Medicare Ratings Guide

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

    CMS Medicare Advantage Star Ratings: Kentucky 2026

    Total MA Plans in Kentucky 36
    State Average Star Rating 3.8 / 5.0 stars
    Plans Rated 4+ Stars (est.) 13%
    National Average Star Rating 3.9 / 5.0 stars
    Kentucky 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 Kentucky

    Every Medicare Advantage plan operating in Kentucky 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 Kentucky is rated 3.8 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in Kentucky

    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 Kentucky 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 Kentucky, 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 Kentucky.

    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 Kentucky

    To find the current CMS star rating for any Medicare Advantage plan in Kentucky, 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
    Kentucky 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 Kansas 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Kansas 2026

    Total MA Plans in Kansas 24
    State Average Star Rating 3.7 / 5.0 stars
    Plans Rated 4+ Stars (est.) 9%
    National Average Star Rating 3.9 / 5.0 stars
    Kansas 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 Kansas

    Every Medicare Advantage plan operating in Kansas 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 Kansas is rated 3.7 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in Kansas

    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 Kansas 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 Kansas, 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 Kansas.

    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 Kansas

    To find the current CMS star rating for any Medicare Advantage plan in Kansas, 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
    Kansas 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 Iowa 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Iowa 2026

    Total MA Plans in Iowa 28
    State Average Star Rating 3.8 / 5.0 stars
    Plans Rated 4+ Stars (est.) 13%
    National Average Star Rating 3.9 / 5.0 stars
    Iowa 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 Iowa

    Every Medicare Advantage plan operating in Iowa 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 Iowa is rated 3.8 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in Iowa

    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 Iowa 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 Iowa, 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 Iowa.

    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 Iowa

    To find the current CMS star rating for any Medicare Advantage plan in Iowa, 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
    Iowa 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 Indiana 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Indiana 2026

    Total MA Plans in Indiana 42
    State Average Star Rating 3.9 / 5.0 stars
    Plans Rated 4+ Stars (est.) 21%
    National Average Star Rating 3.9 / 5.0 stars
    Indiana 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 Indiana

    Every Medicare Advantage plan operating in Indiana 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 Indiana is rated 3.9 stars — at the national average of 3.9 stars.

    2026 Star Rating Distribution in Indiana

    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 Indiana 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 Indiana, 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 Indiana.

    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 Indiana

    To find the current CMS star rating for any Medicare Advantage plan in Indiana, 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
    Indiana 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 Illinois 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Illinois 2026

    Total MA Plans in Illinois 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
    Illinois 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 Illinois

    Every Medicare Advantage plan operating in Illinois 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 Illinois is rated 4.0 stars — above the national average of 3.9 stars.

    2026 Star Rating Distribution in Illinois

    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 Illinois 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 Illinois, 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 Illinois.

    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 Illinois

    To find the current CMS star rating for any Medicare Advantage plan in Illinois, 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
    Illinois 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 Idaho 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Idaho 2026

    Total MA Plans in Idaho 16
    State Average Star Rating 3.7 / 5.0 stars
    Plans Rated 4+ Stars (est.) 9%
    National Average Star Rating 3.9 / 5.0 stars
    Idaho 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 Idaho

    Every Medicare Advantage plan operating in Idaho 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 Idaho is rated 3.7 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in Idaho

    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 Idaho 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 Idaho, 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 Idaho.

    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 Idaho

    To find the current CMS star rating for any Medicare Advantage plan in Idaho, 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
    Idaho 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 Hawaii 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Hawaii 2026

    Total MA Plans in Hawaii 12
    State Average Star Rating 4.3 / 5.0 stars
    Plans Rated 4+ Stars (est.) 51%
    National Average Star Rating 3.9 / 5.0 stars
    Hawaii vs. National Average Above average (+0.4)
    5-Star Plans (est.) 16% of plans
    4-4.5 Star Plans (est.) 35% of plans

    How CMS Star Ratings Work in Hawaii

    Every Medicare Advantage plan operating in Hawaii 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 Hawaii is rated 4.3 stars — above the national average of 3.9 stars.

    2026 Star Rating Distribution in Hawaii

    Star Rating Estimated Share of Plans CMS Bonus Payment What It Means for Members
    ⭐⭐⭐⭐⭐ 5 Stars 16% Highest bonus (5%) Exceptional quality — special enrollment right any time of year
    ⭐⭐⭐⭐½ 4.5 Stars 15% High bonus (3.5%) Above average — strong quality metrics
    ⭐⭐⭐⭐ 4 Stars 20% Standard bonus (1.5%) Good quality — meets CMS benchmarks
    ⭐⭐⭐½ 3.5 Stars 44% No bonus Average — consider comparing alternatives
    ⭐⭐⭐ or below 5% No bonus Below average — CMS may flag for improvement

    Why Star Ratings Matter for Hawaii 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 Hawaii, 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 Hawaii.

    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 Hawaii

    To find the current CMS star rating for any Medicare Advantage plan in Hawaii, 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
    Hawaii average star rating 4.3 / 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 Georgia 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Georgia 2026

    Total MA Plans in Georgia 48
    State Average Star Rating 3.8 / 5.0 stars
    Plans Rated 4+ Stars (est.) 13%
    National Average Star Rating 3.9 / 5.0 stars
    Georgia 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 Georgia

    Every Medicare Advantage plan operating in Georgia 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 Georgia is rated 3.8 stars — below the national average of 3.9 stars.

    2026 Star Rating Distribution in Georgia

    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 Georgia 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 Georgia, 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 Georgia.

    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 Georgia

    To find the current CMS star rating for any Medicare Advantage plan in Georgia, 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
    Georgia 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 Florida 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Florida 2026

    Total MA Plans in Florida 112
    State Average Star Rating 3.9 / 5.0 stars
    Plans Rated 4+ Stars (est.) 21%
    National Average Star Rating 3.9 / 5.0 stars
    Florida 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 Florida

    Every Medicare Advantage plan operating in Florida 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 Florida is rated 3.9 stars — at the national average of 3.9 stars.

    2026 Star Rating Distribution in Florida

    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 Florida 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 Florida, 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 Florida.

    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 Florida

    To find the current CMS star rating for any Medicare Advantage plan in Florida, 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
    Florida 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 Delaware 2026: CMS Plan Ratings Data

    CMS Medicare Advantage Star Ratings: Delaware 2026

    Total MA Plans in Delaware 18
    State Average Star Rating 3.9 / 5.0 stars
    Plans Rated 4+ Stars (est.) 21%
    National Average Star Rating 3.9 / 5.0 stars
    Delaware 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 Delaware

    Every Medicare Advantage plan operating in Delaware 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 Delaware is rated 3.9 stars — at the national average of 3.9 stars.

    2026 Star Rating Distribution in Delaware

    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 Delaware 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 Delaware, 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 Delaware.

    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 Delaware

    To find the current CMS star rating for any Medicare Advantage plan in Delaware, 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
    Delaware 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.