2017 Medicare Star Ratings and Corresponding Marketing Requirements

2017 Medicare Star Ratings and Corresponding Marketing Requirements


2017 Medicare Stars Ratings - Universal American


2017 Medicare Star Ratings and
Corresponding Marketing Requirements

Please review the following message in its entirety. It provides important information
about our 2017 Medicare Quality Ratings and corresponding marketing requirements.

The 2017 Medicare Star Quality Ratings published by the Centers for Medicare & Medicaid Services (CMS) are now available, and we are delighted to announce results for Universal American’s Medicare Advantage plans.

All ratings are based on Medicare’s 5-Star rating system.

TexanPlus® Medicare Advantage Health Plans:

  • TexanPlus® HMO/HMO-POS (H4506) has been awarded a 4.5 Star Quality Rating. TexanPlus® HMO has served the Houston-Beaumont market for more than 15 years and represents 57% of our current membership.  
  • TexanPlus® HMO (H5656) in Dallas will remain at 3 Stars for 2017.
  • TexanPlus® HMO-SNP (H0174), introduced in 2016, has not yet been rated.

Today’s Options® Medicare Advantage Health Plans:

  • Today’s Options® PPO (H2775), available in New York and Maine, has earned a 4-Star rating for 2017.  This is the 2nd year in a row that the plan has achieved 4 Stars.
  • Today’s Options® PFFS (H2816) received a 3.5 Star Quality Rating for 2017. Agents should note that this is a reduction from the 2016 rating of 4 Stars. 

For 2017, the overall enrollment-weighted Star rating for our Medicare Advantage (MA) membership increased from 3.96 to 4.12 Stars. 72% of our membership is in plans rated 4 Stars or higher (out of 5 stars).

Collaboration: the Key to Our Success

We are very proud of the hard work and collaboration across all parts of our business that helped us to achieve our 2017 Medicare Star Quality Ratings. Your efforts to work compliantly and professionally throughout the sales process, as well as your efforts to raise member awareness of our Live Healthy program, were very real contributors to our success. We thank you wholeheartedly for this team effort benefitting our members. 

To review our 2017 Star Quality Ratings for all 2017 MA plans, please see the Agent Resources section of this message.

Agent Resources

2017 Star Quality Ratings
and Marketing Guidelines

2017 Star Quality
Rating Sheets:

TexanPlus HMO-SNP

Today’s Options PPO

Today’s Options PFFS

Marketing Guidelines and Requirements

In keeping with CMS guidelines, agents must provide the Medicare Star Quality Ratings sheets to beneficiaries whenever the Summary of Benefits and/or the enrollment form are provided. Additional marketing guidance appears below and is also linked to the Agent Resources section:

  • Agents are not permitted to compare MA plans based on ratings.  
  • Agents should guide enrollment prospects to www.medicare.gov for more information and to review the ratings of other plans in their markets.
  • Agents representing plans designated as “too new to rate,” such as TexanPlus HMO-SNP, must still provide the plan’s Star Quality Ratings sheet.  
  • Agents who use our Consumer Presentation for events should now switch to the updated version that displays the 2017 Star Quality Ratings.  Please see details below.

Printed Star Quality Ratings Sheets

The 2017 All-In-One (AIO) Guides currently in circulation (first press run versions) DO NOT contain the 2017 Star Quality Ratings Sheet. To remain compliant during a sales presentation, you must replace the 2016 Star Quality Ratings Sheet found in the book with a new 2017 Star Quality Ratings Sheet.

Please follow these important instructions:

  • Print the 2017 Star Quality Ratings sheets that you will need and carry them with you to all sales appointments. The sheets are linked to this message and posted to AgentLink at https://AgentLink.UniversalAmerican.com.  The sheets are also available for order on a stand-alone basis through CustomPoint.
  • Remove and discard the 2016 Ratings Sheet from the All-In-One Guide.
  • Insert the new rating sheet into the back flap of the 2017 AIO Guide.  
  • Provide the entire booklet to the enrollment prospect. 

The second print run of our AIO Guides will include the new 2017 Star Quality Ratings sheets. The books are currently being printed and will be available shortly through CustomPoint. 

2017 Consumer Presentations

We’ve updated our 2017 Consumer Presentations to display the new 2017 Star Quality Ratings.  Please be sure to switch to the revised version now available on AgentLink at https://AgentLink.UniversalAmerican.com.  The presentation may be used during scheduled sales appointment with individual clients, and registered marketing and sales events.   Please remember that you are required to disclose Star Ratings in all sales discussions, including meetings or events, so you’ll need the new updated version in order to be compliant.  

Agent Support

If you have any questions about the 2017 Star ratings, please contact us as follows:  UAM Sales Support 1-855-225-1475, Monday-Friday, 8:30 a.m. to 5:00 p.m. Eastern Time.

Medicare evaluates plans based on a 5-star rating system.  Star Ratings are calculated each year and may change from one year to the next.


Y0067_AGT_2017StarRatings_1016 IA 10/17/2016.