Thank you for considering BlueShield of Northeastern New York for your Medicare Advantage needs. (H3384), and BlueSaver MSA (H9788) plans.

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1 Dear Neighbor: Thank you for considering BlueShield of Northeastern New York for your Medicare Advantage needs. Why you re receiving this letter Enclosed are the Centers for Medicare and Medicaid Services (CMS) 2014 ratings for BlueShield s Forever Blue Medicare PPO (H5526), Senior Blue HMO (H3384), and BlueSaver MSA (H9788) plans. What you need to know Every year, CMS rates Medicare Advantage plans in different categories, such as customer satisfaction, patient safety, customer service, and how well we detect and prevent illness. As an organization, we take our ratings seriously and work hard to improve our ratings every year. Please review our ratings and if you have any questions, contact us at SHLD (7453) (TTY ). We re available: What you need to do October 1 February 14 February 15 September 30 8 a.m. to 8 p.m., 7 days a week 8 a.m. to 8 p.m., Monday Friday We look forward to serving you. Sincerely, During non business hours, your call will be answered by our automated phone system. A representative will return your call the next business day. Brian Beaton Director, Medicare Advantage Enc. BlueShield of Northeastern New York is a Medicare Advantage plan with a Medicare contract. Enrollment in BlueShield of Northeastern New York 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. Y0086 H9788_MRK988rev Approved R3569 A

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3 Image description. 4 Stars End of image description. BCBS of WNY/BS of NENY/HealthNow New York Inc. - H Medicare Star Ratings* The Medicare Program rates all health and prescription drug plans each year, based on a plan's quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan's performance to other plans. The two main types of Star Ratings are: 1. An Overall Star Rating that combines all of our plan's scores. 2. Summary Star Rating that focuses on our medical or our prescription drug services. Some of the areas Medicare reviews for these ratings include: How our members rate our plan's services and care; How well our doctors detect illnesses and keep members healthy; How well our plan helps our members use recommended and safe prescription medications. For 2014, BCBS of WNY/BS of NENY/HealthNow New York Inc. received the following Overall Star Rating from Medicare. 4 Stars We received the following Summary Star Rating for BCBS of WNY/BS of NENY/HealthNow New York Inc.'s health/drug plan services: Image description. 4 Stars End of image description. Health Plan Services: 4 Stars Image description. 4.5 Stars End of image description. Drug Plan Services: 4.5 Stars The number of stars shows how well our plan performs. Image description. 5 stars End of image description. Image description. 4 stars End of image description. Image description. 3 stars End of image description. Image description. 2 stars End of image description. Image description. 1 star End of image description. excellent above average average below average poor Learn more about our plan and how we are different from other plans at You may also contact us Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, 8:00 a.m. - 8:00 p.m. Eastern at (toll-free) or (TTY). Current members please call (toll-free) or (TTY). *Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

4 Image description. 3.5 Stars End of image description. BCBS of WNY/BS of NENY/HealthNow New York Inc. - H Medicare Star Ratings* The Medicare Program rates all health and prescription drug plans each year, based on a plan's quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan's performance to other plans. The two main types of Star Ratings are: 1. An Overall Star Rating that combines all of our plan's scores. 2. Summary Star Rating that focuses on our medical or our prescription drug services. Some of the areas Medicare reviews for these ratings include: How our members rate our plan's services and care; How well our doctors detect illnesses and keep members healthy; How well our plan helps our members use recommended and safe prescription medications. For 2014, BCBS of WNY/BS of NENY/HealthNow New York Inc. received the following Overall Star Rating from Medicare. 3.5 Stars We received the following Summary Star Rating for BCBS of WNY/BS of NENY/HealthNow New York Inc.'s health/drug plan services: Image description. 3.5 Stars End of image description. Health Plan Services: 3.5 Stars Image description. 4 Stars End of image description. Drug Plan Services: 4 Stars The number of stars shows how well our plan performs. Image description. 5 stars End of image description. Image description. 4 stars End of image description. Image description. 3 stars End of image description. Image description. 2 stars End of image description. Image description. 1 star End of image description. excellent above average average below average poor Learn more about our plan and how we are different from other plans at You may also contact us Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, 8:00 a.m. - 8:00 p.m. Eastern at (toll-free) or (TTY). Current members please call (toll-free) or (TTY). *Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

5 Image description. 5 stars End of image description. ActiveSaver MSA or BlueSaver MSA - H Medicare Star Ratings* The Medicare Program rates all health and prescription drug plans each year, based on a plan's quality and performance. Medicare Star Ratings help you know how good a job our plan is doing. You can use these Star Ratings to compare our plan's performance to other plans. The two main types of Star Ratings are: 1. An Overall Star Rating that combines all of our plan's scores. 2. Summary Star Rating that focuses on our medical or our prescription drug services. Some of the areas Medicare reviews for these ratings include: How our members rate our plan's services and care; How well our doctors detect illnesses and keep members healthy; How well our plan helps our members use recommended and safe prescription medications. For 2014, ActiveSaver MSA or BlueSaver MSA received the following Overall Star Rating from Medicare. Not enough data available* We received the following Summary Star Rating for ActiveSaver MSA or BlueSaver MSA's health/drug plan services: Health Plan Services: Not enough data available Drug Plan Services: Not Offered The number of stars shows how well our plan performs. Image description. 4 stars End of image description. Image description. 3 stars End of image description. Image description. 2 stars End of image description. Image description. 1 star End of image description. excellent above average average below average poor *Some contracts do not have enough data to rate performance. Learn more about our plan and how we are different from other plans at You may also contact us Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, 8:00 a.m. - 8:00 p.m. Eastern at (toll-free) or (TTY). Current members please call (toll-free) or (TTY). *Star Ratings are based on 5 Stars. Star Ratings are assessed each year and may change from one year to the next.

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