CareStars › All contracts › H5525
H5525 · Humana (HUMANA BENEFIT PLAN OF ILLINOIS, INC.): 2027 Star Rating
H5525 (Humana, HUMANA BENEFIT PLAN OF ILLINOIS, INC.) earned 4.0 stars in the 2027 Medicare Advantage Star Ratings, up from 3.5 in 2026. Parent company: Humana Inc. Plan type: Local CCP · offers special needs plans.
2027 overall CMS
4.0
Part C 4.0 · Part D 3.5
2026 overall CMS
3.5
Part C 3.5 · Part D 3.5
Change Calc
+0.5
2027 vs 2026
Members Calc
170,361
CMS county files, October 2026
Open H5525 in CareStars: bonus at stake, measures to fix, local rivalsTalk to Carelytics about H5525
What stands out for H5525
- Most of its members are in North Carolina (63,092, 5.2% of Medicare Advantage members in CMS county files there). Calc
- Of the 29 rated contracts with members in North Carolina, 9 have a higher 2027 rating and 8 have the same rating. Calc
- Largest other contract in North Carolina: H5253 · UnitedHealthcare, 4.0 stars, 339,179 members. Calc
- At 4.0 stars it is at or above the 4-star line that sets 2028 quality bonus payments. CMS rule
- 8 of its 43 rated measures are at 5 stars; 7 are at 1 or 2 stars. Calc
- Its Part D rating (3.5) is lower than its Part C rating (4.0). CMS
Weakest high-weight measures
Measures with weight 2 or more and the lowest stars. These move the overall rating most.
- Medication Adherence for Diabetes Medications (D08, weight ×3): 2 stars, score 88
- Rating of Health Plan (C25, weight ×2): 2 stars, score 86
- Controlling High Blood Pressure (C14, weight ×3): 3 stars, score 81
- Plan All-Cause Readmissions (C17, weight ×3): 3 stars, score 11
- Medication Adherence for Cholesterol (Statins) (D10, weight ×3): 3 stars, score 89
All 2027 measure scores Sourced: CMS
| Measure | Weight | Score | Stars |
|---|---|---|---|
| Breast Cancer Screening (C01) | ×1 | 74 | 3 |
| Colorectal Cancer Screening (C02) | ×1 | 74 | 3 |
| Annual Flu Vaccine (C03) | ×1 | 65 | 3 |
| Monitoring Physical Activity (C06) | ×1 | 47 | 2 |
| Special Needs Plan (SNP) Care Management (C07) | ×1 | 76 | 3 |
| Care for Older Adults - Medication Review (C08) | ×1 | 99 | 5 |
| Care for Older Adults - Functional Status Assessment (C09) | ×1 | 95 | 5 |
| Osteoporosis Management in Women who had a Fracture (C10) | ×1 | 39 | 2 |
| Diabetes Care - Eye Exam (C11) | ×1 | 76 | 3 |
| Diabetes Care - Blood Sugar Controlled (C12) | ×3 | 90 | 4 |
| Kidney Health Evaluation for Patients with Diabetes (C13) | ×1 | 70 | 3 |
| Controlling High Blood Pressure (C14) | ×3 | 81 | 3 |
| Reducing the Risk of Falling (C15) | ×1 | 56 | 2 |
| Improving Bladder Control (C16) | ×1 | 49 | 4 |
| Plan All-Cause Readmissions (C17) | ×3 | 11 | 3 |
| Statin Therapy for Patients with Cardiovascular Disease (C18) | ×1 | 89 | 4 |
| Transitions of Care (C19) | ×1 | 69 | 4 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions (C20) | ×1 | 61 | 2 |
| Getting Needed Care (C21) | ×2 | 82 | 3 |
| Getting Appointments and Care Quickly (C22) | ×2 | 85 | 4 |
| Customer Service (C23) | ×2 | 92 | 5 |
| Rating of Health Care Quality (C24) | ×2 | 87 | 4 |
| Rating of Health Plan (C25) | ×2 | 86 | 2 |
| Care Coordination (C26) | ×2 | 89 | 5 |
| Complaints about the Health Plan (C27) | ×2 | 0.27 | 4 |
| Members Choosing to Leave the Plan (C28) | ×2 | 28 | 3 |
| Health Plan Quality Improvement (C29) | ×5 | – | 4 |
| Plan Makes Timely Decisions about Appeals (C30) | ×2 | 100 | 5 |
| 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 | 0.27 | 4 |
| Members Choosing to Leave the Plan (D03) | ×2 | 28 | 3 |
| Drug Plan Quality Improvement (D04) | ×5 | – | 4 |
| Rating of Drug Plan (D05) | ×2 | 87 | 4 |
| Getting Needed Prescription Drugs (D06) | ×2 | 89 | 3 |
| MPF Price Accuracy (D07) | ×1 | 94 | 1 |
| Medication Adherence for Diabetes Medications (D08) | ×3 | 88 | 2 |
| Medication Adherence for Hypertension (RAS antagonists) (D09) | ×3 | 90 | 4 |
| Medication Adherence for Cholesterol (Statins) (D10) | ×3 | 89 | 3 |
| Statin Use in Persons with Diabetes (SUPD) (D11) | ×1 | 87 | 3 |
| Concurrent Use of Opioids and Benzodiazepines (COB) (D12) | ×1 | 12 | 4 |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) (D13) | ×1 | 5 | 5 |
Where H5525 has members
North Carolina (63,092), Pennsylvania (44,809), California (31,213), Kentucky (12,735), Ohio (8,828), West Virginia (3,687), Illinois (2,713), Montana (1,109), Wyoming (893), Idaho (601), Indiana (490), Georgia (77), Oregon (71), South Carolina (43)
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Other Humana Inc. contracts
H0028 · Humana · 4.5 starsH0292 · Humana · 4.5 starsH0473 · Humana · 3.0 starsH0963 · Humana · not ratedH1019 · CarePlus Health Plans, Inc. · 4.0 starsH1036 · Humana · 4.5 starsH1396 · Humana · not ratedH1468 · Humana · 4.0 starsH1951 · Humana · 4.5 starsH2237 · iCare · 3.5 starsH2463 · Humana · 4.0 starsH2486 · Humana · 4.0 starsH2875 · Humana · not ratedH3533 · Humana · 3.0 starsH3642 · Humana · not ratedH3767 · Humana · not ratedH4141 · Humana · 3.5 starsH4329 · Humana · not ratedH4461 · Humana · 4.5 starsH4623 · Humana · 4.0 starsH4939 · Humana · not ratedH5178 · Humana · not ratedH5216 · Humana · 4.0 starsH5377 · Humana · 4.0 starsH5619 · Humana · 4.0 starsH5970 · Humana · 3.0 starsH6622 · Humana · 4.0 starsH7284 · Humana · 3.5 starsH7617 · Humana · 4.5 starsH8145 · Humana · 4.0 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.