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Medicare Star Ratings

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Tufts Medicare Preferred HMO plans and the Tufts Health Plan Senior Care Options Plan (HMO SNP)​ earned a 5-out-of-5 star rating* from Medicare for 2019. This is Medicare’s highest rating. These plans are among the best in the country for quality and performance. In fact, out of 376 plans rated for 2019, only 14 received a 5-star rating!

It is especially satisfying because this rating is a reflection of how well Tufts Health Plan supports its members and their health needs. Click to download our 2019 Tufts Health Plan Medicare Preferred HMO Star Ratings Document or our 2019 Tufts Health Plan Senior Care Option Plan (HMO SNP) Star Ratings Document.

What Does it Mean to Be a 5-Star Rated Plan?

A 5-star rating reflects Tufts Health Plan's ability to help you get the checkups, screenings, and information you need to stay healthy. It is based on how well we work with you to provide the benefits and services you need. Whether you are calling Customer Relations with a question about your plan, need to see your doctor for a preventive screening, or are managing a chronic condition, our ability to help you get what you need is a key factor in our star rating. 


View our 2019 Tufts Medicare Preferred HMO Plans


View our 2019 Tufts Senior Care Options Plan

Rating Details 

Medicare rates all health and prescription drug plans every year by assigning a rating of 1 to 5 stars to each plan. All plans are assessed in 46 unique, quality, and performance measures. Star ratings can be used to quickly identify how well a plan works with their members. Out of the 46 unique measures, Tufts Health Plan received 5 stars (the highest possible rating) for 26 measures including:

Rating of Health Plan:

★★★★★

This measure is based on how our members rate their experience with all aspects of their health plan.

Getting Appointments and Care quickly:

★★★★★

This measure is based on how quickly our members are able to access the medical care or get the appointments they need.

Complaints about the Health Plan:

★★★★★

This measure is based on the number of complaints our members file with Medicare about their health plan (more stars means fewer complaints).

Complaints about the Drug Plan:

★★★★★

This measure is based on the number of complaints our members file with Medicare about their health plan (more stars means fewer complaints).

Members Choosing to Leave the Plan:

★★★★★

This measure is based on the percentage of members who choose to leave the plan (more stars mean fewer members choose to leave the plan). 

Where Do the Ratings Come From?

For health services, quality information comes from:

  • Member surveys
  • ​Information clinicians submit to Medicare
  • Information plans submit to Medicare
  • ​Medicare's regular monitoring activities

For prescription drug coverage, quality information comes from: 

  • Member surverys
  • Billing and other information that plans submit to Medicare
  • Medicare's regular monitoring activities

*Every year, Medicare evaluates plans based on a 5-star rating system. Tufts Medicare Preferred HMO plans received 5 out of 5 stars for contract years 2016, 2017, 2018, and 2019. For more information on plan ratings, go to www.medicare.gov.