When you shop for health coverage through Explore Health, you may see quality ratings for health plans.
These ratings can help you compare plans based on:
- Member experience
- Medical care
- Customer service
Quality ratings are designed to make it easier to explore plans with confidence.
What are quality ratings?
Quality ratings are scores that show how well a health plan performs in important areas of care and service.
Health plans are rated using information like:
- Member surveys
- Health care quality measures
- Plan performance data
Ratings help you understand how members feel about their experience with a health plan.
What do the ratings measure?
Quality ratings may include information about:
Member experience
How members feel about:
- Getting needed care
- Finding doctors
- Customer service
- Claims and support
Medical care
How well the plan supports:
- Preventive care
- Chronic condition management
- Overall health outcomes
Plan administration
How well the plan handles:
- Communication
- Care coordination
- Member support services
How are plans rated?
Through Explore Health, plans are rated on a scale using stars.
In general:
- More stars = higher performance
- Fewer stars = lower performance
Not every plan will have a rating every year.
Some plans may not have enough information yet to receive a rating. This does not mean these plans are not high-quality plans.
Why quality ratings matter
Monthly cost is important, but it's not the only thing to think about when choosing a plan.
Quality ratings can help you explore:
- How easy it may be to get care
- How satisfied members are with the plan
- Whether the plan works well for people with ongoing health needs
A lower-cost plan may not always provide the same experience or support as another option.
Using ratings to compare plans
When comparing plans through Explore Health, consider:
- Monthly premium
- Deductible and out-of-pocket costs
- Provider network
- Prescription drug coverage
- Quality ratings
- Member experience
The best plan is the one that fits your health needs, budget, and daily life.
Things to remember
Quality ratings are only one part of choosing coverage.
Your experience may be different depending on:
- Your doctors
- Your prescriptions
- Your health care needs
- Where you live
You can review plan details carefully before enrolling.
Need help comparing plans?
Explore Health can help you:
- Understand quality ratings
- Compare plans and costs
- Check provider networks
- Learn about financial help
Free enrollment help is available.