Quality ratings of health plans
To help you compare Marketplace plans, we offer quality ratings (or “star ratings”).
Each rated health plan has an “Overall” quality rating of 1 to 5 stars (5 is highest). The overall rating includes member experience, medical care, and health plan administration. Each of these items also have star ratings.
This gives you an objective way to quickly compare plans, based on quality, as you shop.
- 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 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 plan is run, including:
- Customer service
- Access to needed information
- Network providers ordering appropriate tests and treatment
All health plan ratings are calculated the same way, using the same information sources.
- Ratings for 2023 are based on data provided in 2022.
- In some cases — like when plans are new or have low enrollment — ratings aren’t available. This doesn’t mean the plans are low quality.