H5431 — HealthSun Health Plans, Inc.

Local CCP · Parent: Elevance Health, Inc. · SNP

4.5-star 2026 overall CMS published 2026-05-14 02:06 UTC

Trending down — H5431's overall star fell from 5 (2025) to 4.5 (2026). Drop from 4 to below 4 stars eliminates Quality Bonus Payment eligibility for the affected plan year.

Year-over-year ratings

Plan year	Overall	Part C summary	Part D summary
2025	5	5	4
2026	4.5	4.5	3.5

2026 domain stars

CMS groups the underlying measures into five performance domains for Medicare Advantage plans. Each domain rolls up to a star rating that contributes to the overall summary.

Staying Healthy: Screenings, Tests and Vaccines: 4
Managing Chronic (Long Term) Conditions: 4
Member Experience with Health Plan: 4
Member Complaints and Changes in the Health Plan's Performance: 3
Health Plan Customer Service: 5

Contract metadata

Contract Number: H5431
Contract Name: HEALTHSUN HEALTH PLANS, INC.
Organization (marketing name): HealthSun Health Plans, Inc.
Parent Organization: Elevance Health, Inc.
Organization Type: Local CCP
Special Needs Plan: Yes

Contract Number is the CMS-assigned identifier for a Medicare contract. A single parent organization typically operates many contracts (e.g., one per state market). The Star Ratings published here reflect the rolled-up performance for the contract as a whole.

Get the full forensic

MA Star Forensics extends this register with the measure-level cut-point forensics, the under-the-hood projection model for next year's ratings, cohort comparisons against named peer sets, and the dollar-at-stake analysis per measure improvement. Available under institutional license to Medicare Advantage plans, healthcare PE, and provider contracting teams.

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