Triple-S Advantage earns 4.5-star Medicare rating
Triple-S Advantage has earned a 4.5-star rating out of five from the Centers for Medicare and Medicaid Services (CMS) for its main health maintenance organization (HMO) contract, placing it among the highest-rated Medicare Advantage plans in the United States.
“This achievement reflects our renewed focus and continuous investment in our team to deliver high-quality, person-centered care to our members,” said Thurman Justice, CEO of Triple-S.
“We are also leveraging new technologies to enhance access and streamline services for both members and providers — reaffirming our ongoing commitment to health care excellence,” he said.
CMS rates Medicare Advantage plans each year on a five-star scale based on member experience, access to care and quality of services. The 2026 assessment drew on 42 measures from 2024 member data, including access to medical appointments, management of chronic conditions and medication adherence.
Triple-S Advantage received five stars in several categories, including customer service, pharmacy quality, preventive care for chronic conditions and care coordination.
“We are pleased that we achieved areas of excellence with the highest possible rating in metrics focused on care coordination, preventive care and access to medications,” said Michael Muchnicki, president of Triple-S Health. “Only less than 18% of Medicare Advantage plans in the United States achieved 4.5 stars for rating year 2025.”
The company credited its employees, health care providers and members for contributing to its performance through collaboration and commitment to care quality.
Triple-S Advantage operates as an HMO and preferred provider organization with a Medicare contract and the Puerto Rico Medicaid Program. The company is an independent licensee of the BlueCross BlueShield Association and part of the Triple-S Group, a subsidiary of GuideWell, the parent company of Florida Blue.
