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10 of the Top Rated Medicare Advantage Plans in 2017

Medicare Advantage Plans Surfing

To help beneficiaries compare Medicare Advantage plans, Medicare provides ratings. Called the Star Rating System, each reviewed plan receives an overall rating, as well as ratings on five subcategories:

  • Customer service
  • Managing chronic conditions
  • Member satisfaction, including complaints, issues receiving service, and how many members choose to leave the plan
  • Preventive care, including screenings, tests, and vaccines
  • Responsiveness and level of care

Medicare reviews and rates plans each year, releasing star ratings during fall in plenty of time for open enrollment. In addition, Medicare provides star ratings on drug plans, looking at:

  • Customer service
  • Member experience
  • Member satisfaction, including complaints, issues receiving service, and how many members choose to leave the plan
  • Pricing and safety

To verify a plan’s rating, check the Medicare Plan Finder tool, updated every October.

Kaiser Permanente – 5 Stars

Kaiser Permanente operates in eight states, plus Washington, D.C., and has over 9.6 million members, making it one of the United States’ largest not-for-profit healthcare companies. Medicare rated it 5 stars in California, Colorado, Maryland, Oregon, Virginia, Washington State, and Washington, D.C.

Kaiser Permanente offers a variety of plan options, which vary by location.

Seniors Preferred – 5 Stars

The Seniors Preferred HMO plans in Iowa and Wisconsin received Medicare’s 5-star rating. Service area residents eligible for Medicare may enroll. Plan options include:

  • Elite D Plan: Includes prescription drug coverage
  • Elite Plan: Does not include prescription drug coverage
  • Value D Plan: Includes prescription drug coverage
  • Value Plan: Does not include prescription drug coverage

HealthPartners – 5 Stars and 4.75 Stars

Available in Wisconsin (5 stars) and Minnesota (4.75 stars), HealthPartners offers low cost, no frills plans as well as higher cost, broad coverage options. Enrollees enjoy access to 51,000 providers, along with numerous in-network clinics and hospitals. In addition, plans include U.S. travel coverage and international emergency and urgent care coverage.

Medical Associates Health Plan, Inc. – 5 Stars

HMO BLUE from Blue Cross Blue Shield of Massachusetts received Medicare’s 5-star rating, while its PPO plan received 4 stars. Plans include prescription drug coverage and routine dental care. In addition, most plans also include vision and hearing checkups.

KelseyCare Advantage – 5 Stars

Covering residents in four Texas counties, KelseyCare Advantage offers plans with low co-pays and a $3,400 maximum out-of-pocket for in-network services. As soon as you reach that maximum, KelseyCare covers 100 percent of Medicare-approved services. In addition, there is zero co-pay for routine vision exams, international emergency medical coverage, and transportation to medical appointments.

Tufts Health Plan – 5 Stars

Also based in Massachusetts, Tufts Health Plan offers comprehensive HMO coverage that allows you to choose from over 1,900 primary care physicians. Your PCP coordinates all of your care, and your plan representative helps you choose your primary provider if you request assistance.

PrimeTime Health Plan – 5 Stars

Ohio’s PrimeTime Health Plan offers a variety of plan options.

  • Basic-MA Plan: No deductible and a yearly $3,400 out-of-pocket max
  • Plus-MA Plan: No deductible with an $89 per month premium, $4,500 annual out-of-pocket max, and Part D coverage
  • Classic-MA Plan: No deductible and a $39 per month premium, $5,500 annual out-of-pocket max, and Part D coverage
  • Aultimate-MA Plan: No deductible, a $6,500 annual out-of-pocket max, and Part D coverage

Dean Health Plan, Inc. – 5 Stars

Wisconsin’s Dean Health Plan, Inc. received Medicare’s 5-star rating, with customizable care plans and excellent coverage for preventive care. Every plan option includes prescription drug coverage, 100 percent coverage on preventive care services, hearing aid and eyewear allowances, and out-of-pocket protection in the event of catastrophic events. Customer care options include coordinated care programs, prescription drug management tools, and care management services.

CDPHP Universal Benefits, Inc. – 5 Stars

New York’s CDPHP provides medical-only plans as well as plans that include prescription drug coverage. In addition, some plans include routine dental and vision coverage.

Medical Associates Health Plan – 5 Stars

With three provider network options, Medical Associates Health Medicare plans make choosing coverage levels easy. Premiums do not change with age, and there is no lifetime max on benefits. There are no deductibles, and coverage includes preventative and wellness awareness visits. Medicare granted Medical Associates its 5-star rating six years in a row.