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Transcript:  Star Ratings Categories Infographic

 

Star Ratings categories

 

Medicare Advantage (Part C) and Medicare prescription drug plans (Part D) are rated in each of the following categories. In addition, plans receive an overall Star Rating to summarize their performance.

 

Categories for Medicare Advantage

  1. Staying healthy: Measures whether members got a flu shot or underwent various cancer screenings, and whether physical health improved after two years.
  2. Managing chronic conditions: Evaluates how often members with conditions such as diabetes or rheumatoid arthritis got the recommended tests and treatments.
  3. Member experience with the health plan: Members rate overall satisfaction with the plan.
  4. Member complaints and changes in plan’s performance: Measures how often members have problems and choose to leave the plan. It also shows if the plan’s performance has improved.
  5. Customer service: Evaluates how well the plan handles customer requests.

 

Categories for Part D

  1. Customer service: Evaluates how well the plan handles customer requests.
  2. Member complaints and change in plan’s performance: Measures how often members have problems and choose to leave the plan. It also shows if the plan’s performance has improved.
  3. Member experience with the drug plan: Members rate overall satisfaction with the plan.
  4. Drug safety and accuracy of pricing: Rates whether the plan provides accurate pricing information and if members are being prescribed drugs in a way that is safe and clinically recommended for their condition.

 

 

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Disclaimers

Aetna Medicare is a PDP, HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal.

See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.