BlueCross BlueShield’s Star Rating Increases for Medicare Advantage Plans

HMO and PPO Products Both Receive 4.5 out of 5 stars

BlueCross BlueShield of Western New York announced that its HMO and PPO Medicare Advantage health plans each received a 4.5 Star rating from the Centers for Medicare and Medicaid Services (CMS). This reflects a half star increase for BlueCross BlueShield’s HMO products in 2017.

CMS assigns Star ratings from one to five, with five being the highest. The rating system provides a way for consumers to objectively compare Medicare health plans based on 46 care and service quality measures including staying healthy, managing chronic conditions, member satisfaction, customer service, and pharmacy services.

"A great deal of work is done each year to continuously improve the quality and service measures that impact our Star rating,” said Thomas Schenk, MD, Senior Vice President, Chief Medical Officer, BlueCross BlueShield of Western New York. “We could not meet this high benchmark without the positive feedback from our members and the excellent quality that our network of physicians provides."

Over the past year, BlueCross BlueShield has implemented a number of strategic partnerships aimed at assisting members and providers to identify and take action on closing needed gaps in care, addressing member and provider experiences, improving data oversight and compliance, as well as enhanced clinical programming.

The Star ratings are posted at www.medicare.gov where beneficiaries can shop and compare plans beginning Saturday, October 15.

Additionally, individuals can call BlueCross BlueShield’s dedicated Medicare Advantage number at 1-800-248-9296 (TTY 711) Oct. 1 - Feb. 14, 8 a.m. to 8 p.m., 7 days a week Feb. 15 - Sept. 30, 8 a.m. - 8 p.m., Mon. - Fri., email SalesCenterWNY@bcbswny.com, or visit bcbswny.com/medicare to schedule an in-home meeting or for information on BlueCross BlueShield’s 2017 Medicare Advantage products.

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About BlueCross BlueShield of Western New York

BlueCross BlueShield of Western New York is a division of HealthNow New York Inc., an independent licensee of the BlueCross BlueShield Association. Since 1936, BlueShield has helped millions of people lead healthier lives. BlueShield offers a full range of insured, self-insured, and government programs and services covering businesses, families, and individuals, as well as life and disability coverage, dental and vision plans and stop-loss coverage. As a community-based, not-for-profit health plan, BlueCross BlueShield contributes significantly to organizations that strengthen and enrich the health of our community.

For up-to-date news, facts, and information about the company, leadership, and industry, please visit the BlueCross BlueShield News Center at bcbswny.com/news or follow us on Twitter.

BlueCross BlueShield of Western New York is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal.

About Star rating

The Medicare Program rates all health and prescription drug plans based on a plan's quality and performance. Medicare evaluates plans based on a 5 star rating system. Star ratings are calculated each year and may change from one year to the next. Star ratings are based on 5 stars. Star ratings are assessed each year and may change from one year to the next.

About enrollment

Individuals must have both Parts A and B to enroll in a Medicare Advantage plan. Individuals may enroll in a plan only during specific times of the year. There are additional enrollment guidelines. Contact BlueCross BlueShield for more information.

BlueCross BlueShield of Western New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

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