The Centers for Medicare & Medicaid Services (CMS) recently announced Highmark’s 2023 Star Ratings for Pennsylvania, West Virginia, and New York Medicare Advantage (MA) plans. Highmark's scores were strong again this year, with most plans achieving a 5-Star Rating –the highest score possible!
Pennsylvania HMO: 5 Stars
Pennsylvania PPO: 5 Stars
Highmark’s Community Blue Medicare HMO & PPO, Complete Blue PPO, Freedom Blue PPO, and Security Blue HMO-POS MA plans have again achieved the highest possible quality rating from CMS. These plans achieved 5 out of 5 Stars for the second consecutive year!
West Virginia PPO: 5 Stars
Highmark’s Medicare Advantage Freedom Blue PPO plans were scored by CMS and scored a 5 out of 5 stars for the first time. We are the only Direct Pay 5-Star product offering in West Virginia for 2023!
Western and Northeastern New York PPO: 5 Stars
Western and Northeastern New York HMO: 4 Stars
In Western and Northeastern New York, Highmark’s MA PPO plans were scored by CMS and scored 5 out of 5 stars for the third year in a row! Highmark’s MA Health Maintenance Organization (HMO) plans were also scored by CMS and scored 4 out 5 stars.
Star Ratings are not on a typical one-year planning cycle, where what we do this year impacts next year. Instead, the annual Star Ratings reflect performance from two years prior. How we performed in calendar year 2021 was used by CMS for our 2023 star ratings. Highmark Delaware's Medicare Advantage plans were launched in 2022, and therefore have not been rated yet.
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Final Reminders For AEP | Medicare Supplement Update
It was recently discovered that Humana’s Rx Calculator and Humana.com were incorrectly quoting the $0 Rx Copay Benefit Model incorrectly for DSNP plans.
Your Wellcare NY Sales team wanted to remind you of an increase to the payment amounts for our Health Risk Assessment's (HRA's) and inform you of two important NY network additions.
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