CMS awarded fewer Medicare Advantage plans with five-star ratings for 2023 than in 2022. A total of 57 Medicare Advantage plans were granted top ratings this year, and some states have more options for top plans than others.
Data is taken from CMS rankings and Oct. 2022 enrollment data. Some plans are listed as available in all 50 states — Becker's included these plans only with states where there were plan enrollees as of Oct. 2022.
UnitedHealthcare's Sierra Health and Life Insurance Company Medicare Advantage PPO plan has enrollees in every state. It is the largest five-star rated plan, with nearly 1.7 million enrollees, per CMS.
Here are states with the fewest Medicare Advantage five-star options.
States with 1 five-star option
Alaska
H2001 Sierra Health and Life Insurance Company
Montana
H2001 Sierra Health and Life Insurance Company
South Dakota
H2001 Sierra Health and Life Insurance Company
Wyoming
H2001 Sierra Health and Life Insurance Company
States with two five-star options
Hawaii
H1230 Kaiser Foundation HP
H2001 Sierra Health and Life Insurance Company
Nebraska
H2001 Sierra Health and Life Insurance Company
H3916 Highmark Senior Health Company
New Mexico
H2001 Sierra Health and Life Insurance Company
H3916 Highmark Senior Health Company
North Dakota
H2001 Sierra Health and Life Insurance Company
H3916 Highmark Senior Health Company