MIAMI--(BUSINESS WIRE)--HealthSun Health Plans announced today that it has received a 5-Star rating from the Centers of Medicare & Medicaid Services (CMS) for its Medicare Advantage plans for the fourth straight year. A 5-Star rating is the highest result a Medicare Advantage plan can obtain from CMS under its Star Ratings system. Star Ratings provide consumers with a scorecard indicating how well health plans perform on quality and performance measures.
“HealthSun is focused on delivering high-quality, affordable services that are tailored to each member, take a proactive and preventive approach to services, and simplify the overall healthcare experience,” said Tomas Orozco, President, Medicare East Region. “It is a rare feat for health plans to achieve 5-stars, and HealthSun is the only plan in Florida to do so four years in a row. This accomplishment is made possible through the dedication of hundreds of HealthSun associates and collaboration with the healthcare providers we work with every day. I am proud to be part of a team that is committed to helping our members lead healthier lives, and do so in a way that is recognized as best-in-class across the industry.”
HealthSun delivers its services through an integrated approach to healthcare. The company understands that the best health outcomes occur when the many factors of whole person health are addressed, including better access to healthcare services, addressing food insecurity, and tackling social isolation.
Many of the integrated services available through HealthSun are delivered at Wellmax Medical Centers and Pasteur Medical, which are owned by HealthSun. Wellmax Medical Centers provide excellence in the doctor-patient relationship by establishing a unique environment where physicians can practice medicine in a personalized manner, catering to the patients’ needs. Members that participate in Wellmax wellness centers enjoy manual arts and crafts, exercise classes, bingo, dominos, and many other programs designed to keep seniors both physically and mentally healthy.
Pasteur has a team-based comprehensive clinical approach with physicians and hospitals to ensure members a true “Continuum of Care” model. Pasteur designed its delivery model by integrating decades of hospital management experience, physician management programs nationwide to provide the community one of the most comprehensive networks available to consumers.
Consumers can enroll in HealthSun’s 2021 Medicare Advantage plans during Medicare’s Annual Election Period (AEP), which begins October 15, 2020 and continues through December 7, 2020. Plans purchased during AEP are effective January 1, 2021. For details about HealthSun’s Medicare plans in your area, call 877-336-2069 or visit HealthSun online store at www.healthsun.com.
The CMS’ Medicare Star Rating system rates the quality and performance of Medicare Advantage plans to help consumers and their families compare plans. Medicare Advantage plans are rated on their ability to:
- Help members stay healthy
- Assist members in managing chronic conditions
- Ensure positive member experiences with their health plan
- Achieve member satisfaction
- Provide effective customer service
Additionally, Medicare Advantage and Medicare Prescription Drug Plans that provide drug services are rated on how well they provide prescription-related coverage along a number of factors: customer service, member complaints, member experience with drug plan, and drug safety.
Star Ratings are calculated each year using a scale of one to five stars, and may change from year to year. The annual Medicare Star Ratings are posted online at www.medicare.gov.
The Star Ratings are for contract year 2021. The Star Ratings referenced above apply to contract H5431. HealthSun Health Plans is an HMO plan with a Medicare Contract and a Medicaid contract with the State of Florida Agency for Health Care Administration. Enrollment in HealthSun Health Plans depends on contract renewal. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. HealthSun complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-877-336-2069. (TTY: 1-877-206-0500). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-877-336-2069. (TTY: 1-877-206-0500).
About HealthSun Health Plans
Founded in 2005, HealthSun is a local Medicare Managed Care Organization with administrative offices located in Coconut Grove, Florida. Serving over 50,000 members in Miami-Dade, Broward, and Palm Beach counties, HealthSun is one of the fastest growing health plans in South Florida. We are also proud that our members are very satisfied with our services as demonstrated in our yearly independent member satisfaction survey. Our valued members are serviced through our extensive provider network and dedicated professionals. As a local plan, we recognize the healthcare needs of our community and strive to provide our members with only the best service and experience possible.
