5-star special enrollment period

Medicare uses information from member satisfaction surveys, plans, and health care providers to give overall performance star ratings to plans. A plan can get a rating between 1 and 5 stars. A 5-star rating is considered excellent. These ratings help you compare plans based on quality and performance. Medicare updates these ratings each fall for the following year. These ratings can change each year.

  • You can only switch to a 5-star Medicare Prescription Drug Plan if one is available in your area.
  • You can only use this Special Enrollment Period once during the timeframe below.

Note

You can switch to these plans once from December 8–November 30:

  • A 5-star Medicare Advantage Plan
  • A 5-star Medicare Cost Plan
  • A 5-star Medicare Prescription Drug Plan

If you move from a Medicare Advantage Plan that includes prescription drug coverage to a stand-alone Medicare Prescription Drug Plan, you’ll be disenrolled from your Medicare Advantage Plan, including the health benefit. You’ll be returned to Original Medicare for coverage of your health services.

If you move from a Medicare Advantage Plan that has drug coverage to a 5‑star Medicare Advantage Plan that doesn’t, you may lose your prescription drug coverage. You’ll have to wait until your next enrollment opportunity to get drug coverage, and you may have to pay a Part D late enrollment penalty.

5-star plans are identified with this special icon: 5-star