Press release

Humana Puerto Rico Medicare Advantage HMO Plan Receives Prestigious 5-Star Rating for 2024

Man and woman gardening

San Juan, Puerto Rico –– July 8, 2024 – Leading health and well-being company Humana Inc. (NYSE: HUM) today announced that, for the first time, Humana Health Plans of Puerto Rico, Inc., achieved the highest possible quality rating from the Centers for Medicare & Medicaid Services (CMS), for its Medicare Advantage HMO plan covering approximately 37,000 members in Puerto Rico.

The plan’s already significant 4.5-star designation was upgraded to 5-stars as a result of CMS’s recent recalculation of its 2024 Medicare Advantage plan ratings.  With this addition, Humana now has five contracts in the nation with a 5-star rating for 2024, reflecting a strong commitment to high quality care, patient-centered clinical outcomes and reliable customer service.

“It is a tremendous honor for Humana Health Plans of Puerto Rico, Inc. to receive a 5-star rating as we are consistently focused on the health of our members, as well as the Puerto Rican communities we serve,” said Luis A. Torres Olivera, President for Humana Medicare - Puerto Rico. “Providing quality care means prioritizing and addressing the individual and changing needs of our members, and we are grateful for all of our dedicated employees and partnerships with local physicians and clinicians who share a common goal of helping to improve the health and well-being of our members.”

About Medicare Advantage Enrollment
The Medicare Advantage and Prescription Drug Plan Annual Election Period (AEP) begins Oct. 15 and continues through Dec. 7. During this enrollment period, people eligible for Medicare can choose Medicare Advantage and Prescription Drug Plans for the upcoming year – with coverage that takes effect Jan. 1.

People eligible for Medicare may make a one-time election to enroll in a plan offered by an MA organization with a Star Rating of 5 stars during the year in which that plan has the 5-star overall performance rating, provided the enrollee meets the other requirements to enroll in that plan. This 5-star special election is available Dec. 8 through Nov. 30 of the following year.

For more information about Humana’s 2024 Medicare offerings, visit Humana.com/Medicare or call toll-free 1-800-349-0140 (TTY: 711). Licensed sales agents are currently available 8 a.m. to 8 p.m. local time, Monday – Friday, and will be available seven days a week from October – March. 

About CMS Star Ratings
The CMS rating system measures the excellence of Medicare plans nationally each year. A plan may receive a rating between one and five stars, with five stars representing the highest rating.  CMS uses information from member-satisfaction surveys, health plans, and health care providers to assign overall Star Ratings to plans. The rating system uses more than 40 different quality measures across nine categories, including:

  • Staying Healthy: Screenings, Tests and Vaccines
  • Managing Chronic (Long Term) Conditions
  • Member Experience with Health Plan
  • Member Complaints and Changes in the Health Plan’s Performance
  • Health Plan Customer Service
  • Drug Plan Customer Service
  • Member Complaints and Changes in the Drug Plan’s Performance
  • Member Experience with Drug Plan
  • Drug Safety and Accuracy of Drug Pricing

Additional information about the CMS Star Ratings can be found at: www.medicare.gov.

About Humana
Humana Inc. is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Additional Information
Humana is a Medicare Advantage HMO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system. Other providers are available in the Humana network.

 

FOR MORE INFORMATION CONTACT:
Lisa Dimond
Humana Corporate Communications                                        
713-828-5825
ldimond@humana.com