BlueCross BlueShield of Alabama's Blue Advantage Complete PPO Plan, a Medicare Advantage Prescription Drug plan, has received a four-star quality rating from the Centers for Medicare and Medicaid Services (CMS). Blue Cross' Blue Advantage Premier PPO Plan also received the four-star quality rating from CMS.

CMS uses a five-star system to measure the quality of Medicare Advantage health and prescription drug plans. The overall star rating is based on three main categories: Medical Care, Member Experience and Plan Administration. Star ratings are published each year based on information from member surveys, Medicare monitoring activities, and clinical data and health plan data.