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 "star rating" from 1 - 5 stars (5 is the highest performing health plan). A health plan's overall rating is based on the quality of health care services and members' experiences with their health plan. You'll find this overall rating for the health plan and additional ratings for each of these 3 categories:
- 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 this year are based on data from last year.
- 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.