q1medicare.com
Powered by Q1Group LLC
A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu ☰
  • Home
  • Contact
  • MAPD
  • PDP
  • 2024
  • 2025
  • FAQs
  • Articles
  • Search ⌕
  • Contact
  • 2024
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search ⌕

2015 Medicare Part D and Medicare Advantage Plans with Consistently Low CMS Quality Ratings

Category: Star Ratings & Plan Quality
Published: Jan, 22 2015 06:01:36
< Previous
Next >
The chart below lists the 2015 Medicare Advantage plans that have received low quality ratings for the last three years, and therefore members may qualify for a Special Enrollment Period (SEP) to leave the plan and enroll in a higher quality Medicare plan.  Click on the Plan ID to see plan details including service area and, link to formulary (drug list).

See more details about the SEP for members of plans that consistently receive low quality ratings.


State Carrier Plan Name Plan ID
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Dual Advantage (Regional PPO SNP) R6801-011
IA, IL, IN, NC, NE, NM, TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Gold Rx (PPO SNP) H0084-004
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Gold Rx (Regional PPO SNP) R6801-009
IA, IL, IN, NC, NE, NM, TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Medicare Advantage (PPO) H0084-001
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Medicare Advantage (Regional PPO) R6801-012
IA, IN CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Silver Rx (PPO SNP) H0084-014
TX CARE IMPROVEMENT PLUS OF TEXAS INSURANCE COMPANY Care Improvement Plus Silver Rx (Regional PPO SNP) R6801-008
PR FIRST MEDICAL HEALTH PLAN, INC. First Care+Plus (HMO) H5887-001
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Complete (HMO SNP) H5887-007
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Platino (HMO SNP) H5887-010
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Smart Premium (HMO) H5887-012
PR FIRST MEDICAL HEALTH PLAN, INC. First+Plus Smart Value (HMO) H5887-013
TX SUPERIOR HEALTH PLAN, INC. Superior HealthPlan Advantage (HMO SNP) H5294-001
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Freedom (HMO-POS) H3327-038
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Grand (HMO SNP) H3327-043
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Power (HMO) H3327-001
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Power (HMO) H3327-040
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Prestige (HMO SNP) H3327-026
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Prestige (HMO SNP) H3327-042
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Total (HMO) H3327-002
NY TOUCHSTONE HEALTH HMO, INC. Touchstone Health Medicare Total (HMO) H3327-041
LA WELLCARE OF LOUISIANA, INC. WellCare Access (HMO SNP) H1903-011
MS WINDSOR HEALTH PLAN, INC. WellCare Access (HMO SNP) H5698-200
AR WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-128
MS WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-134
SC WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-158
TN WINDSOR HEALTH PLAN, INC. WellCare Comp Access (HMO SNP) H5698-140
TN WINDSOR HEALTH PLAN, INC. WellCare Dividend (HMO-POS) H5698-199
AR WINDSOR HEALTH PLAN, INC. Wellcare Emerald Value (HMO) H5698-063
SC WINDSOR HEALTH PLAN, INC. WellCare Emerald Value (HMO) H5698-159
TN WINDSOR HEALTH PLAN, INC. Wellcare Emerald Value (HMO) H5698-062
MS WINDSOR HEALTH PLAN, INC. WellCare Gold Essential (HMO) H5698-028
LA WELLCARE OF LOUISIANA, INC. WellCare Value (HMO) H1903-022
MS WINDSOR HEALTH PLAN, INC. WellCare Value (HMO-POS) H5698-198



News Home
< Previous   Next >




Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
» Medicare Supplement FAQs


News Categories
Selecting Your Medicare Plan
Star Ratings & Plan Quality
Annual Medicare Plan Changes
Enrollment Topics
Late Enrollment Penalty
Your Formulary (Drug List)
Monthly Formulary Changes
Your Medicare Plan Coverage
Pharmacies & Providers
Changing Medicare Plans
Special Enrollment Periods SEP
The Donut Hole or Coverage Gap
Donut Hole Discounts
Straddle Claims and High Costs
Out of Pocket: TrOOP and MOOP
Medicaid, LIS, & Extra Help
IRMAA - for Higher Incomes
Medicare Advantage Plans MAPD
Medicare Supplements - Medigap
Medicare Plan Providers
Marketing Medicare Products
General Medicare Part D PDP
General Medicare
Diabetes and Diabetic Coverage
Your Health & Wellness
About Q1Medicare.com




© Q1Group LLC 2005 - 2024  



Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
.