States with the fewest 5-star Medicare Advantage plans

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

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