Plan Quality Ratings

Each rated health plan has an overall quality rating, called the "Global Score," of one to five stars (five is the highest rating), which accounts for member experience, medical care, and health plan administration.

Member experience: Based on surveys of member satisfaction with:

• Their health care and doctors
• Ease of getting appointments and services

Medical care: Based on how well the plan’s network of health care providers manage member health care, including:

• Providing regular screenings, vaccines and other basic health services
• Monitoring some conditions

Plan administration: Based on how well the health plan is run, including:

• Customer service
• Access to needed information
• Appropriate tests and treatments are ordered by the plan’s network of health care providers

Not necessarily. All health plans ratings are calculated the same way, using the same information sources, no matter what level of coverage they provide.