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5 Stars means a better Medicare experience

A PPO plan with Medicare’s highest rating

Every year, Medicare evaluates plans based on 5-star rating system. Our PPO Plan received Medicare's highest rating

2021 Star Ratings Graphic
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Help member stay healthy.

Preventive screenings, vaccines and regular checkups helpyou stay health, and BlueCross BlueShield will help make sure you get this important care.

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Assist members in managing chronic conditions.

Stay on top of conditions such as diabetes or heart disease is essential. BlueCross BlueShield helps you manage these conditions to stay as healthy as possible.

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Ensure positive member experiences.

This is determined by what actual members say about the plan in survey results. BlueCross BlueShield's member regarded the plan highly enough to reach a 5 star rating.

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Achieve member statisfaction.

This has to do with a low number of member complaints. BlueCross BlueShield works hard to keep members satisfied and improve our plan's performance every year.

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Provide effective customer service.

Good customer service makes for a better Medicare experience. Our friendly Blue Concierge representatives work hard to pay claims quickly and resolve appeals efficiently.

You have a unique opportunity, call 888-373-7242 (TTY 711) or complete the form to receive a phone call from one of our BlueCross BlueShield Benefit Consultants.

Complete the form below to receive a phone call from one of our BlueCross BlueShield Benefit Consultants

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BlueCross BlueShield of Western New York (BCBSWNY) is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal. Other pharmacies/physicians/providers are available in our network. BCBSWNY 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 habla español, tiene a su disposición servicios gratuitos de asistencia linguistica, Llame al 1-833-735-4515 (TTY 711) 注意:如果您使用繁體中文,您可以免費獲得語言援助服務。請致電 1-833-735-4515 (TTY 711) 

Content Last Updated: March 27, 2021

2021 Medicare Star Ratings

What are star ratings?

The Centers for Medicare and Medicaid Services (CMS) created a Five Star Rating System to measure the quality and performance of Medicare Advantage and Prescription Drug Plans. Ratings range from 1 to 5 Stars, with five being the highest and one being the lowest. Ratings are based on the following five categories:

  1. Staying healthy: screenings, tests and vaccines.
    How well the plan works to detect and prevent illness. Also rates how well the plan improves and maintains physical and mental health of its members (i.e., whether members get screening tests, vaccines and other check-ups to help them stay healthy).

  2. Managing chronic (long-term) conditions.
    How well plans help members with chronic or long-lasting health conditions. (i.e. are members getting recommended care and how often are they readmitted to the hospital).

  3. Member experience with the health plan.
    How well the plan performed on Medicare’s member experience survey (the ease of getting appointments and care, information, coordination of the members’ health care services, members’ overall ratings of the plan).

  4. Member complaints, problems getting services, and choosing to leave the plan.
    How often members have problems with the plan, how often members leave the plan, and how much the plan’s performance has improved (if at all) over time.

  5. Health plan customer service.
    How the plan performs in customer service areas (how quickly and how well the plan handles member appeals).

For plans covering prescription drugs, this is an overall rating for the quality of prescription-related services that fall into 4 categories which are:

  1. Drug plan customer service.
  2. Member complaints, problems getting services, and choosing to leave the plan.
  3. Member experience with the drug plan.
  4. Drug pricing and patient safety.

In the fall of each year, Medicare reviews a plan’s performance and releases new star ratings. Therefore, our star ratings may change from year to year.

Our 2021 Star Ratings

2021 Star Ratings Graphic

Our PPO Plan recieved Medicare's highest rating

This plan received Medicare's highest rating (5 Stars)

Medicare Questions?

We're here to help.

1-833-735-4511 (TTY 711)

Oct. 1 - Dec. 31, 8 a.m. - 8 p.m., 7 days a week
Jan. 1 - Sept. 30, 8 a.m. to 8 p.m., Monday - Friday