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.

Highlights

      Enrollee Experience with Health Plan

      Patient Safety

      Doctors and Care

1CMS scores qualified health plans (QHPs) offered through the Exchanges using the Quality Rating System (QRS) based on third-party validated clinical measure data and QHP Enrollee Survey responses. CMS calculates ratings yearly on a 5-star scale. Ratings may change from year to year. Due to the COVID-19 virus, CMS did not collect data from health plans during the 2020 calendar year. Therefore, the ratings reflect data previously provided by health plans in 2019.

Enrollment Timeframes

Open Enrollment Period runs from November 1 - December 15, annually.  Outside of this timeframe is Special Enrollment Period. For questions regarding enrollment periods, call 1-800-741-4825.

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