National Average Star Rating 3.9 / 5.0 stars
    New Hampshire vs. National Average Above average (+0.1)
    5-Star Plans (est.) 10% of plans
    4-4.5 Star Plans (est.) 18% of plans

    How CMS Star Ratings Work in New Hampshire

    Every Medicare Advantage plan operating in New Hampshire receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in New Hampshire is rated 4.0 stars — above the national average of 3.9 stars.

    2026 Star Rating Distribution in New Hampshire

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 10% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 6% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 12% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 67% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for New Hampshire Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In New Hampshire, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in New Hampshire.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in New Hampshire

    To find the current CMS star rating for any Medicare Advantage plan in New Hampshire, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    New Hampshire average star rating 4.0 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.

  • Medicare Advantage Star Ratings in Nevada 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Nevada 2026

    Total MA Plans in Nevada 32
    State Average Star Rating 3.8 / 5.0 stars
    Plans Rated 4+ Stars (est.) 13%
    National Average Star Rating 3.9 / 5.0 stars
    Nevada vs. National Average Below average (-0.1)
    5-Star Plans (est.) 6% of plans
    4-4.5 Star Plans (est.) 7% of plans

    How CMS Star Ratings Work in Nevada

    Every Medicare Advantage plan operating in Nevada receives an annual star rating from the Centers for Medicare & Medicaid Services (CMS), ranging from 1 to 5 stars. CMS evaluates plans on more than 40 quality measures across five domains: managing chronic conditions, member experience and complaints, health plan customer service, drug plan quality (for MAPD plans), and preventive care and screening. The average Medicare Advantage plan in Nevada is rated 3.8 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in Nevada

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 6% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 0% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 7% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 82% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for Nevada Medicare Beneficiaries

    CMS star ratings directly affect what you pay and what you get. Plans rated 4 stars or higher receive quality bonus payments from CMS — typically 1.5% to 5% of their revenue — which insurers pass on to members through lower premiums, richer benefits, or reduced cost-sharing. In Nevada, plans rated below 3 stars for three consecutive years can be terminated by CMS, protecting members from persistently poor-quality coverage.

    There is also a special enrollment right: if a 5-star plan is available in your area, you can switch to it at any time during the year — not just during the Annual Enrollment Period (Oct 15 – Dec 7). This is one of the most underused Medicare rights in Nevada.

    CMS Star Rating Measures: What Gets Scored

    Domain Key Measures Weight in Overall Rating
    Staying Healthy (Preventive Care) Flu shots, breast cancer screening, colorectal cancer screening, cardiovascular care, diabetes care High
    Managing Chronic Conditions Diabetes control, blood pressure management, cholesterol management, COPD management, medication adherence Very High
    Member Experience Getting needed care, getting appointments, rating of health plan, rating of drug plan Very High
    Complaints and Changes Complaints to Medicare, plan improvement over time, members choosing to leave the plan Medium
    Customer Service Call center performance, appeals upheld, appeals response time Medium

    How to Find the Star Rating for Your Plan in Nevada

    To find the current CMS star rating for any Medicare Advantage plan in Nevada, visit medicare.gov/plan-compare and enter your ZIP code. Each plan’s star rating is displayed prominently. You can filter by star rating to see only 4-star and above plans available in your area. CMS publishes updated star ratings each October for the following plan year.

    2026 CMS Star Ratings: National Context

    2026 National Star Rating Benchmark Data
    Plans achieving 5 Stars nationally 18 contracts
    Plans achieving 4.5 Stars nationally 73 contracts
    Plans achieving 4 Stars nationally 116 contracts
    % of MA members in 4+ star plans 78%
    National average star rating 3.9 / 5.0
    Nevada average star rating 3.8 / 5.0

    Source: CMS Medicare Advantage and Part D Star Ratings, 2026. Data reflects contracted plan ratings; individual plan-level ratings vary. CMS is recalculating certain 2026 star ratings as of June 2026 following court rulings on the star rating methodology.