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PARKERSBURG -- The Highmark Medicare Advantage plans in West Virginia have received a 5 Star quality rating from the Centers for Medicare and Medicaid Services, the highest possible designation.
Medicare Advantage Plans are evaluated on a scale of one to five. In arriving at the overall annual quality rating, CMS takes into account how well health plans score in five categories: keeping members healthy and up-to-date on preventive care measures; managing chronic health conditions; member responsiveness; handling problems and complaints; and customer service.
In West Virginia, Highmark's Medicare Advantage PPO plans were scored by CMS and scored a 5 out of a possible 5 stars.
"We are very proud of this 5 Star rating," said William Rayball, vice president of Quality for Highmark Federal Business. "The Star ratings continue to show that Highmark is committed to listening to our members across the Mountain State. Not only are we continuously improving our benefits, networks and pricing year after year, but we are also investing in innovative solutions to drive health outcomes and a remarkable experience as our members navigate their health journey."
Unlike traditional Medicare, Medicare Advantage plans limit the amount of out-of-pocket contribution a beneficiary is required to make. In addition to covering the same hospital and medical services as Medicare Parts A & B, Highmark Medicare Advantage plans include benefits for preventive care, hearing aids, vision and dental care, and popular fitness memberships.
For its 2023 Medicare Advantage plans, Highmark will provide more value to Medicare members with lower premiums and copays and expanded supplemental benefits across its service areas in West Virginia. Highmark will also launch three new plans, including two $0 premium plans, to create a portfolio that better meets the needs of all consumers.
The annual election period for seniors to choose Medicare Advantage coverage for next year runs from Oct. 15 through Dec. 7.
Every year, Medicare evaluates plans based on a 5-star rating system.
Consumers can learn more about the CMS Star ratings at the Centers for Medicare and Medicaid Services website.
Detailed descriptions of all Highmark Medicare Advantage plans are available by calling 1-800-318-1487 or at Medicare.highmark.com .
Highmark Choice Co., Highmark Senior Health Company and Highmark Senior Solutions Company are Medicare Advantage plans with a Medicare contract. HM Health Insurance Company is a PDP plan with a Medicare contract. Enrollment in Highmark Choice Co., Highmark Senior Health Co., Highmark Senior Solutions Co., and HM Health Insurance Co. depends on contract renewal. Highmark Blue Shield, Highmark Choice Co., Highmark Senior Health Co., Highmark Senior Solutions Company and HM Health Insurance Co. are independent licensees of the Blue Cross and Blue Shield Association.