There are 64 Medicare Advantage plans meeting your criteria.
2018 / 2019 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 AARP MedicareComplete SecureHorizons Essential (HMO)
| $0.00 |
$4,900 |
No Rx Coverage |
H0543 -121 -0 | This plan does NOT include Prescription Drug coverage. | |
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2019 AARP MedicareComplete SecureHorizons Essential (HMO)
| $0.00 |
$4,900 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2018 --
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H0543 -170 -0 | | | | | |
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2019 AARP MedicareComplete SecureHorizons Focus (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $47.00 | $47.00 | 3,516 2019 Formulary |
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2018 AARP MedicareComplete SecureHorizons Plan 2 (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H0543 -144 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,779
2018 Formulary |
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2019 AARP MedicareComplete SecureHorizons Plan 2 (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,516 2019 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Aetna Medicare Select Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0523 -022 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 5,215
2018 Formulary |
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2019 Aetna Medicare Select Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,864 2019 Formulary |
|
2018 Alignment Health Plan My Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H3815 -001 -0 | $1.00 | $5.00 | $30.00 | $30.00 | 3,301
2018 Formulary |
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2019 Alignment Health Plan My Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $1.00 | $5.00 | $30.00 | $30.00 | 3,236 2019 Formulary |
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-- This plan not offered in 2018 --
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H3815 -015 -0 | | | | | |
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2019 Alignment Health Plan Platinum (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $1.00 | $5.00 | $30.00 | $30.00 | 3,236 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Anthem MediBlue Plus (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H0544 -060 -4 | $7.00 | $15.00 | $42.00 | $42.00 | 3,752
2018 Formulary |
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2019 Anthem MediBlue Plus (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $7.00 | $15.00 | $42.00 | $42.00 | 3,606 2019 Formulary |
|
2018 Anthem MediBlue Select (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H0544 -067 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,752
2018 Formulary |
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2019 Anthem MediBlue Select (HMO)
| $0.00 |
$1,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,606 2019 Formulary |
|
2018 Blue Shield 65 Plus (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0504 -026 -0 | $3.00 | $10.00 | $40.00 | $40.00 | 3,416
2018 Formulary |
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2019 Blue Shield 65 Plus (HMO)
| $0.00 |
$2,799 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,356 2019 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2018 --
|
H0504 -040 -0 | | | | | |
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2019 Blue Shield 65 Plus Choice Plan (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,590 2019 Formulary |
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2018 Brand New Day Bridges Drug Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0838 -028 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,535
2018 Formulary |
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2019 Brand New Day Bridges Care Plan (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $45.00 | $45.00 | 3,154 2019 Formulary |
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2018 Brand New Day Classic Care Drug Savings (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0838 -025 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,535
2018 Formulary |
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2019 Brand New Day Classic Care I Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $45.00 | $45.00 | 3,154 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2018 --
|
H0838 -037 -0 | | | | | |
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2019 Brand New Day Classic Care II Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $45.00 | $45.00 | 3,154 2019 Formulary |
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-- This plan not offered in 2018 --
|
H0838 -039 -1 | | | | | |
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2019 Brand New Day Embrace Care Plan (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $8.00 | $45.00 | $45.00 | 3,154 2019 Formulary |
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2018 Brand New Day Harmony Drug Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0838 -032 -0 | $0.00 | $9.00 | $45.00 | $45.00 | 3,535
2018 Formulary |
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2019 Brand New Day Harmony Care Plan (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $45.00 | $45.00 | 3,154 2019 Formulary |
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Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Central Health Medicare Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5649 -001 -0 | $0.00 | $5.00 | $35.00 | $35.00 | 3,082
2018 Formulary |
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-- |
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2019 Central Health Medicare Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $35.00 | $35.00 | 3,562 2019 Formulary |
|
2018 Easy Choice Best Plan (HMO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5087 -016 -0 | $7.00 | $10.00 | $47.00 | $47.00 | 3,329
2018 Formulary |
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2019 Easy Choice Best Plan (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,254 2019 Formulary |
|
2018 Golden State Medicare Gold (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H2241 -007 -1 | $5.00 | $10.00 | $45.00 | $45.00 | 4,258
2018 Formulary |
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2019 Golden State (HMO)
| $0.00 |
$1,499 |
$0 | Yes, some additional gap coverage. | $5.00 | $10.00 | $45.00 | $45.00 | 4,104 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Health Net Gold Select (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H0562 -101 -2 | $0.00 | $10.00 | $37.00 | $37.00 | 4,096
2018 Formulary |
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2019 Health Net Gold Select (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $37.00 | $37.00 | 3,811 2019 Formulary |
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2018 Health Net Seniority Plus Green (HMO)
| $0.00 |
$3,400 |
No Rx Coverage |
H0562 -044 -0 | This plan does NOT include Prescription Drug coverage. | |
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2019 Health Net Seniority Plus Green (HMO)
| $0.00 |
$3,400 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2018 Heart First (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5425 -033 -0 | $0.00 | $7.00 | $42.00 | $42.00 | 3,279
2018 Formulary |
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2019 Heart First (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $42.00 | $42.00 | 3,252 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2018 --
|
H7621 -002 -0 | | | | | |
new |
new |
new |
|
2019 Humana Community (HMO)
| $0.00 |
$2,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 Humana Gold Plus H5619-039 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5619 -039 -1 | $3.00 | $10.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
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2019 Humana Gold Plus H5619-039 (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
2018 IEHP DualChoice (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5355 -001 -0 | 0% | 0% | 0% | | 2,982
2018 Formulary |
-- |
-- |
-- |
|
2019 IEHP DualChoice (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 2,901 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Inter Valley Health Plan Desert Preferred Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0545 -012 -0 | $0.00 | $9.00 | $37.00 | $37.00 | 3,621
2018 Formulary |
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2019 Inter Valley Health Plan Desert Preferred Choice (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $37.00 | $37.00 | 3,479 2019 Formulary |
|
2018 Inter Valley Health Plan Service To Seniors (HMO)
| $0.00 |
$2,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0545 -001 -0 | $5.00 | $12.00 | $47.00 | $47.00 | 2,993
2018 Formulary |
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2019 Inter Valley Health Plan Service To Seniors (HMO)
| $0.00 |
$2,000 |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $12.00 | $47.00 | $47.00 | 2,691 2019 Formulary |
|
2018 Kaiser Permanente Senior Advantage Inland Empire (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H0524 -015 -0 | $5.00 | $15.00 | $47.00 | $47.00 | 6,095
2018 Formulary |
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2019 Kaiser Permanente Senior Advantage Inland Empire (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $5.00 | $15.00 | $47.00 | $47.00 | 5,885 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H8677 -001 -0 | 0% | 0% | 0% | | 3,154
2018 Formulary |
-- |
-- |
-- |
|
2019 Molina Dual Options (Medicare-Medicaid Plan)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | 0% | 0% | 0% | | 3,163 2019 Formulary |
|
2018 SCAN Classic (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H5425 -008 -0 | $0.00 | $7.00 | $42.00 | $42.00 | 3,279
2018 Formulary |
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2019 SCAN Classic (HMO)
| $0.00 |
$2,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $42.00 | $42.00 | 3,252 2019 Formulary |
|
2018 SCAN Classic II (HMO)
| $24.00 |
$5,000 |
$0 | Yes, some additional gap coverage. |
H5425 -061 -0 | $2.00 | $7.00 | $42.00 | $42.00 | 3,279
2018 Formulary |
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2019 SCAN Classic II (HMO)
| $0.00 |
$5,000 |
$0 | Yes, some additional gap coverage. | $2.00 | $7.00 | $42.00 | $42.00 | 3,252 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 SCAN Healthy at Home (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H9104 -006 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 3,279
2018 Formulary |
-- |
-- |
-- |
|
2019 SCAN Healthy at Home (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $42.00 | $42.00 | 3,252 2019 Formulary |
|
2018 Molina Medicare Options Plus (HMO SNP)
| $35.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5810 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,156
2018 Formulary |
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2019 Molina Medicare Options Plus (HMO SNP)
| $15.20 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $40.00 | $40.00 | 3,163 2019 Formulary |
|
2018 Health Net Healthy Heart (HMO)
| $17.00 |
$2,400 |
$0 | Yes, some additional gap coverage. |
H0562 -100 -2 | $5.00 | $10.00 | $37.00 | $37.00 | 4,096
2018 Formulary |
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2019 Health Net Healthy Heart (HMO)
| $16.00 |
$2,400 |
$0 | Yes, some additional gap coverage. | $5.00 | $10.00 | $37.00 | $37.00 | 3,811 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 AARP MedicareComplete SecureHorizons Plan 3 (HMO)
| $17.30 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0543 -153 -0 | | | | | 3,779
2018 Formulary |
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|
|
|
2019 UnitedHealthcare MedicareComplete Assure (HMO)
| $16.10 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount | 25% | 25% | 25% | 25% | 3,516 2019 Formulary |
|
2018 AARP MedicareComplete SecureHorizons Premier (HMO)
| $24.00 |
$1,500 |
$0 | Yes, some additional gap coverage. |
H0543 -166 -0 | $0.00 | $9.00 | $47.00 | $47.00 | 3,779
2018 Formulary |
|
|
|
|
2019 AARP MedicareComplete SecureHorizons Premier (HMO)
| $17.70 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $47.00 | $47.00 | 3,516 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H5425 -067 -0 | | | | | |
|
|
|
|
2019 SCAN Prime (HMO)
| $23.00 |
$2,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $42.00 | $42.00 | 3,252 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Easy Choice Plus Plan (HMO)
| $25.70 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5087 -002 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,329
2018 Formulary |
|
|
|
|
2019 Easy Choice Plus Plan (HMO)
| $25.00 |
$2,500 |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,254 2019 Formulary |
|
2018 Alignment Health Plan CalPlus (HMO)
| $35.50 |
$3,400 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H3815 -009 -0 | $5.00 | $10.00 | $40.00 | $40.00 | 3,301
2018 Formulary |
|
|
|
|
2019 Alignment Health Plan CalPlus (HMO)
| $30.50 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $10.00 | 25% | 25% | 3,236 2019 Formulary |
|
2018 Humana Value Plus H5619-037 (HMO)
| $16.30 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5619 -037 -0 | $0.00 | $19.00 | $47.00 | $47.00 | 3,666
2018 Formulary |
|
|
|
|
2019 Humana Value Plus H5619-037 (HMO)
| $33.30 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $19.00 | $47.00 | $47.00 | 3,368 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 SCAN Connections (HMO SNP)
| $30.00 |
n/a |
$405 | Yes, some additional gap coverage. |
H5425 -010 -0 | $0.00 | 25% | 25% | 25% | 3,279
2018 Formulary |
|
|
|
|
2019 SCAN Connections (HMO SNP)
| $33.40 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,252 2019 Formulary |
|
2018 Anthem MediBlue Coordination Plus (HMO)
| $35.50 |
$6,700 |
$405 | Yes, some additional gap coverage. |
H0544 -071 -0 | $0.00 | $19.00 | $47.00 | $47.00 | 3,752
2018 Formulary |
|
|
|
|
2019 Anthem MediBlue Coordination Plus (HMO)
| $34.80 |
$6,700 |
$415 | Yes, some additional gap coverage. | $0.00 | $8.00 | $47.00 | $47.00 | 3,606 2019 Formulary |
|
2018 Coordinated Choice Plan (HMO)
| $35.50 |
$6,700 |
$405 | Yes, some additional gap coverage. |
H5928 -037 -0 | $0.00 | 25% | 25% | 25% | 3,144
2018 Formulary |
|
|
|
|
2019 Blue Shield Promise Coordinated Choice Plan (HMO)
| $34.80 |
$6,700 |
$415 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,003 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Brand New Day Bridges Choice for Medi-Medi (HMO SNP)
| $35.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0838 -029 -0 | 0% | 25% | 25% | 25% | 3,535
2018 Formulary |
|
|
|
|
2019 Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP)
| $34.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 0% | 25% | 25% | 25% | 3,154 2019 Formulary |
|
2018 Brand New Day Classic Choice for Medi-Medi (HMO)
| $35.50 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0838 -033 -0 | 0% | 25% | 25% | 25% | 3,535
2018 Formulary |
|
|
|
|
2019 Brand New Day Classic Choice Medi-Medi Plan (HMO)
| $34.80 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount | 0% | 25% | 25% | 25% | 3,154 2019 Formulary |
|
2018 Brand New Day Dual Coverage (HMO SNP)
| $35.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0838 -024 -0 | 0% | 0% | 25% | 25% | 3,535
2018 Formulary |
|
|
|
|
2019 Brand New Day Dual Access Plan (HMO SNP)
| $34.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 0% | 0% | 25% | 25% | 3,154 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2018 --
|
H0838 -040 -1 | | | | | |
|
|
|
|
2019 Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP)
| $34.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 0% | 25% | 25% | 25% | 3,154 2019 Formulary |
|
2018 Brand New Day Harmony Choice for Medi-Medi (HMO SNP)
| $35.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0838 -020 -0 | 0% | 25% | 25% | 25% | 3,535
2018 Formulary |
|
|
|
|
2019 Brand New Day Harmony Choice Plan (HMO SNP)
| $34.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 0% | 25% | 25% | 25% | 3,154 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H0838 -041 -0 | | | | | |
|
|
|
|
2019 Brand New Day Select Care Plan (HMO SNP)
| $34.80 |
n/a |
$415 | No additional gap coverage, only the Donut Hole Discount | 0% | 25% | 25% | 25% | 3,154 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Central Health Premier Plan (HMO)
| $35.50 |
$6,700 |
$405 | Yes, some additional gap coverage. |
H5649 -004 -0 | $0.00 | $0.00 | 25% | 25% | 3,082
2018 Formulary |
|
-- |
|
|
2019 Central Health Premier Plan (HMO)
| $34.80 |
$6,700 |
$415 | Yes, some additional gap coverage. | $0.00 | $0.00 | 25% | 25% | 3,562 2019 Formulary |
|
2018 Health Net Seniority Plus Amber I (HMO SNP)
| $35.50 |
n/a |
$140 | No additional gap coverage, only the Donut Hole Discount |
H0562 -055 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 4,096
2018 Formulary |
|
|
|
|
2019 Health Net Seniority Plus Amber I (HMO SNP)
| $34.80 |
n/a |
$320 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,811 2019 Formulary |
|
2018 Health Net Seniority Plus Amber II (HMO SNP)
| $35.50 |
n/a |
$190 | No additional gap coverage, only the Donut Hole Discount |
H0562 -110 -3 | $0.00 | $20.00 | $47.00 | $47.00 | 4,096
2018 Formulary |
|
|
|
|
2019 Health Net Seniority Plus Amber II (HMO SNP)
| $34.80 |
n/a |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,811 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Health Net Seniority Plus Sapphire (HMO)
| $35.50 |
$6,700 |
$240 | No additional gap coverage, only the Donut Hole Discount |
H0562 -111 -3 | $0.00 | $20.00 | $47.00 | $47.00 | 4,096
2018 Formulary |
|
|
|
|
2019 Health Net Seniority Plus Sapphire (HMO)
| $34.80 |
$6,700 |
$340 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,811 2019 Formulary |
|
2018 Health Net Seniority Plus Sapphire Premier (HMO)
| $35.50 |
$6,700 |
$155 | No additional gap coverage, only the Donut Hole Discount |
H3561 -004 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 4,096
2018 Formulary |
|
|
|
|
2019 Health Net Seniority Plus Sapphire Premier (HMO)
| $34.80 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,811 2019 Formulary |
|
-- This plan not offered in 2018 --
|
H3561 -006 -0 | | | | | |
|
|
|
|
2019 Health Net Seniority Plus Sapphire Premier II (HMO)
| $34.80 |
$6,700 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,811 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 SCAN Connections at Home (HMO SNP)
| $33.30 |
n/a |
$405 | Yes, some additional gap coverage. |
H5425 -030 -0 | $0.00 | 25% | 25% | 25% | 3,279
2018 Formulary |
|
|
|
|
2019 SCAN Connections at Home (HMO SNP)
| $34.80 |
n/a |
$415 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,252 2019 Formulary |
|
2018 SCAN Plus (HMO)
| $35.50 |
$6,700 |
$405 | No additional gap coverage, only the Donut Hole Discount |
H5425 -045 -0 | $0.00 | 25% | 25% | 25% | 3,279
2018 Formulary |
|
|
|
|
2019 SCAN Plus (HMO)
| $34.80 |
$6,700 |
$415 | No additional gap coverage, only the Donut Hole Discount | $0.00 | 25% | 25% | 25% | 3,252 2019 Formulary |
|
2018 Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)
| $32.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0524 -029 -0 | $8.00 | $17.00 | $47.00 | $47.00 | 6,095
2018 Formulary |
|
|
|
|
2019 Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)
| $34.80 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $5.00 | $17.00 | $47.00 | $47.00 | 5,885 2019 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 VillageHealth (HMO-POS SNP)
| $35.50 |
n/a |
$370 | No additional gap coverage, only the Donut Hole Discount |
H5943 -001 -0 | $0.00 | $6.00 | 25% | 25% | 3,279
2018 Formulary |
|
-- |
-- |
|
2019 VillageHealth (HMO-POS SNP)
| $34.80 |
n/a |
$370 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $3.00 | 25% | 25% | 3,252 2019 Formulary |
|
2018 Aetna Medicare Choice Plan (PPO)
| $77.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H5521 -126 -0 | $0.00 | $5.00 | $42.00 | $42.00 | 5,223
2018 Formulary |
|
|
|
|
2019 Aetna Medicare Choice Plan (PPO)
| $81.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,864 2019 Formulary |
|
2018 AARP MedicareComplete SecureHorizons Plan 1 (HMO)
| $0.00 |
$4,900 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0543 -007 -0 | $4.00 | $10.00 | $47.00 | $47.00 | 3,779
2018 Formulary |
|
|
|
|
-- Members will be assigned to AARP MedicareComplete SecureHorizons Plan 2 (HMO) H0543-144 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Brand New Day In Control Drug Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0838 -026 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,535
2018 Formulary |
|
|
|
|
-- Members will be assigned to Brand New Day Embrace Care Plan (HMO SNP) H0838-039 --
| | | | | |
|
2018 Brand New Day Embrace Care Drug Savings (HMO SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0838 -035 -0 | $0.00 | $8.00 | $45.00 | $45.00 | 3,535
2018 Formulary |
|
|
|
|
-- Members will be assigned to Brand New Day Embrace Care Plan (HMO SNP) H0838-039 --
| | | | | |
|
2018 Brand New Day In Control Choice for Medi-Medi (HMO SNP)
| $35.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0838 -027 -0 | 0% | 25% | 25% | 25% | 3,535
2018 Formulary |
|
|
|
|
-- Members will be assigned to Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP) H0838-040 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2018 Brand New Day Embrace Choice for Medi-Medi (HMO SNP)
| $35.50 |
n/a |
$405 | No additional gap coverage, only the Donut Hole Discount |
H0838 -036 -0 | 0% | 25% | 25% | 25% | 3,535
2018 Formulary |
|
|
|
|
-- Members will be assigned to Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP) H0838-040 --
| | | | | |
|