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H5431 · HealthSun Health Plans, Inc.: 2027 Star Rating
H5431 (HealthSun Health Plans, Inc., HEALTHSUN HEALTH PLANS, INC.) earned 4.5 stars in the 2027 Medicare Advantage Star Ratings, the same as in 2026. Parent company: Elevance Health, Inc. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
4.5
Part C 5.0 · Part D 4.0
2026 overall CMS
4.5
Part C 4.5 · Part D 3.5
Change Calc
Same
2027 vs 2026
Members Calc
68,397
CMS county files, October 2026
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What stands out for H5431
- Most of its members are in Florida (68,397, 2.4% of Medicare Advantage members in CMS county files there). Calc
- Of the 36 rated contracts with members in Florida, 3 have a higher 2027 rating and 9 have the same rating. Calc
- Largest other contract in Florida: H1036 · Humana, 4.5 stars, 541,186 members. Calc
- At 4.5 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 18 of its 41 rated measures are at 5 stars; 2 are at 1 or 2 stars. Calc
- Its Part D rating (4.0) is lower than its Part C rating (5.0). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 3 stars, score 89
- Members Choosing to Leave the Plan (C28, weight ×2): 3 stars, score 18
- Members Choosing to Leave the Plan (D03, weight ×2): 3 stars, score 18
- Health Plan Quality Improvement (C29, weight ×5): 4 stars
- Drug Plan Quality Improvement (D04, weight ×5): 4 stars
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 87 | 5 |
| Colorectal Cancer Screening (C02) | ×1 | 84 | 5 |
| Annual Flu Vaccine (C03) | ×1 | 42 | 1 |
| Monitoring Physical Activity (C06) | ×1 | 64 | 5 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 90 | 4 |
| Care for Older Adults - Medication Review (C08) | ×1 | 99 | 5 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 97 | 5 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 58 | 4 |
| Diabetes Care - Eye Exam (C11) | ×1 | 86 | 5 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 89 | 4 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 94 | 5 |
| Controlling High Blood Pressure (C14) | ×3 | 96 | 5 |
| Plan All-Cause Readmissions (C17) | ×3 | 9 | 4 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 92 | 4 |
| Transitions of Care (C19) | ×1 | 59 | 3 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 77 | 4 |
| Getting Needed Care (C21) | ×2 | 88 | 5 |
| Getting Appointments and Care Quickly (C22) | ×2 | 88 | 5 |
| Customer Service (C23) | ×2 | 92 | 5 |
| Rating of Health Care Quality (C24) | ×2 | 94 | 5 |
| Rating of Health Plan (C25) | ×2 | 92 | 5 |
| Care Coordination (C26) | ×2 | 92 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.2 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 18 | 3 |
| Health Plan Quality Improvement (C29) | ×5 | – | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 99 | 4 |
| Reviewing Appeals Decisions (C31) | ×2 | 99 | 4 |
| 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 | 0.2 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 18 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 4 |
| Rating of Drug Plan (D05) | ×2 | 93 | 5 |
| Getting Needed Prescription Drugs (D06) | ×2 | 91 | 4 |
| MPF Price Accuracy (D07) | ×1 | 99 | 4 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 92 | 4 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 92 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 89 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 95 | 5 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 29 | 1 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 11 | 3 |
Where H5431 has members
Florida (68,397)
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Other Elevance Health, Inc. contracts
H0544 · Anthem Blue Cross · 3.5 starsH0629 · Anthem Blue Cross and Blue Shield · not ratedH0907 · Wellpoint · 3.5 starsH1212 · Wellpoint · not ratedH1423 · Wellpoint · 3.5 starsH1607 · Anthem Blue Cross and Blue Shield · 3.5 starsH1947 · Healthy Blue · 3.0 starsH2441 · Anthem Blue Cross and Blue Shield · 3.0 starsH2593 · Wellpoint · 3.0 starsH2628 · Anthem Blue Cross and Blue Shield · not ratedH2836 · Anthem Blue Cross and Blue Shield · 3.5 starsH3240 · Wellpoint · 3.0 starsH3447 · Anthem HealthKeepers · 3.0 starsH3529 · Anthem Blue Cross and Blue Shield · not ratedH3536 · Anthem Blue Cross and Blue Shield · 3.0 starsH3655 · Anthem Blue Cross and Blue Shield · 3.5 starsH4003 · Medicare y Mucho Mas (MMM) · 4.5 starsH4004 · Medicare y Mucho Mas (MMM) · 4.5 starsH4036 · Anthem Blue Cross and Blue Shield · 4.5 starsH4161 · Anthem Blue Cross Partnership Plan · 3.0 starsH4346 · Anthem Blue Cross and Blue Shield · 3.5 starsH4471 · Anthem Blue Cross · 3.0 starsH4694 · Anthem HealthKeepers · 3.5 starsH4909 · Anthem Blue Cross and Blue Shield · 3.0 starsH5422 · Anthem Blue Cross and Blue Shield · 3.5 starsH5427 · Freedom Health, Inc. · 4.0 starsH5471 · Simply Healthcare Plans, Inc. · 4.0 starsH5594 · Optimum HealthCare, Inc. · 4.5 starsH5828 · Wellpoint · 3.0 starsH5854 · Anthem Blue Cross and Blue Shield · 3.5 stars
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.