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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:
- Overall Star Rating that combines all of our plan's scores
- 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 Medicare PPO
Capital Advantage Insurance Company® received the following ratings from Medicare:
- Overall Star Rating: 4.5 Stars
- Summary Star Rating — Health Plan Services: 4.5 Stars
- Summary Star Rating — Drug Plan Services: 4 Stars
Download information about Capital Blue Cross Medicare PPO Star Ratings.
Download information about Capital Blue Cross Medicare PPO Star Ratings (Spanish Version).
Capital Blue Cross Medicare HMO
Keystone Health Plan® Central received the following rating from Medicare:
- Overall Star Rating: 4.5 Stars
- Summary Star Rating — Health Plan Services: 4.5 Stars
- Summary Star Rating — Drug Plan Services: 4.5 Stars
Download information about Capital Blue Cross Medicare HMO Star Ratings.
Download information about Capital Blue Cross Medicare 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 April 1 to September 30 are Monday through Friday, 8:00 AM — 8:00 PM.
Current Capital Blue Cross Medicare HMO members may call 800.779.6962 (TTY: 711). Current Capital Blue Cross Medicare 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 January 1, 2025
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