Medicare Star Ratings

Every year, Medicare evaluates Medicare Advantage Plans based on quality measurements called Star Ratings. Medicare Advantage Plans are evaluated on a 5 Star-Rating System. The Star Ratings Program is a tool designed to assist consumers in making informed decisions regarding care options for themselves or a loved one. In response to this program, Blue Cross® Blue Shield® of Arizona (AZ Blue) is always working to develop new ways to improve quality experience for members.
  • The Star Ratings Program aims to:

    • Raise the quality of care for Medicare members
    • Strengthen member, provider, and health plan relationships
    • Help members compare health plans more easily
  • Star Ratings are based on:

    • Health plan members staying healthy
    • Managing Chronic (long-term) illnesses
    • Member Experience with the health plan and the providers in their network
    • Complaints made about the health plan by members
    • Health plan customer service and claims processes
  • Our Commitments To Our Members:

    • Provide our members with the best customer service experience
    • Always listen to make change
    • Focus on enhancing the quality of life of our members by ensuring we provide access to the best medical care when it is needed
    • Working with our provider network to enhance our members’ experience with providers and care teams

2025 Star Ratings

    Blue Cross® Blue Shield® of Arizona (AZ Blue) is contracted with Medicare to offer HMO Medicare Advantage plans. Enrollment in AZ Blue plans depends on contract renewal.

    You are eligible to enroll in a AZ Blue Medicare Supplement plan if you are age 65 or older, entitled to Medicare Part A, and enrolled in Medicare Part B, and you live in the plan service area. You must continue to pay your Medicare Part B premiums (and Part A, if applicable), if not otherwise paid for by Medicaid or another third party. During the first six months when you are age 65 and also enrolled in Medicare Parts A & B you cannot be denied a Medicare Supplement plan when you apply for one, regardless of health status.

    Health Choice Pathway HMO D-SNP is a Health Plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Health Choice Pathway HMO D-SNP depends on contract renewal. Health Choice Pathway Member Services can be reached at 1-800-656-8991, TTY: 711, 8 a.m. to 8 p.m., 7 days a week.
    Member Services can be reached at 480-937-0409 (in Arizona) or at our toll-free phone number at 1-800-446-8331 (TTY users should call 711). Hours are 8 a.m. to 8 p.m., Monday through Friday from April 1 to September 30; and 7 days a week from October 1 to March 31. Member Services also has free language interpreter services available for non-English speakers.

    OptumRx® is an independent company providing prescription mail order services.

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    Last Updated 01/01/2025