Commitment to quality leads to improved member health outcomes and helps Aetna earn its first 5-star plan and highest overall weighted average rating among national health insurers1
HARTFORD, Conn. — Aetna, a CVS Health company (NYSE: CVS), announced its Medicare Advantage Prescription Drug (MAPD) plans have once again received higher-than-average ratings from the Centers for Medicare and Medicaid Services (CMS) in the annual Star Ratings, released on October 11. For 2020, Aetna's MAPD plans earned an overall weighted average rating of 4.3 out of 5.0 stars, with 76 percent (or 1.73 million) of its Medicare members enrolled in plans rated 4.5 stars or higher — the highest percentage among publicly traded companies.
Also noteworthy, approximately 99 percent of Aetna's Group Medicare Advantage members are enrolled in plans rated 4 stars or higher, with 96 percent in plans rated 4.5 stars or higher.
"This year's Star Ratings demonstrate that Aetna's approach to growing our Medicare business across the country, while maintaining best-in-class quality, is working," said Christopher Ciano, head of Aetna Medicare. "We saw a record-breaking volume of Aetna members in 4.5-star plans and we earned our first 5-star plan. By focusing on the total health of our members — body, mind and spirit, and working closely with our physician partners and local communities to help our members age and thrive in place, we are transforming the way consumers experience Medicare in America."
Additionally, the SilverScript Prescription Drug Plan (PDP) — the nation's largest PDP with 6 million members — is the only PDP serving over 500,000 members in the industry to achieve 4 out of 5 stars. Through continued focus on medication adherence and strong operational processes, this contract delivers the high quality that our members deserve.
Aetna 5-Star Rated Contracts:
- H3597 Aetna Health Inc. (ME HMO)
Aetna 4.5-Star Rated Contracts:
- H1609 Aetna Health Inc. (FL/IA HMOs)
- H3959 Aetna Health Inc. (PA HMO)
- H5521 Aetna Life Insurance Company (AL, AZ, CA, CO, CT, DC, DE, FL, GA, IL, IN, KY, LA, MA, ME, MI, MS, NC, NJ, NV, NY, OH, PA, SC, TN, UT, VA, WA, WI, WY PPOs)
- H5522 Health Assurance Pennsylvania, Inc. (PA PPO)
- H7301 Coventry Health Care of Illinois (IL PPO)
Aetna 4-Star Rated Contracts:
- H2663 Coventry Health Care of Missouri, Inc. (AR, IL, KS, MO, OK HMOs)
- H3152 Aetna Health Inc. (NJ HMO)
- H5793 Aetna Health Inc. (CT HMO)
- R6694 Aetna Life Insurance Company (NJ, OH PPOs)
- H7149 Aetna Health Inc. (NE HMO)
CMS' Medicare Star Ratings rank the performance and quality of Medicare Advantage and Medicare prescription drug plans to help beneficiaries and their families compare plans. Medicare Advantage plans are rated on how well they perform on five different categories:
- Staying healthy
- Managing chronic (long-term) conditions
- Member experience with the health plan
- Member complaints
- Health plan customer service
Medicare Advantage Prescription Drug (MAPD) plans and stand-alone prescription drug plans (PDP) are also rated on how well they perform on three additional categories:
- Drug plan customer service
- Member experience with drug plan
- Drug safety
Aetna Medicare Advantage and SilverScript prescription drug plans are available to Medicare beneficiaries for selection during the Annual Enrollment Period, which starts on October 15, 2019, and runs through December 7, 2019. Enrollment becomes effective on January 1, 2020.
The star ratings are posted at www.medicare.gov. Visit aetnamedicare.com to learn more about Aetna's 2020 Medicare plans or call toll-free at 1-855-335-1407 (TTY: 711). Hours are from 8 AM to 8 PM, local time, seven days a week.
NOTE: Information in this release is based on 2020 star ratings data published by CMS on October 11, 2019, and Medicare Advantage and Medicare prescription drug plan enrollment as of September 2019. Every year, Medicare evaluates plans based on a 5-star rating system.
Aetna, a CVS Health company, serves an estimated 38 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental and behavioral health plans, and medical management capabilities, Medicaid health care management services, workers' compensation administrative services and health information technology products and services. Aetna's customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, visit www.aetna.com and explore how Aetna is helping to build a healthier world. @AetnaNews
Aetna Medicare is a HMO, PPO plan with a Medicare contract. Our SNPs also have contracts with State Medicaid programs. Enrollment in our plans depends on contract renewal. See Evidence of Coverage for a complete description of plan benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by service area.
SilverScript is a Prescription Drug Plan with a Medicare contract offered by SilverScript Insurance Company. Enrollment in SilverScript depends on contract renewal.