Highmark earns high quality rating from CMS for Pennsylvania Medicare Advantage plans
PITTSBURGH (Nov. 28, 2016) Highmark's Medicare Advantage plans in Pennsylvania have achieved a 4.5 quality rating from the Centers for Medicare and Medicaid Services (CMS). This is the second year in a row that Highmark earned a 4.5 out of 5 star rating.
Medicare Advantage Plans are evaluated on a scale of one to five. In arriving at the overall annual quality rating, CMS takes into account how well health plans score in five different categories including (1) keeping members healthy and up-to-date on preventive care measures, (2) managing chronic health conditions, (3) member responsiveness (4) handling problems and complaints, and (5) customer service.
"At Highmark, we use the Star evaluation criteria as one of our own internal checks on how well we are delivering an excellent member experience in addition to high quality care," said Debbie Smith, Senior Vice President of Senior Markets at Highmark. "Whenever we uncover a gap in care for our members, or determine we can improve on a particular measure, we take immediate action. It's rewarding to see our commitment to placing members in the center of all that we do pay off in improved health outcomes and CMS recognition of the value we bring."
Highmark covers 514,000 seniors in a broad portfolio of Medicare Advantage products. Unlike traditional Medicare, Medicare Advantage plans limit the amount of out-of-pocket contribution a beneficiary is required to make. In addition to covering the same hospital and medical services as Medicare Parts A & B, Highmark Medicare Advantage plans include benefits for preventive care, hearing aids, vision and dental care, and popular fitness memberships.
Highmark is currently enrolling Medicare-eligible individuals for 2017. The annual election period began October 15 and runs through December 7, 2016.
Consumers can learn more about the CMS Star ratings at the Centers for Medicare and Medicaid Services (CMS) website.
Information about Highmark’s Medicare offerings is available at Highmark's Medicare Advantage website. Consumers may also visit a Highmark Direct store to meet personally with a Medicare advisor or speak to one on the telephone. The number to call is 866-382-0741 (TTY users may call 711), 8 a.m. to 8 p.m., seven days a week.
About Highmark Choice Company and Highmark Senior Health Company
Highmark Choice Company and Highmark Senior Health Company are Medicare Advantage plans with a Medicare contract. Enrollment in Highmark Choice Company and Highmark Senior Health Company depends on contract renewal. Highmark Blue Cross Blue Shield Highmark Choice Company and Highmark Senior Health Company are independent licensees of the Blue Cross and Blue Shield Association. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
Highmark Blue Cross Blue Shield complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.
ATENCIÓN: Si usted habla español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. Llame al número en la parte posterior de su tarjeta de identificación (TTY: 711).
About Highmark Inc.
Highmark Inc. and its health insurance subsidiaries and affiliates collectively are among the ten largest health insurers in the United States and comprise the fourth-largest Blue Cross and Blue Shield-affiliated organization. Highmark and its diversified businesses and affiliates operate health insurance plans in Pennsylvania, Delaware and West Virginia that serve 5.2 million members and hundreds of thousands of additional members through the Blue Card program. Its diversified businesses serve group customer and individual needs across the United States through dental insurance, vision care and other related businesses. Highmark is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.highmark.com.