2026 Medicare Advantage 5 Star Plans - Compare Options

Curious about the best 2026 Medicare Advantage 5 Star Plans? This article lists the top plans, explains the potential benefits, and shows why a 5-star rating matters. Learn how these plans could improve your healthcare coverage and save you money.

 

Key Takeaways

 

  • Medicare Advantage 5-star plans, rated by CMS, provide outstanding quality and may offer additional benefits compared to Original Medicare.

 

  • Top providers for 2026 might include UnitedHealthcare, Kaiser Permanente, and Aetna, each offering diverse coverage and supplemental services.

 

  • Choosing a 5-star plan could potentially lead to significant cost savings and higher member satisfaction due to comprehensive care offerings.

Compare Plans in One Step!

Enter Zip Code

 

 Advertisement

Overview of Medicare Advantage 5 Star Plans

 

Overview of Medicare Advantage 5 Star Plans

 

The Centers for Medicare & Medicaid Services (CMS) is the authoritative body responsible for rating Medicare Advantage plans. These plans are assessed on a scale from 1 to 5 stars, with 5 being the highest possible rating. This rating system helps Medicare beneficiaries easily compare the quality of different plans based on various performance metrics, including customer service, member satisfaction, and health outcomes.

Medicare Advantage plans are private health insurance plans that could act as an alternative to Original Medicare. Some of these plans might offer additional benefits that are not covered by Original Medicare, such as vision, dental, and hearing services.

Medicare Advantage plans will likely provide a broader range of healthcare services to meet the diverse needs of their members, likely making them a popular choice among Medicare beneficiaries.

 

Top-Rated Medicare Advantage Plans for 2026

As we look towards 2026, several Medicare Advantage plans will likely distinguish themselves with 5-star ratings. These top-rated plans will likely be recognized for their exceptional benefits, superior customer satisfaction, and comprehensive coverage options. A 5-star rated Medicare Advantage plan ensures high-quality care and access to a wide range of services.

Let’s explore some of the best Medicare Advantage plans for 2026, focusing on UnitedHealthcare, Kaiser Permanente, and Aetna.

 

UnitedHealthcare

UnitedHealthcare has been one of the leading providers in the Medicare Advantage market, offering a range of plans that could cater to diverse healthcare needs. One of the attractive features of UnitedHealthcare’s plans might be the availability of lower premiums compared to Original Medicare, which may offer financial flexibility for beneficiaries. Their 5-star Medicare Advantage plans will likely be designed to offer extensive coverage, ensuring that members could have access to a broad network of healthcare providers and services.

Some of UnitedHealthcare’s plans may emphasize supplemental benefits alongside comprehensive medical coverage. These extra benefits might include wellness programs, fitness memberships, and robust customer experience support services, which likely contribute to high levels of customer satisfaction.

UnitedHealthcare’s focus on both health and financial well-being will likely make it a top choice for Medicare beneficiaries seeking reliable and comprehensive coverage.

 

Kaiser Permanente

Kaiser Permanente has been renowned for its high-quality Medicare Advantage plans, primarily offering Health Maintenance Organization (HMO) plans. These plans might require members to use a specified network of healthcare providers, which could help to streamline care and ensure coordinated services.

Kaiser Permanente’s focus on integrated care and preventive health measures likely makes it a strong contender among major competitors in the Medicare Advantage market, particularly in regions where it operates.

 

Aetna

Aetna’s Medicare Advantage plans might stand out for their comprehensive wellness features. Some of these plans might include coverage for:

  • Fitness programs
  • Dental services
  • Vision services
  • Hearing services

 

These services are not typically covered by Original Medicare. This holistic approach to healthcare could potentially ensure that members maintain their overall well-being through a variety of services and programs.

Aetna’s commitment to customer satisfaction has been evident in its above-average member experience rating of 3.88. SomeAetna Medicare Advantage plans may also provide a lower copayment for Tier 1 and Tier 2 generic drugs at preferred pharmacies, which could offer significant savings on prescription medications. These various features will likely make Aetna a compelling choice for Medicare beneficiaries seeking a comprehensive and cost-effective health plan.

 

Choosing a 5-star Medicare Advantage plan Comes with a Multitude of Benefits

These plans have been recognized for providing exceptional quality and service to their enrollees. Unlike Original Medicare, some 5-star plans may also include additional benefits such as vision, dental, and hearing care.

Some beneficiaries have also reported significant annual savings due to the affordability of these plans compared to traditional Medicare.

Financially, 5-star Medicare Advantage plans may be very appealing. Certain Medicare plans might feature:

  • No monthly premiums, which may alleviate financial burdens for members.
  • Lower out-of-pocket costs.
  • Fixed copayment amounts, which could potentially provide more predictable healthcare expenses compared to the approximate 20% coinsurance payment required by Original Medicare.

 

Another potential advantage of 5-star plans might be the comprehensive coverage they offer, which may include:

  • Innovative wellness programs, such as exercise classes and health monitoring devices
  • Increased access to necessary medical services
  • Overall quality of care provided by these plans

 

With an annual out-of-pocket maximum, these health plans could potentially limit total healthcare expenses, likely offering peace of mind to members. These plans may be able to for a variety of essential services, possibly ensuring that members do not have to worry about unexpected money-related costs.

 

Compare 2026 Medicare Plans  

Enter Zip Code

 

 Advertisement

Compare plans and enroll online

 

 Advertisement

Speak with a licensed insurance agent

1-833-641-4938
TTY 711

Mon-Fri : 8am-9pm ET

compare medicare advantage plans

How to Enroll in a 5 Star Medicare Advantage Plan

 

Eligibility requirements for Medicare

 

To enroll in a Medicare Advantage plan, you must have both Medicare Parts A and B and reside within the plan’s service area. Enrollment occurs during specific periods, including the Initial Enrollment Period, Annual Enrollment Period, and Medicare Advantage Open Enrollment Period. Understanding these periods is crucial to ensure you don’t miss the opportunity to enroll in a plan that fits your needs.

When selecting a Medicare Advantage plan, it’s essential to review the plan’s network of healthcare providers to ensure your preferred doctors may be included. You can enroll directly through the insurance provider’s website, Medicare.gov, or with the assistance of a licensed insurance agent.

Once enrolled, your coverage generally begins on the first day of the following month. It’s worth noting that while switching from Original Medicare to a Medicare Advantage plan is generally straightforward, reversing that choice might present challenges related to obtaining Medigap coverage.

 

Possible Factors Influencing Medicare Advantage Star Ratings

 

Factors Influencing Medicare Advantage Star Ratings

 

CMS evaluates Medicare Advantage plans based on various quality and performance metrics to provide a clear comparison for beneficiaries. CMS uses up to 40 metrics for MA-PD contracts and 30 for MA-only contracts to assess the quality of care and services provided. These metrics will likely include preventive care, chronic disease management, customer service, and member satisfaction, among others.

The star rating system encourages Medicare Advantage plans to improve their services by offering quality bonus payments for high-quality ratings. Plans that achieve the highest rating of 5 stars are recognized for providing exceptional quality and care. Stars’ improvement is essential for these plans to maintain their competitive edge.

Interestingly, non-profit organizations and contracts that have been in the Medicare Advantage program for ten years or more tend to achieve higher star ratings compared to newer contracts and for-profit organizations. The distribution of star ratings is recalibrated annually to reflect changes in performance, ensuring that the ratings remain a reliable indicator of quality.

 

Regional Availability of 5 Star Plans

In 2026, 5-star Medicare Advantage plans will likely be available in Florida and several other states. Puerto Rico may also have access to these plans. Based on data from recent years, UnitedHealthcare might offer 5-star plans in nearly all states, likely making them widely available to beneficiaries. This broad availability could potentially ensure that more Medicare beneficiaries could access high-quality healthcare coverage.

Other providers like Aetna and HealthSpring may also have significant regional footprints among various companies. Aetna’s 5-star plans will likely be available in various states, while HealthSpring will likely continue to operate in 29 states and Washington, D.C., providing numerous options for beneficiaries.

Meanwhile, Kaiser Permanente and Anthem might offer 5-star plans in select regions, possibly ensuring that high-quality care is available across different parts of the country.

Compare 2026 Medicare Plans  

Enter Zip Code

 

 Advertisement

Comparing 5 Star Plans to Other Medicare Options

When choosing a Medicare Advantage plan, it’s crucial to consider your:

  • Health history
  • Prescription drugs
  • Location
  • Provider networks

Evaluating the star ratings and coverage options of different plans might help you make an informed decision based on data that best suits your healthcare needs.

Members of 5-star plans have reported that their plans cover critical healthcare needs that traditional Medicare often does not. For instance, some 5-star plans might include coverage for:

  • Prescription medications
  • Vision services
  • Dental services
  • Hearing services

These services are not typically covered by Original Medicare. This comprehensive coverage could potentially ensure that beneficiaries receive a broader range of healthcare services, possibly enhancing their overall well-being.

 

Real Member Experiences with 5 Star Plans

Members of high-rated Medicare Advantage plans have frequently report higher satisfaction levels regarding their healthcare services. For example, Kaiser Permanente’s plans have received top marks for customer satisfaction in California, where they ranked highest according to J.D. Power. This high level of satisfaction reflects the quality and reliability of the services provided.

UnitedHealthcare’s Medicare Advantage plans have also boasted a strong member experience rating of 3.76, which is above average. Real member experiences highlight the benefits of choosing a 5-star plan, including comprehensive coverage, superior customer service, and access to a wide range of healthcare services.

These positive experiences likely underscore the value of selecting a highly rated Medicare Advantage plan from the best companies for your healthcare needs.

 

Summary

Selecting a 5-star Medicare Advantage plan for 2026 will likely ensure that you receive high-quality care and comprehensive coverage. Some of these plans may offer numerous benefits, such as additional services, lower out-of-pocket costs, and high levels of customer satisfaction. By understanding the top-rated plans, the enrollment process, and the various factors influencing star ratings, you can make an informed decision about your healthcare coverage. Consider exploring the 5-star options available in your region to find the best plan for your needs.

 

Frequently Asked Questions

 

What are Medicare Advantage 5-star plans?

Medicare Advantage 5-star plans are highly rated private health insurance plans recognized by CMS for their exceptional quality and service, which could serve as an alternative to Original Medicare. Enrolling in these plans will likely ensure you receive superior healthcare support.

 

How can I enroll in a 5-star Medicare Advantage plan?

To enroll in a 5-star Medicare Advantage plan, you can do so during designated enrollment periods by visiting the insurance provider’s website, Medicare.gov, or consulting with a licensed insurance agent.

 

What potential benefits could 5-star Medicare Advantage plans offer?

Some 5-star Medicare Advantage plans might offer additional benefits, such as vision, dental, and hearing care, along with lower out-of-pocket costs and innovative wellness programs. This comprehensive coverage could potentially improve overall health and financial well-being for beneficiaries.

 

Where are 5-star Medicare Advantage plans available in 2026?

In 2026, 5-star Medicare Advantage plans will likely be available in several states and Puerto Rico, and UnitedHealthcare may provide offerings in nearly all states.

 

What factors might influence the star ratings of Medicare Advantage plans?

The star ratings of Medicare Advantage plans are primarily influenced by quality and performance metrics such as preventive care, chronic disease management, customer service, and member satisfaction as assessed by CMS. A higher rating reflects better overall performance in these areas.

call today for help

 ZRN Health & Financial Services, LLC, a Texas limited liability company

Find & Compare Plans Online 

 

 Advertisement

Speak with a licensed insurance agent

 1-833-641-4938
TTY 711

Mon-Fri : 8am-9pm EST

( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.