5 Stars Means You Get the Quality Coverage You Deserve

It’s important to have quality coverage you can depend on. Tufts Health Plan Medicare Advantage (HMO) plans received 5 out of 5 Stars for quality from Medicare for 2022! And we’re the only plan in Massachusetts to ever receive 5 Stars seven years in a row.
Women consulting with her doctor

What does a 5-Star rating mean for you?

A focus on your health. Our Star rating reflects how easy it is for you to get the checkups, screenings, and information you need to stay healthy.

Quality and support. A plan receives a 5-Star rating only by providing exceptional service to their members in many different areas including customer service, member satisfaction, health care quality, and getting appointments quickly.

Flexibility. As a member of a 5-Star plan, you have the freedom of a special election period that allows you to switch into one of our other Medicare Advantage plans one time during the year through November 30, 2022. So, if your healthcare needs change during the year, you’re not locked into your plan.

A rating you can trust. Medicare’s 5-Star rating can’t be bought—it can only be earned from the Centers for Medicare and Medicaid Services (CMS), the government regulatory body for all Medicare programs.

A pattern of excellence. We are the only Medicare Advantage (HMO) plan in Massachusetts to receive a 5-Star rating seven years in a row.

Peace of mind. Knowing you have the highest-rated health care coverage available provides valuable peace of mind.

How is the Star rating determined?

CMS rates Medicare Advantage plans each year for quality in many different areas. For 2022, we received the highest possible rating in 24 out of 35 categories including:

  • Health Care Quality
  • Customer Service
  • Getting Needed Care
  • Getting Appointments and Care Quickly
  • Care Coordination

How difficult is it to achieve a 5-Star rating?

For 2022, CMS rated 471 Medicare Advantage plans and provided each with a Star rating from 1 to 5 Stars, with 5 Stars being the highest. Only 74 plans in the country received a 5-Star rating for 2022. The 2022 5-Star rating puts Tufts Health Plan Medicare Advantage (HMO) plans among the top 16 percent of plans nationally.

For more information on plan ratings, go to www.medicare.gov.