For Medicare Advantage Plans 

— Reflects Commitment to Connecting Members to High-Quality Care — 

Buffalo, NY – BlueCross BlueShield of Western New York received positive Star Ratings from Centers for Medicare and Medicaid Services (CMS) for its Medicare Advantage PPO and HMO plans. 

The local health plan achieved a 4.5 out of 5.0 Star Rating for its Medicare Advantage PPO plan, and a 4.0 out of 5.0 Star Rating for its Medicare Advantage HMO plan. 

The rating system provides a way for consumers to objectively compare Medicare health plans based on 47 care- and service-quality measures, including staying healthy, managing chronic conditions, member satisfaction, customer service, and pharmacy services. 

Over the past year, BlueCross BlueShield implemented a number of strategic partnerships and programs aimed at assisting members and providers to identify and take action on closing needed gaps in care, addressing member and provider experiences, improving data oversight and compliance, as well as enhanced clinical programming. 

BlueCross BlueShield now has a full team solely dedicated to helping members with diabetes—one of the most prevalent conditions locally. The team works one-on-one with members who have diabetes to ensure they are staying on track with screenings, and to help coordinate regular appointments with their primary care doctor. 

“BlueCross BlueShield is dedicated to working collaboratively with our network of providers to ensure that our members have access to high-quality, coordinated care,” said Dr. Thomas Schenk, Senior Vice President, Chief Medical Officer, BlueCross BlueShield of Western New York. “We’re proud of these ratings and remain committed to serving the needs of our growing Medicare Advantage membership.” 

BlueCross BlueShield’s MA-PD contracts received a 4.0 for HMO and 4.5 for PPO plans. These ratings are also out of five. 

The Star Ratings are posted at www.medicare.gov where beneficiaries can shop and compare plans beginning Tuesday, October 15. 

The National Committee for Quality Assurance (NCQA) also consistently recognizes BlueCross BlueShield as among the best in the nation as well. 

Medicare Advantage members can visit BlueCross BlueShield’s Medicare Centers to discuss their coverage options face-to-face with enrollment specialists. Hours and additional information is available at www.bcbswny.com/medicare. Centers are located at: 

  • 2395 Maple Road in Williamsville, NY
  •  2925 Sheridan Drive in Tonawanda, NY
  •  4086 N. Buffalo Road, Orchard Park, NY 

Additionally, individuals can visit community meetings located across the Western New York region, call a dedicated Medicare Advantage number at 1-800-248-9296 (TTY 711), 8 a.m. – 8 p.m., 7 days a week email SalesCenterWNY@bcbswny.com, or visit www.bcbswny.com/medicare for information on BlueCross BlueShield’s Medicare Advantage plans. 

 

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