SummaCare’s health plans and services rank among the best in the nation and throughout our history, we’ve been honored for outstanding service and clinical quality.
Star ratings are important because they represent SummaCare’s vision to promote health and wellness by providing quality preventive care and service to its members.
The quality ratings also help consumers determine how well a health plan is performing in areas such as:
- How satisfied members are with the health plan
- How effective the health plan assists its providers in prevention and detection of illnesses
- How well the health plan maintains the overall well‐being of its members
- How quickly the health plan responds to the members’ needs in regard to receiving care and addressing members’ concerns, including appeals
Medicare
- SummaCare's Medicare Advantage plans earned a 4.5 out of 5 stars for 2025 from the Centers for Medicare and Medicaid Services (CMS). Plan performance quality Star Ratings are assessed each year and may change from one year to the next. SummaCare is an HMO and HMO-POS plan with a Medicare contract. Enrollment in SummaCare depends on contract renewal. Every year Medicare evaluates plans based on a 5-star rating system.
- SummaCare’s Medicare Advantage Plan was recently recognized with a 4.5 out of 5 stars for 2025 by CMS. Learn more about the official CMS rating for SummaCare Medicare Advantage Plans in this Star Ratings pdf file.
Commercial
- SummaCare's Commercial PPO plans earned the accreditation status of “Accredited" by NCQA for 2022-2025. NCQA has awarded the status of "Accredited" for service and clinical quality that meet the basic requirements of NCQA's rigorous requirements for consumer protection and quality improvement.
Marketplace
- SummaCare's Individual & Family Marketplace plans earned the accreditation status of “Accredited" by NCQA for 2022-2025. NCQA has awarded the status of "Accredited" for service and clinical quality that meet the basic requirements of NCQA's rigorous standards for consumer protection and quality improvement.
*National Committee for Quality Assurance (NCQA) is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key clinical areas. NCQA's HEDIS® is the most widely used performance measurement tool in health care. In recognition for its leadership in diversity, equity and inclusion, NCQA has won the Excellence in Diversity Award from the Chesapeake Human Resources Association. NCQA’s website contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, and on LinkedIn at linkedin.com/company/ncqa.
