California Medicare Advantage Companies for 2024 (All Plans)
California has a lot of Medicare Advantage companies, and each has a different selection of plans available with different premiums and benefits. Medicare Advantage plans in California can differ depending on your county or city. You could even get Medicare Advantage coverage in California without paying more than your original Medicare Part B rate.
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UPDATED: Jan 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider. Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Jan 8, 2024Fact Checked
The Highlights
- You can choose from California HMO and PPO Medicare Advantage plans
- If you choose Medicare Advantage, you’ll still need to pay your California original Medicare premium
- Standalone Medicare Part D Plans in California are meant to help cover prescription drug costs
There are several options in California for Medicare Advantage plans. Medicare Advantage (Medicare Part C) is offered by 36 companies in California; and options such as HMO, PPO, and POS may be available depending on which county you live in.
To make sure you’re getting the best CA Medicare provider and plan for your needs, compare rates and out-of-pocket costs to find the ideal coverage and cost combination for you.
If you’re ready to compare Medicare plans from the top companies in your county or across California, enter your ZIP code for fast, free CA Medicare quotes today.
The Complete List of California Medicare Advantage Companies
There are many companies offering Part C Medicare Advantage in CA. Below, you’ll find a complete listing of health insurance companies that offer Medicare Advantage plans in California, the counties those plans are offered in, and the number of plans each company offers.
Read More: Best California Medicare Companies and Plans
Medicare Advantage Companies in California
| Company | Number of Plans | Counties |
|---|---|---|
| AHF | 1 | Los Angeles |
| Aetna | 1 | Alameda, Kern, Fresno, Marin, San Francisco, Ventura |
| Aetna Medicare | 7 | Orange, San Diego, Kern, Los Angeles, Fresno, Ventura, San Bernardino, Alameda, Marin, Riverside, Santa Clara, San Francisco, Stanislaus, Placer, San Joaquin, Yolo, Sacramento |
| Alignment Health Plan | 13 | Orange, San Diego, Los Angeles, San Luis Obispo, Santa Clara, Ventura, San Joaquin, Marin, Riverside, San Bernardino, Stanislaus, San Francisco, San Mateo, Sonoma, Placer, Santa Cruz, Yolo, Sacramento |
| Anthem | 15 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara, San Diego, Madera, Kern, Merced, San Joaquin, Monterey, Fresno, San Luis Obispo, Tulare, Ventura, Kings, Yuba, Sutter, Tehama, Sonoma, Napa, Solano, Shasta, El Dorado, Butte, San Francisco, Sacramento, San Benito |
| Anthem Blue Cross | 8 | Orange, Alameda, San Diego, San Mateo, Madera, Kern, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, Yolo, San Bernardino, Santa Clara, San Francisco, Ventura, Kings, Sacramento, Stanislaus, San Benito |
| Anthem Blue Cross Life and Health Insurance Co | 1 | Orange, Yuba, Sutter, Tehama, Sonoma, Napa, Solano, Shasta, El Dorado, Butte |
| Aspire Health Plan | 3 | Monterey |
| Astiva Health | 2 | Orange, San Diego |
| Blue Shield of California | 12 | Orange, Stanislaus, Merced, San Joaquin, Los Angeles, Fresno, Santa Clara, San Diego, San Bernardino, Riverside, Alameda, San Mateo, Madera, Sacramento, Kern, Santa Barbara, San Luis Obispo, Ventura |
| Brand New Day | 14 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento |
| Brandman Health Plan | 4 | Los Angeles |
| CCHP Health Plan | 1 | San Francisco |
| Central Health | 3 | Orange, Los Angeles, San Bernardino, Ventura |
| Central Health Medicare Plan | 3 | Orange, Los Angeles, Riverside, San Bernardino, Ventura |
| Chinese Community Health Plan | 2 | San Mateo, San Francisco |
| Clever Care Health Plan | 2 | Orange, San Diego, Los Angeles |
| Golden State | 2 | Orange, San Diego, Stanislaus, San Joaquin, Los Angeles, San Luis Obispo, Riverside, San Bernardino, San Francisco |
| Golden State Medicare Health Plan | 1 | Orange, Stanislaus, Los Angeles, San Luis Obispo, Riverside |
| HEALTH NET COMMUNITY SOLUTIONS, INC | 2 | Orange, Alameda, San Diego, Kern, Imperial, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, San Francisco |
| Health Net | 4 | Orange, San Diego, Kern, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, San Francisco, Sacramento |
| Health Net of California | 6 | Orange, Los Angeles, Riverside, San Bernardino, San Diego, Kern, Stanislaus, Santa Clara, Alameda, Placer, Imperial, Fresno, Yolo, San Francisco, Sacramento |
| Humana | 17 | Orange, San Diego, Los Angeles, Riverside, San Bernardino, Kern, Ventura, Madera, Stanislaus, San Joaquin, Fresno, San Luis Obispo, Tulare, Kings, Contra Costa, Santa Barbara |
| Imperial Health Plan of California | 2 | Orange, Alameda, San Diego, San Mateo, Madera, Kern, Contra Costa, Stanislaus, Merced, Santa Barbara, Placer, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, Yolo, San Bernardino, Santa Clara, San Francisco, Ventura, Kings, Sacramento |
| Imperial Health Plan of California, Inc | 3 | Orange, Alameda, San Diego, San Mateo, Madera, Kern, Contra Costa, Stanislaus, Merced, Santa Barbara, Placer, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, Yolo, San Bernardino, Santa Clara, San Francisco, Ventura, Kings, Sacramento |
| Inter Valley Health Plan | 3 | Orange, Los Angeles, Riverside, San Bernardino |
| Kaiser Permanente | 26 | Orange, San Diego, Kern, Los Angeles, Riverside, San Bernardino, Ventura, Alameda, Napa, San Francisco, Yuba, San Mateo, Madera, Contra Costa, Mariposa, Sutter, Stanislaus, Amador, Solano, Placer, San Joaquin, Santa Cruz, Fresno, Marin, Tulare, Yolo, El Dorado, Santa Clara, Kings, Sacramento, Sonoma |
| Molina Healthcare | 1 | San Diego, Imperial, Los Angeles, Riverside, San Bernardino |
| OneCare | 1 | Orange |
| SCAN Health Plan | 16 | Orange, Stanislaus, Sonoma, Napa, Los Angeles, Riverside, San Bernardino, Santa Clara, San Francisco, Ventura, San Diego |
| Sharp Health Plan | 2 | San Diego |
| Stanford Health Care Advantage | 2 | Alameda, San Mateo, Santa Clara |
| UnitedHealthcare | 17 | Orange, San Diego, Kern, Santa Barbara, Los Angeles, San Luis Obispo, Riverside, San Bernardino, Ventura, San Mateo, Contra Costa, Stanislaus, Placer, Yolo, Santa Clara, Sacramento, Alameda, Madera, Amador, Tehama, Merced, Mendocino, Sonoma, Napa, Solano, San Joaquin, Shasta, Fresno, Nevada, Marin, Tulare, El Dorado, San Francisco, Lake, Kings, Santa Cruz |
| Vitality Health Plan | 1 | San Joaquin, Santa Clara |
| WellCare | 4 | Orange, Los Angeles, Riverside, San Bernardino, Ventura, San Joaquin |
| Western Health Advantage | 2 | Sonoma, Napa, Solano, Marin, Yolo, Sacramento |
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California Medicare Advantage Plans by Company
We’ve put together a list of all of plans available from each CA Medicare company to help you compare Medicare Advantage plans by company in California. Take a look at the plans here.
Medicare Plans in California Offered by Clever Care Health Plan
Though plans can vary from county to county, Clever Care Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Clever Care Balance Medicare Advantage (HMO) | H7607-003 | Orange, San Diego, Los Angeles | Local HMO | $31.50 |
| Clever Care Longevity Medicare Advantage (HMO) | H7607-002 | Orange, San Diego, Los Angeles | Local HMO | $0.00 |
Medicare Plans in California Offered by Health Net
Though plans can vary from county to county, Health Net offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Health Net Amber II (HMO D-SNP) | H0562-121 | Orange, San Diego, Kern, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, San Francisco | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Health Net Amber I (HMO D-SNP) | H0562-055 | Orange, San Diego, Kern, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, San Francisco | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Health Net Jade (HMO C-SNP) | H0562-092 | Orange, San Diego, Kern, Los Angeles, Fresno, San Francisco | Local HMO | $0.00 |
| Health Net Amber II Premier (HMO D-SNP) | H3561-001 | Fresno, Sacramento | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in California Offered by Brand New Day
Though plans can vary from county to county, Brand New Day offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Brand New Day Bridges Care Plan (HMO C-SNP) | H0838-028 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $0.00 |
| Brand New Day Select Choice I Plan (HMO I-SNP) | H0838-044 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $31.50 |
| Brand New Day Embrace Choice Plan (HMO C-SNP) | H0838-040 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $31.50 |
| Brand New Day Harmony Choice Plan (HMO C-SNP) | H0838-020 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $31.50 |
| Brand New Day Bridges Choice Plan (HMO C-SNP) | H0838-029 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $31.50 |
| Brand New Day Classic Care I Plan (HMO) | H0838-025 | Orange, San Diego, Kern, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| Brand New Day Classic Choice Plan (HMO) | H0838-033 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $31.50 |
| Brand New Day Classic Care II Plan (HMO) | H0838-037 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $0.00 |
| Brand New Day Embrace Care Plan (HMO C-SNP) | H0838-039 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $0.00 |
| Brand New Day Harmony Care Plan (HMO C-SNP) | H0838-032 | Orange, San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $0.00 |
| Brand New Day Dual Access Plan (HMO D-SNP) | H0838-024 | Orange, Madera, Kern, Imperial, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, San Francisco, Kings, Sacramento | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Brand New Day Select Care I Plan (HMO I-SNP) | H0838-042 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| Brand New Day Select Choice II Plan (HMO I-SNP) | H0838-045 | San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Fresno, Tulare, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $31.50 |
| Brand New Day Select Care II Plan (HMO I-SNP) | H0838-043 | San Diego, San Mateo, Madera, Kern, Imperial, San Joaquin, Fresno, Tulare, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $0.00 |
Medicare Plans in California Offered by Blue Shield of California
Though plans can vary from county to county, Blue Shield of California offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Blue Shield AdvantageOptimum Plan (HMO) | H5928-004 | Orange, Stanislaus, Merced, San Joaquin, Los Angeles, Fresno, Santa Clara | Local HMO | $0.00 |
| Blue Shield TotalDual Plan (HMO D-SNP) | H5928-005 | Orange, San Diego, Los Angeles, San Bernardino | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Blue Shield Vital (HMO) | H0504-044 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| Blue Shield 65 Plus Plan 2 (HMO) | H0504-021 | Orange, Los Angeles | Local HMO | $0.00 |
| Blue Shield Inspire (HMO) | H0504-043 | Orange, Alameda, San Mateo, Madera, Stanislaus, Merced, San Joaquin, Los Angeles, Fresno, Santa Clara, Sacramento | Local HMO | $0.00 |
| Blue Shield 65 Plus (HMO) | H0504-015 | Orange, San Diego, Kern, Santa Barbara, Los Angeles, San Luis Obispo, Riverside, San Bernardino, Ventura | Local HMO | $0.00 |
| Blue Shield Coordinated Choice Plan (HMO) | H5928-037 | Orange, San Diego, Stanislaus, Merced, San Joaquin, Los Angeles, Fresno, Riverside, San Bernardino, Santa Clara | Local HMO | $31.50 |
| Blue Shield Inspire (PPO) | H4937-001 | Alameda | Local PPO | $98.00 |
| Blue Shield AdvantageOptimum Plan 1 (HMO) | H5928-010 | San Diego | Local HMO | $0.00 |
| Blue Shield AdvantageOptimum Plan 2 (HMO) | H5928-053 | San Diego | Local HMO | $0.00 |
| Blue Shield Inspire (HMO D-SNP) | H5928-054 | Stanislaus, San Joaquin, Fresno | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Blue Shield 65 Plus Choice Plan (HMO) | H0504-040 | Riverside, San Bernardino | Local HMO | $0.00 |
Medicare Plans in California Offered by WellCare
Though plans can vary from county to county, WellCare offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| WellCare Dividend (HMO) | H5087-025 | Orange, Los Angeles, Riverside, San Bernardino, Ventura | Local HMO | $0.00 |
| WellCare Best (HMO) | H5087-005 | Orange, San Joaquin, Los Angeles, Riverside, San Bernardino, Ventura | Local HMO | $0.00 |
| WellCare Plus (HMO) | H5087-002 | Orange, San Joaquin, Los Angeles, Riverside, San Bernardino, Ventura | Local HMO | $4.60 |
| WellCare Freedom (HMO D-SNP) | H5087-001 | Los Angeles | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in California Offered by Kaiser Permanente
Though plans can vary from county to county, Kaiser Permanente offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP) | H0524-029 | Orange, San Diego, Kern, Los Angeles, Riverside, San Bernardino, Ventura | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) | H0524-003 | Orange, Los Angeles | Local HMO | $0.00 |
| Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) | H0524-032 | Alameda, Napa, San Francisco | Local HMO | $84.00 |
| Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) | H0524-030 | Alameda, Yuba, San Mateo, Madera, Contra Costa, Mariposa, Sutter, Stanislaus, Amador, Napa, Solano, Placer, San Joaquin, Santa Cruz, Fresno, Marin, Tulare, Yolo, El Dorado, Santa Clara, San Francisco, Kings, Sacramento | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Kaiser Permanente Senior Advantage Basic Alameda (HMO) | H0524-059 | Alameda | Local HMO | $24.00 |
| Kaiser Permanente Senior Advantage San Diego (HMO) | H0524-037 | San Diego | Local HMO | $0.00 |
| Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) | H0524-051 | Yuba, Sutter, Amador, Sonoma, Placer, Yolo, El Dorado, Sacramento | Local HMO | $15.00 |
| Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) | H0524-013 | Yuba, Sutter, Amador, Sonoma, Placer, Yolo, El Dorado, Sacramento | Local HMO | $75.00 |
| Kaiser Permanente Senior Advantage Marin San Mateo (HMO) | H0524-031 | San Mateo, Marin | Local HMO | $89.00 |
| Kaiser Permanente Senior Advantage Basic Fresno (HMO) | H0524-046 | Madera, Mariposa, Fresno, Tulare, Kings | Local HMO | $15.00 |
| Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) | H0524-038 | Madera, Mariposa, Fresno, Tulare, Kings | Local HMO | $75.00 |
| Kaiser Permanente Senior Advantage Enhanced Kern (HMO) | H0524-035 | Kern | Local HMO | $29.00 |
| Kaiser Permanente Senior Advantage Basic Kern (HMO) | H0524-036 | Kern | Local HMO | $0.00 |
| Kaiser Permanente Sr Adv Basic Contra Costa (HMO) | H0524-061 | Contra Costa | Local HMO | $24.00 |
| Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO) | H0524-033 | Contra Costa | Local HMO | $84.00 |
| Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) | H0524-040 | Stanislaus | Local HMO | $75.00 |
| Kaiser Permanente Senior Advantage Basic Stanis (HMO) | H0524-041 | Stanislaus | Local HMO | $15.00 |
| Kaiser Permanente Senior Advantage Solano (HMO) | H0524-008 | Solano | Local HMO | $89.00 |
| Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) | H0524-043 | San Joaquin | Local HMO | $15.00 |
| Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) | H0524-042 | San Joaquin | Local HMO | $75.00 |
| Kaiser Permanente Senior Advantage Santa Cruz (HMO) | H0524-054 | Santa Cruz | Local HMO | $79.00 |
| Kaiser Permanente Senior Advantage Inland Empire (HMO) | H0524-015 | Riverside, San Bernardino | Local HMO | $0.00 |
| Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) | H0524-039 | Santa Clara | Local HMO | $75.00 |
| Kaiser Permanente Sr Adv Basic Santa Clara (HMO) | H0524-062 | Santa Clara | Local HMO | $15.00 |
| Kaiser Permanente Senior Advantage Basic SF (HMO) | H0524-060 | San Francisco | Local HMO | $24.00 |
| Kaiser Permanente Senior Advantage Ventura (HMO) | H0524-034 | Ventura | Local HMO | $0.00 |
Medicare Plans in California Offered by HEALTH NET COMMUNITY SOLUTIONS, INC
Though plans can vary from county to county, HEALTH NET COMMUNITY SOLUTIONS, INC offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Health Net Sapphire Premier II (HMO) | H3561-005 | Orange, Alameda, San Diego, Kern, Imperial, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, San Francisco | Local HMO | $26.70 |
| Health Net Sapphire Premier (HMO) | H3561-002 | Orange, Alameda, San Diego, Kern, Imperial, Los Angeles, Fresno, Tulare, Riverside, San Bernardino, San Francisco | Local HMO | $25.40 |
Medicare Plans in California Offered by Anthem Blue Cross
Though plans can vary from county to county, Anthem Blue Cross offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Anthem MediBlue Plus (HMO) | H0544-061 | Orange, Alameda, San Diego, San Mateo, Madera, Kern, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, Yolo, San Bernardino, Santa Clara, San Francisco, Ventura, Kings, Sacramento | Local HMO | $0.00 |
| Anthem MediBlue Select (HMO) | H0544-059 | Orange, San Diego, Los Angeles, Riverside, San Bernardino, San Francisco | Local HMO | $0.00 |
| Anthem MediBlue StartSmart Plus (HMO) | H0544-007 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara, San Benito | Local HMO | $0.00 |
| Anthem MediBlue Value Plus (HMO) | H0544-002 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara, San Benito | Local HMO | $0.00 |
| Anthem MediBlue Coordination Plus (HMO) | H0544-072 | Orange, Alameda, San Diego, San Mateo, Los Angeles, Riverside, San Bernardino, Santa Clara | Local HMO | $12.20 |
| Anthem MediBlue Connect Plus (HMO) | H0544-122 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara, San Benito | Local HMO | $23.50 |
| Anthem MediBlue Extra (HMO) | H0544-081 | Orange, San Diego, Los Angeles, Riverside, San Bernardino | Local HMO | $31.50 |
| Anthem MediBlue Value (HMO) | H0544-107 | Stanislaus | Local HMO | $0.00 |
Medicare Plans in California Offered by Health Net of California
Though plans can vary from county to county, Health Net of California offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Health Net Gold Select (HMO) | H0562-125 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| Health Net Sapphire (HMO) | H0562-122 | Orange, San Diego, Kern, Stanislaus, Los Angeles, Riverside, San Bernardino, Santa Clara | Local HMO | $28.50 |
| Health Net Healthy Heart (HMO) | H0562-123 | Orange, Alameda, San Diego, Stanislaus, Placer, Imperial, Los Angeles, Fresno, Riverside, Yolo, San Bernardino, San Francisco, Sacramento | Local HMO | $17.00 |
| Health Net Green (HMO) | H0562-044 | Alameda, Stanislaus, Placer, Los Angeles, Riverside, San Bernardino, Sacramento | Local HMO * | $0.00 |
| Health Net Ruby Select (HMO) | H0562-113 | Alameda, Placer, Fresno, Yolo, San Francisco, Sacramento | Local HMO | $0.00 |
| Health Net Ruby (HMO) | H0562-079 | Kern, Stanislaus, Santa Clara | Local HMO | $0.00 |
Medicare Plans in California Offered by SCAN Health Plan
Though plans can vary from county to county, SCAN Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| SCAN Balance (HMO C-SNP) | H5425-034 | Orange, Stanislaus, Sonoma, Napa, Los Angeles | Local HMO | $0.00 |
| SCAN Plus (HMO) | H5425-045 | Orange, Stanislaus, Los Angeles, Riverside, San Bernardino, Santa Clara, San Francisco, Ventura | Local HMO | $31.50 |
| SCAN Healthy at Home (HMO I-SNP) | H9104-006 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| SCAN Classic (HMO) | H5425-007 | Orange, Stanislaus, Sonoma, Napa, Los Angeles, Riverside, San Bernardino, Santa Clara, San Francisco, Ventura | Local HMO | $0.00 |
| SCAN Prime (HMO) | H5425-066 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $26.00 |
| SCAN Heart First (HMO C-SNP) | H5425-028 | Orange, Sonoma, Napa, Riverside, San Bernardino | Local HMO | $0.00 |
| Scripps Heart First offered by SCAN Health Plan (HMO C-SNP) | H5425-055 | San Diego | Local HMO | $26.00 |
| Scripps Plus offered by SCAN Health Plan (HMO) | H5425-040 | San Diego | Local HMO | $31.50 |
| Scripps Signature offered by SCAN Health Plan (HMO) | H5425-004 | San Diego | Local HMO | $74.00 |
| Scripps Classic offered by SCAN Health Plan (HMO) | H5425-005 | San Diego | Local HMO | $0.00 |
| SCAN Compass (HMO) | H5425-074 | Sonoma, Napa | Local HMO | $25.00 |
| VillageHealth (HMO-POS C-SNP) | H5943-002 | Los Angeles, Riverside, San Bernardino | Local HMO | $31.50 |
| SCAN Connections at Home (HMO D-SNP) | H5425-030 | Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| SCAN Connections (HMO D-SNP) | H5425-010 | Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| SCAN Classic II (HMO) | H5425-064 | Los Angeles | Local HMO | $59.00 |
| SCAN Options (HMO) | H5425-073 | Santa Clara | Local HMO | $0.00 |
Medicare Plans in California Offered by Golden State
Though plans can vary from county to county, Golden State offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Connected Care (HMO) | H2241-013 | Orange, San Diego, Stanislaus, San Joaquin, Los Angeles, San Luis Obispo, Riverside, San Bernardino | Local HMO | $0.00 |
| Golden State Senior Health Plan (HMO) | H2241-014 | San Francisco | Local HMO | $0.00 |
Medicare Plans in California Offered by Aetna Medicare
Though plans can vary from county to county, Aetna Medicare offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Choice Plan (PPO) | H5521-056 | Orange, San Diego, Kern, Los Angeles, Fresno, Ventura | Local PPO | $89.00 |
| Aetna Medicare Prime Plan (HMO) | H0523-061 | Orange, Los Angeles, San Bernardino | Local HMO | $0.00 |
| Aetna Medicare Plus Plan (HMO) | H4982-001 | Orange, Alameda, San Diego, Kern, Los Angeles, Fresno, Marin, Riverside, San Bernardino, Santa Clara, San Francisco, Ventura | Local HMO | $0.00 |
| Aetna Medicare Select Plan (HMO) | H0523-002 | Orange, San Diego, Kern, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| Aetna Medicare Eagle Plan (HMO) | H4982-013 | Orange, Alameda, San Diego, Kern, Los Angeles, Fresno, Marin, Riverside, San Bernardino, Santa Clara, San Francisco, Ventura | Local HMO * | $0.00 |
| Aetna Medicare Elite Plan (PPO) | H5521-293 | Alameda, Stanislaus, Placer, San Joaquin, Marin, Yolo, Santa Clara, San Francisco, Sacramento | Local PPO | $0.00 |
| Aetna Medicare Plus Plan 2 (HMO) | H4982-015 | San Diego | Local HMO | $21.00 |
Medicare Plans in California Offered by Imperial Health Plan of California
Though plans can vary from county to county, Imperial Health Plan of California offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Imperial Senior Value (HMO C-SNP) | H5496-005 | Orange, Alameda, San Diego, San Mateo, Madera, Kern, Contra Costa, Stanislaus, Merced, Santa Barbara, Placer, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, Yolo, San Bernardino, Santa Clara, San Francisco, Ventura, Kings, Sacramento | Local HMO | $0.00 |
| Imperial Dual Plan (HMO D-SNP) | H5496-011 | San Francisco, Sacramento | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in California Offered by Humana
Though plans can vary from county to county, Humana offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Humana Value Plus H5619-037 (HMO) | H5619-037 | Orange, San Diego, Los Angeles, Riverside, San Bernardino | Local HMO | $20.40 |
| Humana Gold Plus H5619-021 (HMO) | H5619-021 | Orange, Los Angeles | Local HMO | $0.00 |
| Humana Honor (HMO) | H5619-120 | Orange, San Diego, Kern, Los Angeles, Riverside, San Bernardino, Ventura | Local HMO * | $0.00 |
| Humana Gold Plus H5619-016 (HMO) | H5619-016 | San Diego | Local HMO | $0.00 |
| UC San Diego Health Humana (HMO) | H5619-131 | San Diego | Local HMO | $0.00 |
| Humana Gold Plus H5619-013 (HMO) | H5619-013 | Madera | Local HMO | $0.00 |
| Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) | H5619-038 | Madera, Kern, Stanislaus, San Joaquin, Fresno, San Luis Obispo, Tulare, Ventura, Kings | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Humana Gold Plus H5619-116 (HMO) | H5619-116 | Kern | Local HMO | $0.00 |
| Humana Gold Plus H5619-029 (HMO) | H5619-029 | Contra Costa | Local HMO | $70.00 |
| Humana Gold Plus H5619-032 (HMO) | H5619-032 | Stanislaus | Local HMO | $0.00 |
| Humana Gold Plus H5619-130 (HMO) | H5619-130 | Santa Barbara, Ventura | Local HMO | $49.00 |
| Humana Gold Plus H5619-026 (HMO) | H5619-026 | San Joaquin | Local HMO | $91.00 |
| Humana Community (HMO) | H7621-003 | San Joaquin, Riverside | Local HMO | $0.00 |
| Humana Gold Plus H5619-012 (HMO) | H5619-012 | Fresno | Local HMO | $0.00 |
| Humana Gold Plus H5619-119 (HMO) | H5619-119 | San Luis Obispo | Local HMO | $0.00 |
| Humana Gold Plus H5619-015 (HMO) | H5619-015 | Tulare, Kings | Local HMO | $0.00 |
| Humana Gold Plus H5619-039 (HMO) | H5619-039 | Riverside, San Bernardino | Local HMO | $0.00 |
Medicare Plans in California Offered by Imperial Health Plan of California, Inc
Though plans can vary from county to county, Imperial Health Plan of California, Inc offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Imperial Traditional (HMO) | H5496-007 | Orange, Alameda, San Diego, San Mateo, Madera, Kern, Contra Costa, Stanislaus, Merced, Santa Barbara, Placer, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, Yolo, San Bernardino, Santa Clara, San Francisco, Ventura, Kings, Sacramento | Local HMO | $0.00 |
| Imperial Traditional Plus (HMO) | H5496-009 | Orange, Alameda, San Diego, San Mateo, Madera, Kern, Contra Costa, Stanislaus, Merced, Santa Barbara, Placer, San Joaquin, Los Angeles, Fresno, Tulare, Riverside, Yolo, San Bernardino, Santa Clara, San Francisco, Ventura, Kings, Sacramento | Local HMO | $31.50 |
| Imperial Dynamic Plan (HMO) | H5496-012 | Orange, San Diego, Kern, Los Angeles, Riverside, San Bernardino, Ventura, Sacramento | Local HMO | $0.00 |
Medicare Plans in California Offered by UnitedHealthcare
Though plans can vary from county to county, UnitedHealthcare offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (HMO) | H0543-121 | Orange, San Diego, Kern, Santa Barbara, Los Angeles, San Luis Obispo, Riverside, San Bernardino, Ventura | Local HMO * | $0.00 |
| AARP Medicare Advantage SecureHorizons Focus (HMO) | H0543-169 | Orange, San Mateo, Contra Costa, Stanislaus, Placer, Los Angeles, Riverside, Yolo, San Bernardino, Santa Clara, Sacramento | Local HMO | $0.00 |
| AARP Medicare Advantage SecureHorizons Premier (HMO) | H0543-165 | Orange, San Diego, Los Angeles, Riverside, San Bernardino | Local HMO | $28.20 |
| AARP Medicare Advantage Freedom Plus (HMO-POS) | H0543-215 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| AARP Medicare Advantage SecureHorizons Plan 2 (HMO) | H0543-138 | Orange, Stanislaus, Los Angeles, San Luis Obispo, Riverside, San Bernardino | Local HMO | $0.00 |
| UnitedHealthcare Medicare Advantage Assure (HMO) | H0543-153 | Orange, Alameda, San Diego, Madera, Kern, Contra Costa, Stanislaus, Amador, Tehama, Merced, Mendocino, Sonoma, Napa, Solano, Placer, San Joaquin, Shasta, Los Angeles, Fresno, Nevada, Marin, Tulare, Riverside, Yolo, El Dorado, San Bernardino, Santa Clara, San Francisco, Lake, Kings, Sacramento | Local HMO | $22.50 |
| UnitedHealthcare Canopy Health Medicare Advantage (HMO) | H0543-188 | Alameda, Contra Costa, Santa Cruz, Marin, San Francisco | Local HMO | $69.00 |
| AARP Medicare Advantage SecureHorizons Plan 1 (HMO) | H0543-070 | Alameda, San Mateo, Contra Costa, Stanislaus, Santa Barbara, Los Angeles, San Luis Obispo | Local HMO | $110.00 |
| UnitedHealthcare Dual Complete (HMO D-SNP) | H1375-001 | Alameda, Madera, Fresno, Kings | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| AARP Medicare Advantage SecureHorizons Plan 4 (HMO) | H0543-152 | San Diego | Local HMO | $0.00 |
| AARP Medicare Advantage Walgreens (HMO) | H0543-204 | San Diego | Local HMO | $0.00 |
| AARP Medicare Advantage SecureHorizons Value (HMO) | H0543-013 | San Diego | Local HMO | $25.00 |
| Sharp SecureHorizons Plan by UnitedHealthcare (HMO) | H0543-145 | San Diego | Local HMO | $0.00 |
| UnitedHealthcare Chronic Complete Focus (HMO C-SNP) | H0543-214 | San Diego | Local HMO | $0.00 |
| AARP Medicare Advantage SecureHorizons (HMO) | H0543-035 | Madera, Kern, Amador, Tehama, Merced, Mendocino, Sonoma, Napa, Solano, Placer, San Joaquin, Shasta, Santa Cruz, Fresno, Nevada, Marin, Tulare, Yolo, El Dorado, Santa Clara, San Francisco, Ventura, Lake, Kings, Sacramento | Local HMO | $69.00 |
| AARP Medicare Advantage Choice (PPO) | H4829-003 | Mendocino, Sonoma, Napa, Solano, Marin, Tulare, Lake | Local PPO | $75.00 |
| Choice (HMO) | H1426-001 | San Joaquin, Santa Clara | Local HMO | $0.00 |
Medicare Plans in California Offered by Anthem
Though plans can vary from county to county, Anthem offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Anthem MediBlue Care On Site (HMO I-SNP) | H0544-005 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara | Local HMO | $0.00 |
| Anthem MediBlue Lung Care (HMO C-SNP) | H0544-014 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara | Local HMO | $0.00 |
| Anthem MediBlue Diabetes Care (HMO C-SNP) | H0544-004 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara | Local HMO | $0.00 |
| Anthem MediBlue ESRD Care (HMO C-SNP) | H0544-015 | Orange, Los Angeles, San Bernardino | Local HMO | $0.00 |
| Anthem MediBlue Heart Care (HMO C-SNP) | H0544-013 | Orange, Stanislaus, Los Angeles, San Bernardino, Santa Clara | Local HMO | $0.00 |
| Anthem MediBlue ESRD Care (PPO C-SNP) | H8552-028 | San Diego, Madera, Kern, Stanislaus, Merced, San Joaquin, Monterey, Fresno, San Luis Obispo, Tulare, Ventura, Kings | Local PPO | $31.50 |
| Anthem MediBlue Dual Access (PPO D-SNP) | H8552-030 | Yuba, Sutter, Tehama, Sonoma, Napa, Solano, Shasta, El Dorado, Butte | Local PPO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Anthem MediBlue Dual Advantage (HMO D-SNP) | H0544-052 | Madera, Kern, San Joaquin, Fresno, Tulare, San Francisco, Ventura, Kings, Sacramento | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Anthem MediBlue Dual Plus (HMO D-SNP) | H0544-087 | Madera, Kern, Fresno, Tulare, San Francisco, Ventura, Kings, Sacramento | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Anthem MediBlue Diabetes (HMO C-SNP) | H0544-032 | Stanislaus, Santa Clara, San Benito | Local HMO | $59.00 |
| Anthem MediBlue Heart (HMO C-SNP) | H0544-036 | Stanislaus, Santa Clara, San Benito | Local HMO | $59.00 |
| Anthem MediBlue Lung (HMO C-SNP) | H0544-031 | Stanislaus, Santa Clara, San Benito | Local HMO | $59.00 |
| Anthem MediBlue Connect (HMO D-SNP) | H0544-003 | Los Angeles, Santa Clara | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Anthem MediBlue Care To You (HMO I-SNP) | H0544-093 | Sacramento | Local HMO | $0.00 |
| Anthem MediBlue Diabetes Care Plus (HMO C-SNP) | H0544-094 | Sacramento | Local HMO | $0.00 |
Medicare Plans in California Offered by Astiva Health
Though plans can vary from county to county, Astiva Health offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Astiva Health Value (HMO) | H1993-002 | Orange, San Diego | Local HMO | $31.50 |
| Astiva Health Advantage (HMO) | H1993-001 | Orange, San Diego | Local HMO | $0.00 |
Medicare Plans in California Offered by Anthem Blue Cross Life and Health Insurance Co
Though plans can vary from county to county, Anthem Blue Cross Life and Health Insurance Co offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Anthem MediBlue Access (PPO) | H8552-020 | Orange, Yuba, Sutter, Tehama, Sonoma, Napa, Solano, Shasta, El Dorado, Butte | Local PPO | $172.00 |
Medicare Plans in California Offered by Alignment Health Plan
Though plans can vary from county to county, Alignment Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| AVA (HMO) | H3815-027 | Orange, San Diego, Los Angeles, San Luis Obispo, Santa Clara, Ventura | Local HMO | $0.00 |
| Platinum (HMO) | H3815-008 | Orange, San Diego, San Joaquin, Los Angeles, Marin, Riverside, San Bernardino | Local HMO | $0.00 |
| Heart & Diabetes (HMO C-SNP) | H3815-010 | Orange, Los Angeles | Local HMO | $0.00 |
| My Choice (HMO) | H3815-001 | Orange, Stanislaus, San Joaquin, Los Angeles, San Luis Obispo, Riverside, San Bernardino, Santa Clara, San Francisco, Ventura | Local HMO | $0.00 |
| CalPlus (HMO) | H3815-009 | Orange, San Diego, Stanislaus, San Joaquin, Los Angeles, San Luis Obispo, Marin, Riverside, San Bernardino, Santa Clara, San Francisco, Ventura | Local HMO | $20.10 |
| Select (HMO) | H3815-032 | San Diego | Local HMO | $0.00 |
| Harmony (HMO) | H3815-031 | San Diego, Santa Clara | Local HMO | $0.00 |
| My Choice (PPO) | H4961-002 | San Mateo, Stanislaus, Sonoma, Placer, San Joaquin, Santa Cruz, Yolo, Sacramento | Local PPO | $95.00 |
| Sutter Advantage (HMO) | H3815-022 | San Mateo, Sonoma, Placer, Santa Cruz, Yolo, Santa Clara, San Francisco, Sacramento | Local HMO | $46.00 |
| Balance (PPO) | H4961-006 | Stanislaus, San Joaquin | Local PPO | $0.00 |
| AllCare Preferred Plan (HMO) | H3815-011 | Stanislaus | Local HMO | $0.00 |
| CalPlusDuals (HMO D-SNP) | H3815-030 | Stanislaus, San Joaquin, Marin | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| smartHMO (HMO) | H3815-013 | Los Angeles | Local HMO | $0.00 |
Medicare Plans in California Offered by OneCare
Though plans can vary from county to county, OneCare offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| OneCare (HMO D-SNP) | H5433-001 | Orange | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in California Offered by Central Health Medicare Plan
Though plans can vary from county to county, Central Health Medicare Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Central Health Premier Plan (HMO) | H5649-004 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $31.50 |
| Central Health Medicare Plan (HMO) | H5649-001 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| Central Health Ventura Medicare Plan (HMO) | H5649-008 | Ventura | Local HMO | $0.00 |
Medicare Plans in California Offered by Inter Valley Health Plan
Though plans can vary from county to county, Inter Valley Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Inter Valley Health Plan Vitality Plus (HMO) | H0545-015 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $31.50 |
| Inter Valley Health Plan Service To Seniors (HMO) | H0545-001 | Orange, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 |
| Inter Valley Health Plan Desert Preferred Choice (HMO) | H0545-012 | Riverside | Local HMO | $0.00 |
Medicare Plans in California Offered by Golden State Medicare Health Plan
Though plans can vary from county to county, Golden State Medicare Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Connected Care Select (HMO C-SNP) | H2241-019 | Orange, Stanislaus, Los Angeles, San Luis Obispo, Riverside | Local HMO | $0.00 |
Medicare Plans in California Offered by Central Health
Though plans can vary from county to county, Central Health offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Central Health Focus Plan (HMO C-SNP) | H5649-006 | Orange, Los Angeles, San Bernardino | Local HMO | $0.00 |
| Central Health Medi-Medi Plan (HMO D-SNP) | H5649-002 | Los Angeles, San Bernardino | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Central Health Ventura Medi-Medi Plan (HMO D-SNP) | H5649-009 | Ventura | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in California Offered by Stanford Health Care Advantage
Though plans can vary from county to county, Stanford Health Care Advantage offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Stanford Health Care Advantage – Gold (HMO) | H2986-007 | Alameda, San Mateo, Santa Clara | Local HMO | $69.00 |
| Stanford Health Care Advantage – Platinum (HMO) | H2986-004 | Alameda, San Mateo, Santa Clara | Local HMO | $99.00 |
Medicare Plans in California Offered by Aetna
Though plans can vary from county to county, Aetna offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Preferred Plan (HMO D-SNP) | H4982-008 | Alameda, Kern, Fresno, Marin, San Francisco, Ventura | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in California Offered by Sharp Health Plan
Though plans can vary from county to county, Sharp Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Sharp Direct Advantage Gold Card (HMO) | H5386-003 | San Diego | Local HMO | $0.00 |
| Sharp Direct Advantage Platinum Card (HMO) | H5386-004 | San Diego | Local HMO | $58.00 |
Medicare Plans in California Offered by Molina Healthcare
Though plans can vary from county to county, Molina Healthcare offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Molina Medicare Complete Care (HMO D-SNP) | H5810-001 | San Diego, Imperial, Los Angeles, Riverside, San Bernardino | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in California Offered by Chinese Community Health Plan
Though plans can vary from county to county, Chinese Community Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| CCHP Senior Value Program (HMO) | H0571-007 | San Mateo, San Francisco | Local HMO | $0.00 |
| CCHP Senior Program (HMO) | H0571-001 | San Mateo, San Francisco | Local HMO | $42.00 |
Medicare Plans in California Offered by Western Health Advantage
Though plans can vary from county to county, Western Health Advantage offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Western Health Advantage MyCare Plus (HMO) | H2782-003 | Sonoma, Napa, Solano, Marin, Yolo, Sacramento | Local HMO | $99.00 |
| Western Health Advantage MyCare (HMO) | H2782-002 | Sonoma, Napa, Solano, Marin, Yolo, Sacramento | Local HMO | $0.00 |
Medicare Plans in California Offered by Vitality Health Plan
Though plans can vary from county to county, Vitality Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Plus (HMO) | H1426-003 | San Joaquin, Santa Clara | Local HMO | $31.50 |
Medicare Plans in California Offered by Aspire Health Plan
Though plans can vary from county to county, Aspire Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aspire Health Advantage (HMO) | H8764-001 | Monterey | Local HMO | $139.00 |
| Aspire Health Value (HMO) | H8764-003 | Monterey | Local HMO | $52.00 |
| Aspire Health Plus (HMO-POS) | H8764-002 | Monterey | Local HMO | $269.00 |
Medicare Plans in California Offered by Brandman Health Plan
Though plans can vary from county to county, Brandman Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Brandman Health Plan (Aspire) (HMO C-SNP) | H7594-003 | Los Angeles | Local HMO | $0.00 |
| Brandman Health Plan (Aspire-D) (HMO C-SNP) | H7594-004 | Los Angeles | Local HMO | $31.50 |
| Brandman Health Plan (Arise) (HMO C-SNP) | H7594-001 | Los Angeles | Local HMO | $0.00 |
| Brandman Health Plan (Arise-D) (HMO C-SNP) | H7594-002 | Los Angeles | Local HMO | $31.50 |
Medicare Plans in California Offered by AHF
Though plans can vary from county to county, AHF offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| PHP (HMO C-SNP) | H5852-001 | Los Angeles | Local HMO | $0.00 |
Medicare Plans in California Offered by CCHP Health Plan
Though plans can vary from county to county, CCHP Health Plan offers these Medicare plans in California.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| CCHP Senior Select Program (HMO D-SNP) | H0571-005 | San Francisco | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
California Medicare Advantage Plans With No Additional Cost
If you decide to get Medicare Advantage in California, you still have to pay your original Medicare Part B premium. Many CA Medicare companies offer Advantage plans that don’t cost any more than your original Medicare premium. Take a look at your options.
Zero-Cost {?{?state}} Medicare Advantage Plans
| Plan Name | County | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|
| AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-216-0 | San Benito | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage Patriot (HMO) – H0543-121-0 | San Joaquin | This Plan does NOT include prescription drug coverage. | $4,900 |
| AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-170-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage SecureHorizons Plan 2 (HMO) – H0543-144-0 | San Joaquin | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,900 |
| Aetna Medicare Eagle Plan (HMO) – H4982-013-0 | San Benito | This Plan does NOT include prescription drug coverage. | $4,200 |
| Aetna Medicare Plus Plan (HMO) – H4982-002-0 | San Benito | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $999 |
| Aetna Medicare Prime Plan (HMO) – H0523-061-0 | Contra Costa | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,200 |
| Aetna Medicare Select Plan (HMO) – H0523-022-0 | Contra Costa | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,400 |
| Anthem MediBlue Care On Site (HMO I-SNP) – H0544-005-0 | Contra Costa | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-010-0 | Contra Costa | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue ESRD Care (HMO C-SNP) – H0544-020-0 | San Joaquin | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Heart Care (HMO C-SNP) – H0544-038-0 | San Joaquin | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Lung Care (HMO C-SNP) – H0544-019-0 | Sonoma | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Plus (HMO) – H0544-060-3 | Stanislaus | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,000 |
| Anthem MediBlue Select (HMO) – H0544-066-0 | Sonoma | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,800 |
| Anthem MediBlue StartSmart Plus (HMO) – H0544-007-0 | San Joaquin | Preferred Generic: $5.00, Generic: $14.50, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $10.00 | $3,000 |
| Anthem MediBlue Value Plus (HMO) – H0544-008-0 | Kern | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $1,900 |
| Blue Shield 65 Plus (HMO) – H0504-017-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $2,799 |
| Blue Shield 65 Plus Choice Plan (HMO) – H0504-040-0 | Santa Clara | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield Vital (HMO) – H0504-045-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Brand New Day Bridges Care Plan (HMO C-SNP) – H0838-028-0 | San Joaquin | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Brand New Day Classic Care I Plan (HMO) – H0838-025-0 | Kern | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $999 |
| Brand New Day Classic Care II Plan (HMO) – H0838-037-0 | Kern | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $999 |
| Brand New Day Embrace Care Plan (HMO C-SNP) – H0838-039-1 | Santa Clara, San Francisco | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Brand New Day Harmony Care Plan (HMO C-SNP) – H0838-032-0 | Kern | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $90.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | N/A |
| Brand New Day Select Care I Plan (HMO I-SNP) – H0838-042-0 | Santa Clara | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Central Health Focus Plan (HMO C-SNP) – H5649-006-0 | Santa Clara | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Central Health Medicare Plan (HMO) – H5649-001-0 | Santa Clara | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $10.00 | $1,800 |
| Connected Care (HMO) – H2241-016-0 | Stanislaus | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $2,000 |
| Health Net Gold Select (HMO) – H0562-126-0 | Ventura | Preferred Generic: $0.00, Generic: $1.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $850 |
| Health Net Green (HMO) – H0562-044-0 | Fresno, Stanislaus, San Joaquin | This Plan does NOT include prescription drug coverage. | $3,400 |
| Humana Gold Plus H5619-039 (HMO) – H5619-039-2 | Sacramento | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,499 |
| Humana Honor (HMO) – H5619-121-0 | Orange | This Plan does NOT include prescription drug coverage. | $6,700 |
| IEHP DualChoice (Medicare-Medicaid Plan) – H5355-001-0 | San Francisco | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| Imperial Dynamic Plan (HMO) – H5496-012-0 | San Francisco, Sacramento | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33% | $899 |
| Imperial Senior Value (HMO C-SNP) – H5496-005-0 | Stanislaus | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | N/A |
| Imperial Traditional (HMO) – H5496-007-0 | San Joaquin | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $2,999 |
| Inter Valley Health Plan Service To Seniors (HMO) – H0545-001-0 | San Joaquin | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 33%, Select Diabetic Drugs: $11.00 | $1,000 |
| Kaiser Permanente Senior Advantage Inland Empire (HMO) – H0524-015-0 | San Joaquin | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,400 |
| Molina Dual Options (Medicare-Medicaid Plan) – H8677-001-0 | Stanislaus | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| My Choice (HMO) – H3815-001-0 | San Joaquin | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $2,400 |
| Platinum (HMO) – H3815-015-0 | Kern | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $2,400 |
| SCAN Classic (HMO) – H5425-009-0 | San Francisco | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| SCAN Healthy at Home (HMO I-SNP) – H9104-006-0 | Santa Clara | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | N/A |
| SCAN Heart First (HMO C-SNP) – H5425-033-0 | San Francisco | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | N/A |
| WellCare Best (HMO) – H5087-016-0 | Santa Clara | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $1,000 |
| WellCare Dividend (HMO) – H5087-025-0 | Orange | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,900 |
| Health Net Amber II (HMO D-SNP) – H0562-121-0 | San Bernardino, Los Angeles (Partial), Los Angeles, Riverside, San Diego, Los Angeles (Partial), Los Angeles, Fresno, San Francisco, Orange, Kern, Tulare | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25% | N/A |
| Health Net Amber I (HMO D-SNP) – H0562-055-0 | San Bernardino, Los Angeles (Partial), Los Angeles, Riverside, San Diego, Los Angeles (Partial), Los Angeles, Fresno, San Francisco, Orange, Kern, Tulare | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 41%, Specialty Tier: 25% | N/A |
| Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP) – H0524-029-0 | San Bernardino, Los Angeles (Partial), Los Angeles, Riverside, San Diego, Los Angeles (Partial), Los Angeles, Ventura, Orange, Kern | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% | N/A |
| Blue Shield TotalDual Plan (HMO D-SNP) – H5928-005-0 | San Diego | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | N/A |
| Brand New Day Dual Access Plan (HMO D-SNP) – H0838-024-0 | San Diego | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | N/A |
| Central Health Medi-Medi Plan (HMO D-SNP) – H5649-002-0 | San Diego | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 | N/A |
| Molina Medicare Complete Care (HMO D-SNP) – H5810-001-0 | San Bernardino, Los Angeles, Los Angeles (Partial), Riverside, San Diego, Los Angeles, Los Angeles (Partial) | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $40.00, Non-Preferred Drug: 29%, Specialty Tier: 25% | N/A |
| SCAN Connections (HMO D-SNP) – H5425-010-0 | Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles, Orange, Kern | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | N/A |
| SCAN Connections at Home (HMO D-SNP) – H5425-030-0 | San Bernardino, Los Angeles, Los Angeles (Partial), Riverside, Los Angeles, Los Angeles (Partial) | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | N/A |
| Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) – H0524-030-0 | Contra Costa | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% | N/A |
| Aetna Medicare Elite Plan (PPO) – H5521-293-0 | San Benito | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Anthem MediBlue Plus (HMO) – H0544-074-0 | San Joaquin | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| Health Net Ruby Select (HMO) – H0562-103-0 | Contra Costa | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,500 |
| Western Health Advantage MyCare (HMO) – H2782-002-0 | San Benito | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
| Anthem MediBlue Plus (HMO) – H0544-096-0 | San Benito | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $4,900 |
| Brand New Day Embrace Care Plan (HMO C-SNP) – H0838-039-2 | San Joaquin | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Brand New Day Select Care II Plan (HMO I-SNP) – H0838-043-0 | San Benito | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan) – H7885-001-0 | Contra Costa | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| CCHP Senior Value Program (HMO) – H0571-007-0 | Contra Costa | Preferred Generic: $5.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 31% | $7,550 |
| Blue Shield 65 Plus (HMO) – H0504-039-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,000 |
| AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-210-0 | San Benito | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-168-0 | San Benito | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage SecureHorizons Plan 1 (HMO) – H0543-001-0 | Contra Costa | Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,400 |
| AARP Medicare Advantage SecureHorizons Plan 2 (HMO) – H0543-151-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| Aetna Medicare Plus Plan (HMO) – H4982-001-0 | Sonoma | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $999 |
| Aetna Medicare Select Plan (HMO) – H0523-002-0 | Kern | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,000 |
| Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan) – H6229-005-0 | Santa Clara | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-004-0 | Kern | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue ESRD Care (HMO C-SNP) – H0544-015-0 | Santa Clara, San Francisco | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Heart Care (HMO C-SNP) – H0544-013-0 | Santa Clara | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Lung Care (HMO C-SNP) – H0544-014-0 | Santa Clara | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Plus (HMO) – H0544-061-0 | Ventura | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Anthem MediBlue Select (HMO) – H0544-058-0 | Sacramento | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $900 |
| Anthem MediBlue Value Plus (HMO) – H0544-002-0 | Stanislaus | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $900 |
| AVA (HMO) – H3815-027-0 | San Joaquin | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $999 |
| Blue Shield 65 Plus (HMO) – H0504-015-0 | Stanislaus | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $38.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield 65 Plus Plan 2 (HMO) – H0504-021-0 | Kern | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,899 |
| Blue Shield AdvantageOptimum Plan (HMO) – H5928-004-0 | Santa Clara | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield Inspire (HMO) – H0504-043-0 | Santa Clara | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan) – H0148-002-0 | Santa Clara | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Blue Shield Vital (HMO) – H0504-044-0 | Santa Clara | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Brandman Health Plan (Arise) (HMO C-SNP) – H7594-001-0 | Orange | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Brandman Health Plan (Aspire) (HMO C-SNP) – H7594-003-0 | Los Angeles, Los Angeles | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Clever Care Longevity Medicare Advantage (HMO) – H7607-002-1 | San Diego | Preferred Generic: 0%, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Brand: $75.00, Specialty Tier: 33%, Supplemental Drugs: $10.00 | $2,999 |
| Connected Care (HMO) – H2241-012-0 | San Diego | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,499 |
| Connected Care Select (HMO C-SNP) – H2241-018-0 | Orange | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) – H3237-001-0 | San Diego | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| Health Net Gold Select (HMO) – H0562-125-0 | Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles, Orange | Preferred Generic: $0.00, Generic: $1.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $850 |
| Health Net Jade (HMO C-SNP) – H0562-092-0 | Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles, Orange, Kern | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Heart & Diabetes (HMO C-SNP) – H3815-010-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Orange | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | N/A |
| Humana Gold Plus H5619-021 (HMO) – H5619-021-0 | Orange | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| Humana Honor (HMO) – H5619-120-0 | Los Angeles (Partial), Los Angeles, San Diego, Los Angeles (Partial), Los Angeles, Orange | This Plan does NOT include prescription drug coverage. | $6,700 |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) – H0524-003-0 | Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles, Orange | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,400 |
| L.A. Care Cal MediConnect Plan (Medicare-Medicaid Plan) – H8258-001-0 | Los Angeles, Los Angeles | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Molina Dual Options (Medicare-Medicaid Plan) – H8677-002-0 | Los Angeles, Los Angeles | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| PHP (HMO C-SNP) – H5852-001-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) | Generic: 15%, Preferred Brand: 15%, Non-Preferred Brand: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | N/A |
| Platinum (HMO) – H3815-008-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Orange | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $800 |
| SCAN Balance (HMO C-SNP) – H5425-034-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Orange | Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $30.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | N/A |
| SCAN Classic (HMO) – H5425-006-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $799 |
| smartHMO (HMO) – H3815-013-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $30.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $3,400 |
| WellCare Best (HMO) – H5087-005-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Orange | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $25.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $1,000 |
| WellCare Freedom (HMO D-SNP) – H5087-001-0 | Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | N/A |
| Anthem MediBlue Connect (HMO D-SNP) – H0544-003-0 | Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles, Santa Clara | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Plus (HMO) – H0544-060-4 | Contra Costa | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,700 |
| Anthem MediBlue Select (HMO) – H0544-067-0 | Contra Costa | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,800 |
| Blue Shield 65 Plus (HMO) – H0504-026-0 | Contra Costa | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $2,799 |
| Connected Care (HMO) – H2241-013-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,499 |
| Connected Care Select (HMO C-SNP) – H2241-019-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Humana Community (HMO) – H7621-002-0 | Santa Clara, San Francisco | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,500 |
| Humana Gold Plus H5619-039 (HMO) – H5619-039-1 | Kern | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,450 |
| Inter Valley Health Plan Desert Preferred Choice (HMO) – H0545-012-0 | Fresno, Stanislaus, San Joaquin | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 30%, Specialty Tier: 33%, Select Diabetic Drugs: $11.00 | $1,500 |
| SCAN Classic (HMO) – H5425-008-0 | San Joaquin | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Anthem MediBlue Dual Access (PPO D-SNP) – H8552-030-0 | Contra Costa | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $36.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| Aetna Medicare Plus Plan (HMO) – H4982-011-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $4,900 |
| CalPlusDuals (HMO D-SNP) – H3815-030-0 | San Benito | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: 23%, Non-Preferred Drug: 23%, Specialty Tier: 25%, Select Care Drugs: $5.00 | N/A |
| Aetna Medicare Preferred Plan (HMO D-SNP) – H4982-008-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | N/A |
| AARP Medicare Advantage SecureHorizons Plan 4 (HMO) – H0543-152-0 | San Joaquin | Preferred Generic: $5.00, Generic: $11.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 32% | $3,400 |
| AARP Medicare Advantage Walgreens (HMO) – H0543-204-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,900 |
| Aetna Medicare Plus Plan (HMO) – H4982-004-0 | San Benito | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,000 |
| Aetna Medicare Select Plan (HMO) – H0523-052-0 | San Benito | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,400 |
| Anthem MediBlue Plus (HMO) – H0544-065-0 | Contra Costa | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,400 |
| Anthem MediBlue Select (HMO) – H0544-091-0 | Contra Costa | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $2,500 |
| Astiva Health Advantage (HMO) – H1993-003-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $32.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,000 |
| Blue Shield 65 Plus (HMO) – H0504-028-0 | San Joaquin | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,399 |
| Blue Shield AdvantageOptimum Plan 1 (HMO) – H5928-010-0 | San Joaquin | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Blue Shield AdvantageOptimum Plan 2 (HMO) – H5928-053-0 | Sonoma | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan) – H0148-001-0 | Stanislaus | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Clever Care Longevity Medicare Advantage (HMO) – H7607-002-3 | San Joaquin | Preferred Generic: 0%, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Brand: $75.00, Specialty Tier: 33%, Supplemental Drugs: $10.00 | $2,999 |
| CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan) – H5172-002-0 | Kern | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Connected Care (HMO) – H2241-017-0 | Kern | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,000 |
| Harmony (HMO) – H3815-031-0 | Santa Clara, San Francisco | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $2,900 |
| Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) – H3237-002-0 | Kern | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| Health Net Healthy Heart (HMO) – H0562-012-0 | Santa Clara | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,000 |
| Health Net Jade (HMO C-SNP) – H0562-114-0 | Santa Clara | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Humana Gold Plus H5619-016 (HMO) – H5619-016-0 | Santa Clara | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,200 |
| Kaiser Permanente Senior Advantage San Diego (HMO) – H0524-037-0 | Orange | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $4,000 |
| Platinum (HMO) – H3815-016-0 | San Francisco, Sacramento | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $2,900 |
| Scripps Classic offered by SCAN Health Plan (HMO) – H5425-005-0 | Stanislaus | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Select (HMO) – H3815-032-0 | San Joaquin | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $3,400 |
| Sharp Direct Advantage Gold Card (HMO) – H5386-003-0 | San Joaquin | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $2,900 |
| Sharp SecureHorizons Plan by UnitedHealthcare (HMO) – H0543-145-0 | San Joaquin | Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,400 |
| UC San Diego Health Humana (HMO) – H5619-131-0 | Stanislaus | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,200 |
| UnitedHealthcare Chronic Complete Focus (HMO C-SNP) – H0543-214-0 | San Joaquin | Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | N/A |
| Health Net Ruby Select (HMO) – H0562-124-0 | Contra Costa | Preferred Generic: $5.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Blue Shield AdvantageOptimum Plan (HMO) – H5928-050-0 | San Benito | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $3,400 |
| Blue Shield Inspire (HMO) – H0504-047-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| AARP Medicare Advantage SecureHorizons (HMO) – H0543-022-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,900 |
| Aetna Medicare Plus Plan (HMO) – H4982-012-0 | San Joaquin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,900 |
| Anthem MediBlue Plus (HMO) – H0544-063-0 | San Benito | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,700 |
| Blue Shield 65 Plus (HMO) – H0504-029-0 | Contra Costa | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,500 |
| Central Health Ventura Medicare Plan (HMO) – H5649-008-0 | Contra Costa | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 | $5,000 |
| Humana Gold Plus H5619-130 (HMO) – H5619-130-2 | Contra Costa | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
| Kaiser Permanente Senior Advantage Ventura (HMO) – H0524-034-0 | Stanislaus | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $5,000 |
| My Choice (HMO) – H3815-029-0 | Sonoma | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $2,900 |
| WellCare Best (HMO) – H5087-024-0 | San Joaquin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,500 |
| Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-055-0 | Santa Clara | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | N/A |
| Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) – H5619-038-0 | San Joaquin | Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | N/A |
| Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-090-0 | San Joaquin | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | N/A |
| Aetna Medicare Preferred Plan (HMO D-SNP) – H4982-009-0 | Santa Clara, San Francisco | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | N/A |
| Central Health Ventura Medi-Medi Plan (HMO D-SNP) – H5649-009-0 | Santa Clara | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 | N/A |
| Connected Care (HMO) – H2241-007-2 | San Joaquin | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,499 |
| Connected Care Select (HMO C-SNP) – H2241-020-0 | San Benito | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Humana Gold Plus H5619-119 (HMO) – H5619-119-0 | San Benito | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,000 |
| My Choice (HMO) – H3815-028-0 | Contra Costa | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $1,400 |
| Aetna Medicare Plus Plan (HMO) – H4982-005-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $4,200 |
| Anthem MediBlue Select (HMO) – H0544-098-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Health Net Ruby Select (HMO) – H0562-113-0 | San Benito | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| UnitedHealthcare Dual Complete (HMO D-SNP) – H1375-001-0 | Sonoma | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-087-0 | San Benito | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | N/A |
| Anthem MediBlue Plus (HMO) – H0544-056-0 | San Joaquin | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,700 |
| Blue Shield Inspire (HMO) – H0504-031-0 | Contra Costa | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,500 |
| Humana Gold Plus H5619-013 (HMO) – H5619-013-0 | Contra Costa | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
| Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-052-0 | San Joaquin | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | N/A |
| UnitedHealthcare Dual Complete (HMO D-SNP) – H1375-002-0 | Kern | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| Humana Gold Plus H5619-015 (HMO) – H5619-015-0 | Contra Costa | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
| Aetna Medicare Plus Plan (HMO) – H4982-010-0 | San Joaquin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,900 |
| Blue Shield AdvantageOptimum Plan (HMO) – H5928-044-0 | San Benito | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Health Net Healthy Heart (HMO) – H0562-090-0 | San Joaquin | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,700 |
| Health Net Jade (HMO C-SNP) – H0562-118-0 | Sonoma | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $10.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Health Net Ruby Select (HMO) – H0562-112-0 | Stanislaus | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $2,750 |
| Humana Gold Plus H5619-012 (HMO) – H5619-012-0 | Sonoma | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,100 |
| Health Net Amber II Premier (HMO D-SNP) – H3561-001-0 | San Joaquin | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 49%, Specialty Tier: 25% | N/A |
| Blue Shield Inspire (HMO D-SNP) – H5928-054-0 | Fresno, Stanislaus, San Joaquin | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | N/A |
| AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-196-0 | San Benito | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,400 |
| AllCare Preferred Plan (HMO) – H3815-011-0 | Contra Costa | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $2,900 |
| Anthem MediBlue Care On Site (HMO I-SNP) – H0544-050-0 | San Joaquin | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-104-0 | San Benito | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Heart Care (HMO C-SNP) – H0544-105-0 | San Benito | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Lung Care (HMO C-SNP) – H0544-103-0 | Contra Costa | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue StartSmart Plus (HMO) – H0544-121-2 | Contra Costa | Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 | $3,400 |
| Anthem MediBlue Value (HMO) – H0544-107-0 | Contra Costa | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,400 |
| Balance (PPO) – H4961-006-0 | Contra Costa | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $2,850 |
| Blue Shield AdvantageOptimum Plan (HMO) – H5928-051-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Connected Care (HMO) – H2241-007-1 | Sonoma | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,499 |
| Connected Care Select (HMO C-SNP) – H2241-021-0 | Stanislaus | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Health Net Ruby (HMO) – H0562-120-0 | San Joaquin | Preferred Generic: $5.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,450 |
| Humana Gold Plus H5619-032 (HMO) – H5619-032-0 | Kern | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,450 |
| My Choice (HMO) – H3815-006-0 | San Joaquin | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $4,900 |
| SCAN Balance (HMO C-SNP) – H5425-070-0 | San Joaquin | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $30.00, Non-Preferred Drug: $85.00, Specialty Tier: 33% | N/A |
| SCAN Classic (HMO) – H5425-069-0 | Kern | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $3,400 |
| AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-193-0 | San Benito | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $4,000 |
| Aetna Medicare Plus Plan (HMO) – H4982-006-0 | San Joaquin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $3,400 |
| Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan) – H6229-006-0 | San Benito | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-102-0 | Contra Costa | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Heart Care (HMO C-SNP) – H0544-106-0 | Contra Costa | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Lung Care (HMO C-SNP) – H0544-101-0 | Contra Costa | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Plus (HMO) – H0544-108-0 | Contra Costa | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,450 |
| AVA (HMO) – H3815-026-0 | San Joaquin | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $1,999 |
| Blue Shield Inspire (HMO) – H0504-046-0 | Sonoma | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Choice (HMO) – H1426-002-0 | Santa Clara | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| My Choice (HMO) – H3815-007-0 | Santa Clara, San Francisco | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $3,000 |
| Santa Clara Family Health Plan (Medicare-Medicaid Plan) – H7890-001-0 | Kern | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| SCAN Options (HMO) – H5425-073-0 | Santa Clara | Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $3,400 |
| Aetna Medicare Plus Plan (HMO) – H4982-007-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $4,200 |
| Anthem MediBlue Select (HMO) – H0544-069-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Golden State Senior Health Plan (HMO) – H2241-014-0 | San Joaquin | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,000 |
| Health Net Ruby Select (HMO) – H0562-097-0 | Sonoma | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,400 |
| Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-089-0 | Kern | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | N/A |
| Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-054-0 | San Joaquin | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
| CCHP Senior Select Program (HMO D-SNP) – H0571-005-0 | San Francisco | Tier 1: 15% | N/A |
| Imperial Dual Plan (HMO D-SNP) – H5496-011-0 | San Francisco, Sacramento | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | N/A |
| Molina Medicare Complete Care (HMO D-SNP) – H5810-013-0 | Sonoma | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $40.00, Non-Preferred Drug: 30%, Specialty Tier: 25% | N/A |
| AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-215-0 | San Benito | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-169-0 | Contra Costa | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage SecureHorizons Plan 2 (HMO) – H0543-138-0 | San Joaquin | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,900 |
| Anthem MediBlue Select (HMO) – H0544-059-0 | Sonoma | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $900 |
| Astiva Health Advantage (HMO) – H1993-001-0 | San Joaquin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $32.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,899 |
| Clever Care Longevity Medicare Advantage (HMO) – H7607-002-2 | Orange | Preferred Generic: 0%, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Brand: $75.00, Specialty Tier: 33%, Supplemental Drugs: $10.00 | $2,999 |
| OneCare Connect (Medicare-Medicaid Plan) – H8016-001-0 | Orange | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| SCAN Classic (HMO) – H5425-007-0 | Orange | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $799 |
| SCAN Heart First (HMO C-SNP) – H5425-028-0 | Orange | Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | N/A |
| OneCare (HMO D-SNP) – H5433-001-0 | Orange | Generic: $0.00 | N/A |
| AARP Medicare Advantage SecureHorizons (HMO) – H0543-019-0 | San Joaquin | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,900 |
| Aetna Medicare Plus Plan (HMO) – H4982-003-0 | San Joaquin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,100 |
| Aetna Medicare Select Plan (HMO) – H0523-031-0 | San Benito | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,200 |
| Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-088-0 | San Benito | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | N/A |
| Anthem MediBlue Plus (HMO) – H0544-062-0 | Contra Costa | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $2,800 |
| Blue Shield 65 Plus (HMO) – H0504-038-0 | Contra Costa | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Health Net Ruby (HMO) – H0562-079-0 | San Joaquin | Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $2,200 |
| Humana Gold Plus H5619-116 (HMO) – H5619-116-0 | Kern | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,800 |
| Kaiser Permanente Senior Advantage Basic Kern (HMO) – H0524-036-0 | Kern | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $4,000 |
| Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-053-0 | Kern | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | N/A |
| Anthem MediBlue Care To You (HMO I-SNP) – H0544-093-0 | San Joaquin | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Diabetes Care Plus (HMO C-SNP) – H0544-094-0 | Contra Costa | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | N/A |
| Anthem MediBlue Plus (HMO) – H0544-064-0 | San Joaquin | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| Anthem MediBlue StartSmart Plus (HMO) – H0544-121-1 | San Benito | Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 | $3,450 |
| Anthem MediBlue Plus (HMO) – H0544-095-0 | San Joaquin | Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,450 |
| Blue Shield AdvantageOptimum Plan (HMO) – H5928-052-0 | San Joaquin | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Choice (HMO) – H1426-001-0 | San Joaquin | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Humana Community (HMO) – H7621-003-0 | San Joaquin | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,450 |
| WellCare Best (HMO) – H5087-026-0 | San Joaquin | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $25.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,500 |
| Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-100-0 | San Joaquin | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
Standalone Medicare Part D Plans in California
There is a wide variety of Medicare Part D plans available in every state, and California is no exception. Keep in mind that plans vary by county, and don’t forget to check that your CA Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Standalone Medicare Part D Plans in California
| Plan | Details | Tiers |
|---|---|---|
| AARP MedicareRx Preferred (PDP) S5820 – 031 – 0 by UnitedHealthcare |
Monthly Premium: $99.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 376 – 0 by UnitedHealthcare |
Monthly Premium: $29.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $25.00 Tier 4: 40% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 413 – 0 by UnitedHealthcare |
Monthly Premium: $41.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Anthem Blue Cross MediBlue Rx Enhanced (PDP) S5596 – 076 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $26.10 Annual Deductible: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 39% Tier 5: 26% |
| Anthem Blue Cross MediBlue Rx Plus (PDP) S5596 – 034 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $79.90 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
| Anthem Blue Cross MediBlue Rx Standard (PDP) S5596 – 033 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $84.20 Annual Deductible: $390 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $32.00 Tier 4: 27% Tier 5: 25% |
| Blue Shield Rx Enhanced (PDP) S2468 – 004 – 0 by Blue Shield of California |
Monthly Premium: $130.40 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 33% Tier 5: 33% |
| Blue Shield Rx Plus (PDP) S2468 – 003 – 0 by Blue Shield of California |
Monthly Premium: $59.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $6.00 Tier 3: $39.00 Tier 4: 41% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 158 – 0 by Cigna |
Monthly Premium: $27.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 311 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 43% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 277 – 0 by Cigna |
Monthly Premium: $30.30 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
| Clear Spring Health Premier Rx (PDP) S6946 – 056 – 0 by Clear Spring Health |
Monthly Premium: $13.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 027 – 0 by Clear Spring Health |
Monthly Premium: $29.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 35% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 137 – 0 by Elixir Insurance |
Monthly Premium: $15.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| Elixir RxSecure (PDP) S7694 – 032 – 0 by Elixir Insurance |
Monthly Premium: $30.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 29% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 202 – 0 by Express Scripts Medicare |
Monthly Premium: $84.90 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
| Express Scripts Medicare – Saver (PDP) S5660 – 248 – 0 by Express Scripts Medicare |
Monthly Premium: $26.50 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Express Scripts Medicare – Value (PDP) S5660 – 134 – 0 by Express Scripts Medicare |
Monthly Premium: $61.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 114 – 0 by Humana |
Monthly Premium: $30.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 32% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 178 – 0 by Humana |
Monthly Premium: $72.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 211 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 17% Tier 4: 35% Tier 5: 25% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 031 – 0 by Mutual of Omaha Rx |
Monthly Premium: $100.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 101 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 44% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 064 – 0 by Aetna Medicare |
Monthly Premium: $29.50 Annual Deductible: $250 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 39% Tier 5: 28% |
| SilverScript Plus (PDP) S5601 – 065 – 0 by Aetna Medicare |
Monthly Premium: $81.60 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
| SilverScript SmartRx (PDP) S5601 – 207 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 48% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 094 – 0 by WellCare |
Monthly Premium: $30.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 066 – 0 by WellCare |
Monthly Premium: $37.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 39% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 295 – 0 by WellCare |
Monthly Premium: $28.30 Annual Deductible: $385 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 26% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 155 – 0 by WellCare |
Monthly Premium: $81.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 44% Tier 5: 33% |
| WellCare Value Script (PDP) S4802 – 163 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 201 – 0 by WellCare |
Monthly Premium: $15.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
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