Quality Ratings

Quality Ratings

Wed, 02/12/2020 - 16:54

Ratings of health plan quality used in the Health Insurance Marketplace, shown as 1 to 5 stars on plan information pages.

• For the 2017 plan year, Virginia and Wisconsin presented health insurance quality ratings on HealthCare.gov.

• Results from this pilot will be used to improve the program in the future.

Each health plan has an “Overall” quality rating, which is based on scores for 3 elements:

• member experience

• medical care

• plan administration.

The plans provide information to the Marketplace. The Marketplace confirms the data and assigned the ratings.

In some cases — like when plans are new or have low enrollment — ratings aren’t available.