Medicare Advantage Star Ratings

The Medicare Advantage and Part D star ratings for 2020 shows that more plans have 4 stars or higher star ratings this 2020 as compared to 2019. Also, there are more plans being offered to start on October 15. According to the Centers for Medicare and Medicaid Services, there are about 1,200 more Medicare Advantage plans operating in 2020 than in 2018. Approximately 52 percent of contracts for Medicare Advantage plans offering Part D coverage earned 4 stars or higher, compared to about 45% in 2019.

In the 401 contracts for 2020, 210 are at 4 stars or higher, compared to 172 in 2019 when there were only 376 contracts.

Twenty contracts for MA and Part D earned 5 stars, 72 earned 4.5 stars and 118 earned 4 stars. This compares to 14 that earned 5 stars in 2019, 64 that earned 4.5 stars, and 94 that earned 4 stars last year.

The comparison between 2020 and 2019 shows 55 contracts rated 3 stars for 2020 as opposed to 66 in 2019. The average star rating for 2020 is 4.16, compared to 4.06 in 2019 and 4.02 in 2017. Approximately 28% of enrollees will be in stand-alone prescription drug plans with 4 stars or higher, an increase from approximately 3% in 2018. And the average star rating for a stand-alone prescription drug plan has improved from 3.34 in 2019 to 3.50 in 2020.

WHY THIS MATTERS?

The star ratings are important to both insurers and beneficiaries. The rating system rates Medicare health and drug plans on a rating of 1 to 5 stars, with 1 representing poor performance and 5 stars representing excellent performance. Through these ratings, you can determine which insurers provide the best service among others.

You can compare health coverage choices and the star ratings through the online Medicare Plan Finder tool available at Medicare.gov.

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Medicare Part D Costs for 2020

Before 2006, Medicare did not cover prescription medications. There was a limited number of medications that were offered under Medicare Part Band, and otherwise, you had to pay for your medications out of pocket. In 2003, everything had changed when President George W. Bush passed the Medicare Prescription Drug, Improvement, and Modernization Act (MMA). This is what we now know of as Medicare Part D , an optional part of Medicare that provides prescription drug coverage. Part D plans are run by private insurance companies and not by the government. However, the federal government sets guidelines on what basic medications are covered and how much you can be charged. A deductible is the amount of money you spend out of pocket before your prescription drug benefits begin. Your plan may or may not have a deductible. The maximum deductible a plan can charge for 2020 is set at $435. It has increased by $20 from 2019. Part D

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Benefit Period

The benefit period is the length of time during which a benefit is paid. It measures your use of inpatient hospital and skilled nursing facility (SNF) services. This begins the day you are admitted as an inpatient, or to an SNF, and ends the day you have been out of the hospital or SNF for 60 days in a row. After you meet your deductible , Original Medicare will pay in full for days 1 to 60 that you are in a hospital. The remaining days, 61-90 , you will have to pay a daily coinsurance. If your 90 days of hospital coverage has been consumed but you need to stay longer, Medicare covers up to 60 additional lifetime reserve days and yo u will also have to pay a daily coinsurance . These days are nonrenewable , meaning you will not get them back when you become eligible for another benefit period. If you run out of days during your benefit period, Medicare will stop paying for your in-patient related hospital costs such as room and board. To be eligible for a new b

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Comparing Health Care Providers

How do I compare the quality fo Health Care Providers? Medicare collects information about the quality and safety of medical care and services given by most health care providers (and facilities). Check Medicare.gov/quality-care-finder and get a snapshot of the quality of care they give their patients. Some feature a star rating system to help you compare quality measures that are important to you. Find out more by: Talking to your health care provider. Each health care provider should have someone you can talk to about quality. Asking your doctor or other health care provider what he or she thinks about the quality of care other providers give. You can also ask your doctor or other health care provider about the quality of care information you find on Medicare.gov . Having access to quality and cost information upfront helps you get a complete picture of your health care options. You'll be able to compare quality ratings, cost information, and other details to hel

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