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Plan Performance Ratings

The Medicare program rates all health and prescription drug plans each year, based on a plan's quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these star ratings to compare our plan's performance to other plans.

The two main types of Star Ratings are:

  1. Overall Star Rating that combines all of our plan's scores
  2. Summary Star Rating that focuses on our medical or prescription drug services

Some of the areas Medicare reviews for these ratings include:

  • How our members rate our plan's service and care
  • How well our doctors detect illnesses and keep members healthy
  • How well our plan helps our members use recommended and safe prescription medication

Capital Blue Cross PPO

Capital Advantage Insurance Company® received the following ratings from Medicare:

  • Overall Star Rating: 4 Stars
  • Summary Star Rating — Health Plan Services: 3.5 Stars
  • Summary Star Rating — Drug Plan Services: 4 Stars

Download information about Capital Blue Cross PPO Star Ratings.

Download information about Capital Blue Cross PPO Star Ratings (Spanish Version).


Capital Blue Cross HMO

Keystone Health Plan® Central received the following rating from Medicare:

  • Overall Star Rating: 3.5 Stars
  • Summary Star Rating — Health Plan Services: 3.5 Stars
  • Summary Star Rating — Drug Plan Services: 3.5 Stars

Download information about Capital Blue Cross HMO Star Ratings.

Download information about Capital Blue Cross HMO Star Ratings (Spanish Version).


The number of stars shows how well our plan performs.1

Stars Ratings

5 Stars — Excellent

4 Stars — Above Average

3 Stars Average

2 Stars — Below Average

1 Star — Poor

Visit the Medicare website to learn more about our plan and how we are different from other plans.

You may also contact us at 800.990.4201 (TTY: 711) seven days a week from 8:00 AM — 8:00 PM, October 1 to March 31. Our hours of operation from February 15 to September 30 are Monday through Friday, 8:00 AM — 8:00 PM.

Current Capital Blue Cross HMO members may call 800.779.6962 (TTY: 711). Current Capital Blue Cross PPO members may call 866.987.4213 (TTY: 711).

1Star Ratings are based on five stars. Star Ratings are assessed each year and may change from one year to the next.

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Updated October 1, 2021

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