Medicare Star Ratings

Every year, Medicare Evaluates Medicare Advantage Plans and Prescription Drug Plans based on quality measurements called Star Ratings. Medicare Advantage Plans and Prescription Drug 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

2024 Star Ratings

2025 Star Ratings

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

    AZ Blue offers BlueJourney PPO Medicare Advantage plans. AZ Blue Advantage, a separate but wholly owned subsidiary of AZ Blue, offers Best Blue Life Classic and Plus HMO plans.

    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.

    Blue Cross Blue Shield of Arizona (AZ Blue) and Health Choice Arizona (HCA) comply with applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We provide free aids and services to people with disabilities to communicate effectively with us, such as qualified interpreters and written information in other formats such as large print and accessible electronic formats. We also provide free language services to people whose primary language is not English, such as qualified interpreters and written information in other languages. If you need these services call 1-800-446-8331 (TTY: 711) for AZ Blue Medicare Advantage or 1-844-883-8524 (TTY: 711) for AZ Blue Blue MedicareRx (PDP) or 1-800-656-8991 (TTY: 711) for HCA.

    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.

    Spanish (AZ Blue): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-446-8331 (TTY: 711).

    Navajo (AZ Blue): Díí baa akó nínízin: Díí saad bee yάnílti’ go Diné Bizaad, saad bee άkά’ άnída’ άwo’ dę͗ę͗, t’άά jiik’eh, éí nά hóló̖, kojí̖ hódíílnih 1-800-446-8331 (TTY: 711).

    Spanish (HCA): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-656-8991 (TTY: 711).

    Navajo (HCA): Díí baa akó nínízin: Díí saad bee yάnílti’ go Diné Bizaad, saad bee άkά’ άnída’ άwo’ dę͗ę͗, t’άά jiik’eh, éí nά hóló̖, kojí̖ hódíílnih 1-800-656-8991 (TTY: 711).

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    Last Updated 10/01/2024