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H0913 · Wellcare (WELLCARE HEALTH PLANS OF NEW JERSEY, INC.): 2027 Star Rating
H0913 (Wellcare, WELLCARE HEALTH PLANS OF NEW JERSEY, INC.) earned 3.0 stars in the 2027 Medicare Advantage Star Ratings, down from 3.5 in 2026. Parent company: Centene Corporation. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
3.0
Part C 3.5 · Part D 3.0
2026 overall CMS
3.5
Part C 3.0 · Part D 3.5
Change Calc
-0.5
2027 vs 2026
Members Calc
12,712
CMS county files, October 2026
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What stands out for H0913
- Most of its members are in New Jersey (12,712, 2.6% of Medicare Advantage members in CMS county files there). Calc
- Of the 22 rated contracts with members in New Jersey, 13 have a higher 2027 rating and 7 have the same rating. Calc
- Largest other contract in New Jersey: H5141 · Clover Health, 5.0 stars, 128,466 members. Calc
- At 3.0 stars it is below the 4-star line that sets 2028 quality bonus payments. CMS rule
- 5 of its 38 rated measures are at 5 stars; 11 are at 1 or 2 stars. Calc
- Its Part D rating (3.0) is lower than its Part C rating (3.5). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Customer Service (C23, weight ×2): 1 star, score 84
- Rating of Health Plan (C25, weight ×2): 1 star, score 81
- Drug Plan Quality Improvement (D04, weight ×5): 2 stars
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 87
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 2 stars, score 86
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 65 | 2 |
| Colorectal Cancer Screening (C02) | ×1 | 65 | 2 |
| Annual Flu Vaccine (C03) | ×1 | 64 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 56 | 4 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 81 | 4 |
| Care for Older Adults - Medication Review (C08) | ×1 | 100 | 5 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 92 | 4 |
| Diabetes Care - Eye Exam (C11) | ×1 | 62 | 2 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 89 | 4 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 69 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 80 | 3 |
| Reducing the Risk of Falling (C15) | ×1 | 77 | 5 |
| Improving Bladder Control (C16) | ×1 | 46 | 3 |
| Plan All-Cause Readmissions (C17) | ×3 | 10 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 89 | 4 |
| Transitions of Care (C19) | ×1 | 49 | 2 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 62 | 2 |
| Getting Needed Care (C21) | ×2 | 79 | 3 |
| Customer Service (C23) | ×2 | 84 | 1 |
| Rating of Health Plan (C25) | ×2 | 81 | 1 |
| Complaints about the Health Plan (C27) | ×2 | 0.33 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 20 | 3 |
| Health Plan Quality Improvement (C29) | ×5 | – | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 96 | 3 |
| Reviewing Appeals Decisions (C31) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (C32) | ×2 | 100 | 5 |
| Call Center - Foreign Language Interpreter and TTY Availability (D01) | ×2 | 100 | 5 |
| Complaints about the Drug Plan (D02) | ×2 | 0.33 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 20 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 2 |
| Rating of Drug Plan (D05) | ×2 | 87 | 3 |
| MPF Price Accuracy (D07) | ×1 | 99 | 4 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 87 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 88 | 3 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 86 | 2 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 90 | 4 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 18 | 2 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 9 | 3 |
Where H0913 has members
New Jersey (12,712)
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Other Centene Corporation contracts
H0029 · Wellcare · 2.5 starsH0062 · Wellcare · not ratedH0074 · Wellcare · 3.0 starsH0111 · Wellcare · 3.5 starsH0174 · Wellcare · 3.5 starsH0270 · Wellcare · not ratedH0351 · Wellcare · 3.5 starsH0562 · Wellcare · 3.5 starsH0712 · Wellcare · 3.5 starsH0724 · Wellcare · not ratedH0908 · Wellcare · 3.5 starsH1032 · Wellcare · 4.0 starsH1112 · Wellcare · 3.5 starsH1215 · Wellcare · 2.5 starsH1416 · Wellcare · 3.0 starsH1664 · Wellcare · 3.0 starsH1862 · Wellcare · 2.5 starsH1914 · Wellcare · 3.0 starsH2162 · Wellcare · not ratedH2174 · Wellcare · 2.5 starsH2491 · Wellcare · 3.5 starsH2775 · Wellcare · 3.0 starsH2816 · Wellcare · 4.0 starsH2853 · Ascension Complete · not ratedH2915 · Wellcare · 3.5 starsH3499 · Wellcare · 3.0 starsH3561 · Wellcare · 3.5 starsH3975 · Wellcare · 3.0 starsH4073 · Wellcare · 3.5 starsH4158 · Wellcare · not rated
Sources: CMS 2027 and 2026 Star Ratings data tables (CMS Part C and D performance data); CMS monthly enrollment by contract and county (October 2026). Sourced: CMS marks figures taken from CMS. Calculated marks figures Carelytics added up or compared. Built 2026-10-25.