Quality Ratings for Health Connector Plans
Quality ratings can help you compare medical care covered by different health plans, as well as the member-reported experiences of service by health plans. Our plans are rated by the Centers for Medicare & Medicaid Services (CMS), a federal agency.
Latest Health Plan Star Ratings
The chart below shows the quality star ratings for all health insurance plan offered through the Health Connector .
The plans are rated on a scale of 1 to 5 stars (with 5 being the best score). The Medical Care, Member Experience, and Plan Administration scores are combined to get the overall Quality Rating score.
Factors that go into rating health plans
Here’s an explanation of the different factors that go into rating a health plan:
- Medical Care: Based on how well providers in the plan’s network manage member health care, including providing regular screenings, vaccines and other basic health services, and monitoring some conditions.
- Member Experience: Based on surveys of member satisfaction with their health care and doctors, and ease of getting appointments and services.
- Plan Administration: Based on how well the plan is run, including customer service, access to information, and whether network providers ordered appropriate tests and treatment.
The Medical Care, Member Experience and Plan Administration scores are combined to get the overall Quality Rating score.
Why aren’t ratings available for some plans?
In some cases, ratings aren’t available yet. This is usually because plans are new or have low enrollment. It does not mean the plans are low quality.
More Information About Star Ratings
Plan quality ratings and enrollee survey results are calculated by CMS using data provided by health plans in 2019. The ratings are being displayed for health plans for the 2020 and 2021 plan year. Learn more about these ratings →