CMS NEWS
FOR IMMEDIATE RELEASE
October 10, 2018
Contact: CMS Media Relations
(202) 690-6145 | CMS Media Inquiries
Medicare
provides continued access to high-quality health coverage choices in 2019
CMS releases Star Ratings
for 2019 Medicare Advantage and Part D prescription drug plans ahead of
Medicare Open Enrollment
Today, the Centers for Medicare
& Medicaid Services (CMS) announced that Medicare beneficiaries continue
to have access to high-quality health choices for their Medicare coverage as
the agency releases the Star Ratings for the 2019 Medicare Advantage and Part
D prescription drug plans.
“Medicare Advantage enrollees
will continue to have access to high quality plans while plan choices are
increasing and premiums are declining,” said CMS Administrator Seema Verma.
“Along with the steps the Trump Administration has taken to maximize competition
and lower out-of-pocket prices, we are committed to empowering Medicare
beneficiaries to make informed choices in choosing high-quality plans that
best fit their health needs.”
As announced last month, Medicare Advantage
premiums continue to decline while plan choices and benefits increase. In
2019, Medicare Advantage will be offering approximately 600 more plans with
the number of plans available to individuals to choose from across the
country is increasing from about 3,100 to about 3,700 – and more than 91
percent of people with Medicare will have access to 10 or more Medicare
Advantage plans. On average, Medicare Advantage premiums in 2019 are
estimated to decrease by six percent to $28.00, from an average of $29.81 in
2018.
As part of CMS’s recently
launched eMedicare initiative, Medicare.gov will
feature an improved “coverage wizard” to help users compare options at a
deeper level to decide if Original Medicare or Medicare Advantage is right
for them. CMS will also provide a stand-alone, mobile optimized out-of-pocket
cost calculator that will provide information on both overall costs and
prescription drug costs.
Each year, CMS publishes the Part
C and Part D Star Ratings to measure the quality of, and reflect the experiences
of beneficiaries in, Medicare Advantage and Part D prescription drug plans.
In 2019, most areas across the country will have Medicare Advantage and Part
D plans with four or more stars. Based on current enrollment, approximately
74 percent of Medicare Advantage enrollees with prescription drug coverage
are projected to be in plans with four and five stars in 2019 as compared to
73 percent in 2018. Approximately 45 percent of Medicare Advantage plans that
offer prescription drug coverage will have an overall rating of four stars or
higher in 2019.
Enrollees in stand-alone Medicare
Part D prescription drug plans will also have access to high-quality plans.
In 2019, approximately 31 percent of stand-alone prescription drug plans will
have a rating of four stars or higher in 2019. The majority of enrollees are
in stand-alone prescription drug plans with 3.5 stars or higher.
CMS updates the Star Ratings for
Medicare Advantage and Part D prescription drug plans every year to help
beneficiaries distinguish between plans. In an effort to continually enhance
the Star Ratings, CMS made changes to the measures used for the 2019 ratings
for health and drug plans based on industry feedback.
The Star Ratings system helps
people with Medicare, their families, and their caregivers compare the
quality of health and drug plans being offered. Medicare health and drug
plans are given a rating on a 1 to 5 star scale, with 1 star representing
poor performance and 5 stars representing excellent performance. Medicare beneficiaries
can compare health coverage choices and the Star Ratings through the online
Medicare Plan Finder tool available at Medicare.gov (http://www.medicare.gov).
CMS recently launched the
eMedicare Initiative that aims to modernize the way beneficiaries get
information about Medicare and create new ways to help them make the best
decisions for themselves and their families. Medicare Open Enrollment for
2019 Medicare health and drug plans begins on October 15, 2018, and ends
December 7, 2018. Plan costs and covered benefits can change from year to
year. People with Medicare should look at their coverage choices and decide
the option that best fits their health needs. They can visit Medicare.gov (http://www.medicare.gov), call
1-800-MEDICARE, or contact their State Health Insurance Assistance Program
(SHIP). Those people with Medicare who do not wish to change their current
coverage do not need to re-enroll in order to keep their current coverage.
For more information on the 2019
Medicare Advantage and Part D Star Ratings, including a fact sheet, please
visit: http://go.cms.gov/partcanddstarratings.
To view the premiums and costs of
2019 Medicare health and drug plans, please visit: https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/index.html.
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Wednesday, October 10, 2018
Medicare provides continued access to high-quality health coverage choices in 2019
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