A 4–Star Plan

OptimaFit® Individual & Family Health Plans offered through the Health Insurance Marketplace have achieved a 4–Star quality rating from CMS.

The star ratings reflect our members’ responses to questions about the quality and satisfaction with our health plan including Member Services, care from our doctors, and access to care.1

This rating demonstrates our commitment to members and providers to help our members achieve their best health.


      Enrollee Experience with Health Plan

      Patient Safety

      Doctors and Care

1CMS rates qualified health plans (QHPs) offered through the Marketplaces using the Quality Rating System (QRS), which is based on third-party validated clinical measure data and QHP Enrollee Survey response data. CMS calculates QRS ratings annually using a 5-star scale. QHP issuers contract with HHS-approved survey vendors that independently conduct the QHP Enrollee Survey each year. QRS ratings and QHP Enrollee Survey results may change from one year to the next. For more information, please see CMS’ Health Insurance Marketplace Quality Initiatives website at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo

I Am Eligible for The Special Enrollment Period (SEP)

If you have experienced qualifying life changing events and meet the eligibility requirements for SEP you may enroll in a health plan and obtain coverage within 60 days of a triggering event for qualified individuals or their dependents.

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