Essence Healthcare Achieves Excellence in Medicare Advantage Ratings

Essence Healthcare Shines in Medicare Advantage Rankings

Essence Healthcare has recently celebrated its recognition among the leading Medicare Advantage plans for the upcoming plan year. This acknowledgment is a testament to the company's dedication to delivering high-quality and affordable healthcare coverage to its members.

Understanding the CMS 5-Star Ratings

The Centers for Medicare & Medicaid Services (CMS) utilizes a 5-Star Ratings system to assess Medicare Advantage plans annually. This evaluation focuses on crucial factors such as preventive care, management of chronic conditions, member satisfaction, and health outcomes. It empowers beneficiaries to compare and choose plans based on tangible performance metrics and quality.

Essence Healthcare's Commitment to Quality

For the year 2026, Essence Healthcare is set to offer the highest-rated Medicare Advantage plans across all its markets. An astonishing 80 percent of the members are projected to enroll in plans rated 4.5 stars. This remarkable achievement highlights the company's unwavering consistent performance, particularly standing out in regions like St. Louis, Chicago, Northwest Arkansas, Mid-Missouri, Southwest Missouri, and Little Rock in Arkansas, as well as one of the two available 4.5-star HMO plans in the Louisville/Lexington area.

Leadership Perspective

Jordan Reigel, president of Essence Healthcare, stated, "These ratings are ultimately about people – the quality of their care and their experience with healthcare providers. Each measure represented in the Star Ratings is a reflection of actual experiences of individuals. We are proud that our efforts lead to improved outcomes, strengthened relationships with healthcare professionals, and greater satisfaction among our members."

Medicare Open Enrollment Window

The Medicare Open Enrollment period is crucial for beneficiaries, taking place from October 15 through December 7. During this time, Medicare-eligible individuals have the opportunity to reassess their healthcare coverage options and make any necessary adjustments for the upcoming year.

About Essence Healthcare

Essence Healthcare is dedicated to providing comprehensive and affordable Medicare health insurance to over 55,000 members, with a strong focus on wellness, care coordination, and personalized service. Offering complete hospital, medical, and prescription drug coverage, Essence's Medicare Advantage plans also feature additional benefits that are not available under Original Medicare. Supported by Lumeris, a leader in population health services and technology, Essence has been recognized nationally for its commitment to quality service and has consistently received high ratings from CMS. Essence Healthcare operates in states including Illinois, Missouri, Arkansas, Kentucky, and Indiana.

Frequently Asked Questions

What is Essence Healthcare known for?

Essence Healthcare is recognized for providing high-quality, affordable Medicare Advantage plans with a strong commitment to member satisfaction.

How does the CMS 5-Star Ratings system work?

The CMS 5-Star Ratings system evaluates Medicare Advantage plans based on preventive care, chronic condition management, member satisfaction, and health outcomes each year.

What percentage of Essence members are expected to enroll in 4.5-star plans?

For the 2026 plan year, approximately 80 percent of Essence members are expected to enroll in plans rated 4.5 stars.

When does the Medicare Open Enrollment period occur?

The Medicare Open Enrollment period runs from October 15 to December 7 each year, allowing beneficiaries to review and adjust their coverage options.

In which states does Essence Healthcare operate?

Essence Healthcare provides services in Illinois, Missouri, Arkansas, Kentucky, and Indiana.

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