Medicare Advantage insurer · Part of BMC Health System, Inc. · 2026
WellSense Health Plan
WellSense Health Plan's Medicare Advantage footprint for 2026, how many plans it offers, where, and how CMS rates their quality.
- 3
- Plans offered
- 3.0★
- Avg CMS rating
- 1
- States covered
- 0
- 5-star plans
The short answer
WellSense Health Plan offers 3 Medicare Advantage plans across 1 state, averaging 3.0★ on the CMS quality scale.
- 3
- plans offered
- 3.0★
- average CMS rating
- 10
- counties served
- -
- members enrolled (CMS)
Star ratings are set yearly by CMS. Plan availability varies by county, open a plan to see where it is sold.
What the CMS Data Shows About WellSense Health Plan
WellSense Health Plan is registered with the Centers for Medicare & Medicaid Services as a Medicare Advantage Organization and, in the 2026 contract year, markets 3 distinct plans across 1 state and 10 counties. The contracts sit inside the BMC Health System, Inc. corporate family, which matters for quality measurement because CMS aggregates many Star Rating measures at the parent-organization level before applying the contract-level bonus payment rules. CMS-reported enrollment across this issuer's MA plans is not disclosed in the public file for the 2026 plan year, a figure drawn from the same Monthly Enrollment by Contract/Plan/State/County Report used by Medicare researchers.
On quality, WellSense Health Plan carries a weighted mean CMS Star Rating of 3.00 out of 5 across its Medicare Advantage book, with 0 contracts earning the top 5-star tier. The star score is not a marketing claim, it is a composite CMS calculates from more than 40 individual measures spanning preventive care delivery, chronic-condition management, patient safety, member-experience surveys (CAHPS), appeals handling, and plan-operations metrics. Contracts above 4 stars trigger federal Quality Bonus Payments, a rebate mechanism that insurers typically re-invest into supplemental benefits such as dental, vision, hearing, over-the-counter allowances, and fitness programs, which is why two plans from the same issuer can look very different on extras depending on which contract they fall under.
The product mix shown below - HMO, Local PPO - determines how beneficiaries access care. HMO plans keep cost-sharing low but lock to in-network providers; local and regional PPOs relax that at higher copays; and Special Needs Plans (SNPs) add disease-specific formulary and care-management features for chronic conditions, duals, or institutional residents. Before enrolling, verify that WellSense Health Plan's plan is offered in your specific county, that your preferred providers are in network, and that your prescriptions appear on the plan's current formulary. All figures on this page originate from CMS public-use files for the 2026 contract year and are informational only, not Medicare counseling advice.
States Covered
Plans Offered by WellSense Health Plan
| Plan Name | Type | State | Stars | Action |
|---|---|---|---|---|
| BOSTON MEDICAL CENTER HEALTH PLAN, INC. | HMO | NH | 3.0 | View details → |
| BOSTON MEDICAL CENTER HEALTH PLAN, INC. | HMO | NH | 3.0 | View details → |
| BOSTON MEDICAL CENTER HEALTH PLAN, INC. | HMO | NH | 3.0 | View details → |
| BOSTON MEDICAL CENTER HEALTH PLAN, INC. | Local PPO | NH | N/R | View details → |
Official Medicare resources
Insurers With a Similar Star Rating
Other Medicare Advantage organizations nationwide whose average star rating is closest to WellSense Health Plan's 3.0.
Medicare Advantage Guides
Frequently Asked Questions
How many Medicare Advantage plans does WellSense Health Plan offer?
WellSense Health Plan offers 3 Medicare Advantage plans across 1 state (NH), serving beneficiaries in 10 counties.
What is WellSense Health Plan's average star rating?
WellSense Health Plan has an average CMS star rating of 3.0 out of 5 across its Medicare Advantage plans. Star ratings are based on quality measures including clinical outcomes, patient experience, and plan operations.
What plan types does WellSense Health Plan offer?
WellSense Health Plan offers HMO, Local PPO Medicare Advantage plans. WellSense Health Plan operates under BMC Health System, Inc.. Plan types differ in provider network flexibility and cost structure.
How many people are enrolled in WellSense Health Plan plans?
CMS-reported enrollment for WellSense Health Plan is not disclosed in the public file for the 2026 plan year. Enrollment figures, where published, reflect CMS's Monthly Enrollment by Contract/Plan/State/County Report.
Read our methodology - how this data is sourced, computed, and verified.