Contract
H8003

Blue Cross Blue Shield of South Carolina · 2027 Star Ratings

BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA · Local CCP

Parent: BlueCross BlueShield of South Carolina (BCBSSC)

Summary ratings

Overall
3.5
2026: 4.0−0.5
Part C · health plan
4.0
2026: 4.0±0
Part D · drug plan
3.5
2026: 4.0−0.5

2027 footprint

Members, Sep 2026
49K
2027 plans
7
Open to all ($0 premium)
7 (4)
Counties
29
Special needs plans
None
Drug coverage
Yes
SC

Domain stars

Domain20272026Change
HD1Staying Healthy: Screenings, Tests and Vaccines3.04.0−1.0
HD2Managing Chronic (Long Term) Conditions3.03.0±0
HD3Member Experience with Health Plan4.04.0±0
HD4Member Complaints and Changes in the Health Plan's Performance4.05.0−1.0
HD5Health Plan Customer Service4.04.0±0
DD1Drug Plan Customer Service4.05.0−1.0
DD2Member Complaints and Changes in the Drug Plan's Performance4.05.0−1.0
DD3Member Experience with the Drug Plan3.04.0−1.0
DD4Drug Safety and Accuracy of Drug Pricing3.04.0−1.0

Part C measures · health plan

Measure2027 result2027 starsvs 2026
C01Breast Cancer Screening78%4.0±0
C02Colorectal Cancer Screening81%4.0new spec
C03Annual Flu Vaccine64%2.0−1
C04Improving or Maintaining Physical Health71%3.0±0
C05Improving or Maintaining Mental Health85%4.0±0
C06Monitoring Physical Activity50%3.0±0
C07Special Needs Plan (SNP) Care ManagementPlan not required to report measure—
C08Care for Older Adults – Medication ReviewPlan not required to report measure—
C09Care for Older Adults - Functional Status AssessmentPlan not required to report measure—
C10Osteoporosis Management in Women who had a Fracture47%3.0−1
C11Diabetes Care – Eye Exam74%3.0±0
C12Diabetes Care – Blood Sugar Controlled91%4.0±0
C13Kidney Health Evaluation for Patients with Diabetes63%3.0±0
C14Controlling High Blood Pressure81%3.0−1
C15Reducing the Risk of Falling50%1.0±0
C16Improving Bladder Control45%3.0±0
C17Plan All-Cause Readmissions8%5.0+1
C18Statin Therapy for Patients with Cardiovascular Disease84%2.0±0
C19Transitions of Care83%5.0±0
C20Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions59%2.0−1
C21Getting Needed Care834.0±0
C22Getting Appointments and Care Quickly865.0±0
C23Customer Service925.0±0
C24Rating of Health Care Quality884.0±0
C25Rating of Health Plan884.0±0
C26Care Coordination873.0±0
C27Complaints about the Health Plan0.15.0±0
C28Members Choosing to Leave the Plan8%5.0±0
C29Health Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−1
C30Plan Makes Timely Decisions about Appeals99%4.0+1
C31Reviewing Appeals Decisions98%4.0−1
C32Call Center – Foreign Language Interpreter and TTY Availability100%5.0+1

Part D measures · drug plan

Measure2027 result2027 starsvs 2026
D01Call Center – Foreign Language Interpreter and TTY Availability98%4.0−1
D02Complaints about the Drug Plan0.15.0±0
D03Members Choosing to Leave the Plan8%5.0±0
D04Drug Plan Quality ImprovementMedicare shows only a Star Rating for this topic3.0−1
D05Rating of Drug Plan862.0−2
D06Getting Needed Prescription Drugs904.0±0
D07MPF Price Accuracy1005.0±0
D08Medication Adherence for Diabetes Medications87%2.0−1
D09Medication Adherence for Hypertension (RAS antagonists)89%3.0−1
D10Medication Adherence for Cholesterol (Statins)88%3.0±0
D11Statin Use in Persons with Diabetes (SUPD)83%2.0±0
D12Concurrent Use of Opioids and Benzodiazepines (COB)19%2.0—
D13Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)6%4.0—