CMS published star rating data for 2025 on Oct. 10.
In 2024, 50 plans received ratings below 3-stars. Star ratings determine whether plans are eligible for quality bonus payments from CMS. Plans are rated at the contract level.
The average star rating for 2025 was 3.92 for 2025, down from 4.07 in 2024. Only seven plans received 5-star ratings for 2025.
Here are the 24 plans receiving ratings below 3-stars in 2025:
Atrio Health Plan
Contract H3814
Enrollment: 2,840
Star rating: 2.5
Boston Medical Center
Contract H6851
Enrollment: 1,457
Star rating: 2.5
Blue Shield of California
Contract H4937 (California Physicians’ Services)
Enrollment: 22,117
Star rating: 2.5
Centene
Contract H1862 (Wellcare Health Plans of Vermont)
Enrollment: 1,102
Star rating: 2.5
Contract H2162 (Wellcare of New Hampshire)
Enrollment: 1,336
Star rating: 2.5
Contract H2775 (American Progressive Life and Health Insurance company of N.Y.)
Enrollment: 95,000
Star rating: 2.5
Contract H3561 (Health Net Community Solutions)
Enrollment: 64,126
Star rating: 2.5
Contract H5965 (Wellcare Health Insurance Company of Washington)
Enrollment: 3,946
Star rating: 2.5
Contract H8553 (Wellcare Health Insurance of the Southwest)
Enrollment: 1,952
Star rating: 2.5
Contract H9900 (Wellcare of Oklahoma)
Enrollment: 2,876
Star rating: 2.5
Chinese Hospital Association
Contract H0571 (Chinese Community Health Plan)
Enrollment: 5,739
Star rating: 2.5
CVS Health
Contract H4982 (Aetna Better Health of California)
Enrollment: 26,484
Star rating: 2.5
Elevance Health
Contract H1894 (Wellpoint Washington)
Enrollment: 1,917
Star rating: 2.5
Contract H3536 (Anthem Blue Cross Blue Shield)
Enrollment: 5,814
Star rating: 2.5
Hamaspik of Rockland County
Contract H0034
Enrollment: 1,354
Star rating: 2.5
Medica
Contract H9952
Enrollment: 1,911
Star rating: 2.5
Mercy Care
Contract H5580
Enrollment: 11,588
Star rating: 2.5
Molina Healthcare
Contract H5649 (Central Health Plan of California)
Enrollment: 38,567
Star rating: 2.5
Contract H7559 (Molina Healthcare of Virginia)
Enrollment: 1,711
Star rating: 2.5
Orange County Health Authority (CalOptima)
Contract H5433
Enrollment: 17,289
Star rating: 2.5
Rifkin Managed Care Holding
Contract H4054 (Provider Partners Health Plan of Texas)
Enrollment: 2,699
Star rating: 2.5
Cigna Healthcare
Contract H0672 (Cigna Healthcare of Colorado)
Enrollment: 10,170
Star rating: 2.5
Contract H7389 (Cigna Health and Life Insurance Company)
Enrollment: 2,702
Star rating: 2.5
Zing Health
Contract 7330
Enrollment: 3,360
Star rating: 2
See the highest-rated plans here.
