Star Rating

Star Rating

Optimum HealthCare is the only Health Plan in Florida to receive the Highest Medicare 5 Star Quality Rating for 2017 and 2018

Optimum HealthCare Inc. has been awarded an overall Excellent rating of 5 Stars based on Centers for Medicare and Medicaid Services (CMS) Star Rating methodology, which is a measure of overall health plan performance. CMS employs nationally recognized quality and other administrative measures to evaluate Health Plans on a 1 to 5 Star scale with 5 being the highest possible score. The Star Ratings are updated and published by Medicare annually.

Our ongoing focus to provide superior health plan performance for our members allows us to achieve the best possible scores. This 5 star achievement reflects a continued enterprise wide team effort, and our partnership with dedicated physicians and other health care providers in our network. In delivering excellence in quality and performance these physicians and health care providers are able to achieve better health outcomes and member satisfaction.

With Optimum being awarded a 5 Star rating, Medicare beneficiaries may enroll into Optimum HealthCare between December 8, 2017 and November 30, 2018 outside of the Annual Enrollment Period (AEP) through CMS’ 5-Star Special Enrollment Period. You can get more information to enroll by visiting or calling 1-866-245-5360 or TTY/TDD 711.

Optimum HealthCare has over 45,000 members and provides service in 25 counties throughout Florida. It offers Medicare Advantage as well as Chronic Condition Special Needs Plan (C-SNP) and Dual Special Needs Plan (D-SNP) products.

For more information regarding Optimum HealthCare’s Medicare Star Ratings, please use the link below for Medicare Plan Finder:

For more information regarding Optimum Healthcare plans offered in your area go to our plan finder tool or call 1-866-245-5360 or TTY/TDD at 711.

Last Updated: 07/12/2018