Medicare Advantage insurer · Part of Lumeris Group Holdings Corporation · 2026
Essence Healthcare
According to the Centers for Medicare & Medicaid Services (CMS) 2026 plan-year files, Essence Healthcare markets 13 Medicare Advantage plans across 5 states; average CMS star rating 4.0★.
- 13
- Plans offered
- 4.0★
- Avg: Average
- 5
- States covered
- 0
- 5-star plans
The short answer
Essence Healthcare ranks #49 of 288 Medicare Advantage insurers by plan inventory (13 plans) but #99 by average CMS star (3.96★).
- #49
- inventory rank
- 13
- plans offered
- #99
- avg star rank
- 3.96★
- mean CMS rating
CMS assigns star ratings at the contract level; inventory breadth and average quality move on different axes.
Product mix · this insurer
How 13 Essence Healthcare plans split by CMS plan type
Exclusive plan-type inventory for this organization in plans_unique, orthogonal to the star-distribution chart below.
Wider MA inventory book
Essence Healthcare in the wider-inventory third
Essence Healthcare ranks #49 of 288 insurers by plan count (13 MA plans) - top-third inventory breadth in the CMS file. Essence Healthcare markets 13 Medicare Advantage plans across 5 states and 72 counties - a top-third inventory book (#49 of 288 by plan count). Inside the Lumeris Group Holdings Corporation family. Product mix HMO, Local PPO; 0 plans at 5 stars. Enrollment is not disclosed in the public file for this plan year. According to PlainMedicare's CMS plan-year corpus ranking, Essence Healthcare ranks #49 of 288 Medicare Advantage insurers by plan count and #99 of 212 by average CMS star rating. Figures are CMS public-use data, informational only, not counseling.
PRE-BONUS · MULTI-STATE · CONTRACT-WIDE · MIXED-BOOK · plans #49/288 · stars #99/212
Where Essence Healthcare sits on CMS quality
Average CMS star rating across the insurer's own Medicare Advantage plans, against every rated insurer in the CMS file
3.96★ Top 46% higher than 54% of 212 Medicare Advantage insurers
Each bar is a band; taller bars hold more Medicare Advantage insurers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01
Plans Offered by Essence Healthcare
| Plan Name | Type | State | Stars | Action |
|---|---|---|---|---|
| ESSENCE HEALTHCARE, INC. | HMO | IL | 4.5 | View details → |
| ESSENCE HEALTHCARE PPO, INC. | Local PPO | IL | 3.5 | View details → |
| ESSENCE HEALTHCARE PPO, INC. | Local PPO | IL | 3.5 | View details → |
| ESSENCE HEALTHCARE PPO, INC. | Local PPO | IL | 3.5 | View details → |
| ESSENCE HEALTHCARE, INC. | HMO | KY | 4.5 | View details → |
| ESSENCE HEALTHCARE PPO, INC. | Local PPO | KY | 3.5 | View details → |
| ESSENCE HEALTHCARE, INC. | HMO | MO | 4.5 | View details → |
| ESSENCE HEALTHCARE, INC. | HMO | MO | 4.5 | View details → |
| ESSENCE HEALTHCARE, INC. | HMO | MO | 4.5 | View details → |
| ESSENCE HEALTHCARE, INC. | HMO | MO | 4.5 | View details → |
| ESSENCE HEALTHCARE PPO, INC. | Local PPO | MO | 3.5 | View details → |
| ESSENCE HEALTHCARE PPO, INC. | Local PPO | MO | 3.5 | View details → |
| ESSENCE HEALTHCARE PPO, INC. | Local PPO | MO | 3.5 | View details → |
Read our methodology - how this data is sourced, computed, and verified.
Nationwide insurers with similar Medicare Advantage scale or CMS quality
Data-derived peers across the CMS organization file: nearest MA plan inventory and nearest average CMS star rating. Not parent-org containment or same-state footprint overlap.
Similar plan inventory
- HealthSun Health Plans, Inc. 13 plans
- Jefferson Health Plans 13 plans
- Anthem Blue Cross and Blue Shield HP 14 plans
- Baylor Scott & White Health Plan 14 plans
- Highmark Blue Cross Blue Shield 14 plans
- MediGold 14 plans
Similar average CMS star rating
Read with Essence Healthcare
ABS(plans_count) peers first, then an ABS(avg_star) quality pole and a stamp-branched guide, not a fixed Related strip. This page stamps PRE-BONUS · MULTI-STATE · CONTRACT-WIDE · MIXED-BOOK.
ABS(plans_count) peer at 13 MA plans (Δ 0 wider vs Essence Healthcare); TOP-TIER · ONE-STATE vs this page's PRE-BONUS · MULTI-STATE · CONTRACT-WIDE.
ABS(plans_count) peer at 13 MA plans (Δ 0 wider vs Essence Healthcare); PRE-BONUS · REGIONAL vs this page's PRE-BONUS · MULTI-STATE · CONTRACT-WIDE.
ABS(plans_count) peer at 12 MA plans (Δ 1 tighter vs Essence Healthcare); PRE-BONUS · REGIONAL vs this page's PRE-BONUS · MULTI-STATE · CONTRACT-WIDE.
ABS(plans_count) peer at 12 MA plans (Δ 1 tighter vs Essence Healthcare); PRE-BONUS · ONE-STATE vs this page's PRE-BONUS · MULTI-STATE · CONTRACT-WIDE.
ABS(avg_star) pole at 3.9★ (Δ 0.0 vs Essence Healthcare's PRE-BONUS): CONTRACT-WIDE · ONE-STATE.
Essence Healthcare's PRE-BONUS mean sits under the 4.0★ Quality Bonus Payment line; star measure domains matter before you weigh MIXED-BOOK networks.
Using Essence Healthcare's plan lineup
Star rating and plan availability, not the insurer's size alone.
- Essence Healthcare ranks 99 of 212 insurers by average CMS star rating (4.0★ average) - compare against the plans available in your own county. How star ratings work
- Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare
- Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Choosing a plan
Insurer-level averages combine every plan the organization files with CMS; the plan sold in your county may differ.
PlainMedicare is rendered directly from CMS Medicare Advantage and Part D public files, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a correction. Data current as of 2026-09-01.