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See How Your 2020 Medicare Advantage Plan
      is Changing in 2021

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
MA-Compare offers a one-click comparison of all 2020 Medicare Advantage Plans will be changing in 2021.

Just enter your ZIP Code and click the button "Click to Compare Annual Plan Changes" to review changes in all Medicare Advantage plans available in your county.
Choose Your Medicare Advantage Plan Preferences
    

ORANGE, California

  Only show plans discontinued in 2021
  Only show plans new for 2021
Only show SNPs (All 3 Types)
OR only: Dual-Eligible   Chronic Cond.  
Institutional  
  ex: AARP
2020
2021
2020: $ max: $350
2021: $ max: $351
2020: $ max: $435
2021: $ max: $445
2020:
2021:
There are 92 Medicare Advantage plans meeting your criteria.
2020 / 2021 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 Parts A&B MOOP Limit
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2020 --

H0543
-215
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 AARP Medicare Advantage Freedom Plus (HMO-POS)
Details        
$0.00 $1,000 $0Yes, some additional gap coverage. $0.00$0.00$47.00$47.00$1000
2021 Formulary
2020 AARP Medicare Advantage SecureHorizons Essential (HMO)
Details      
$0.00 $4,900 No Rx Coverage H0543
-121
-0
This plan does NOT include Prescription Drug coverage.$4900
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 AARP Medicare Advantage Patriot (HMO)
Details      
$0.00 $4,900 No Rx Coverage This plan does NOT include Prescription Drug coverage.$4900
2020 AARP Medicare Advantage SecureHorizons Focus (HMO)
Details        
$0.00 $1,000 $0Yes, some additional gap coverage. H0543
-169
-0
$0.00$9.00$47.00$47.00$1000

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 AARP Medicare Advantage SecureHorizons Focus (HMO)
Details        
$0.00 $1,000 $0Yes, some additional gap coverage. $0.00$0.00$47.00$47.00$1000
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 AARP Medicare Advantage SecureHorizons Plan 2 (HMO)
Details        
$0.00 $2,200 $0Yes, some additional gap coverage. H0543
-138
-0
$0.00$14.00$47.00$47.00$2200

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 AARP Medicare Advantage SecureHorizons Plan 2 (HMO)
Details        
$0.00 $1,900 $0Yes, some additional gap coverage. $0.00$14.00$47.00$47.00$1900
2021 Formulary

-- This plan not offered in 2020 --

H4982
-013
-0
     
new new new  
2021 Aetna Medicare Eagle Plan (HMO)
Details      
$0.00 $4,200 No Rx Coverage This plan does NOT include Prescription Drug coverage.$4200
2020 Aetna Medicare Plus Plan (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. H4982
-001
-0
$0.00$0.00$42.00$42.00$999

2020 Formulary
new new new  
2021 Aetna Medicare Plus Plan (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. $0.00$0.00$37.00$37.00$999
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Aetna Medicare Prime Plan (HMO)
Details        
$0.00 $2,200 $0Yes, some additional gap coverage. H0523
-061
-0
$0.00$10.00$47.00$47.00$2200

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Aetna Medicare Prime Plan (HMO)
Details        
$0.00 $2,200 $0Yes, some additional gap coverage. $0.00$10.00$47.00$47.00$2200
2021 Formulary
2020 Aetna Medicare Select Plan (HMO)
Details        
$0.00 $2,000 $0Yes, some additional gap coverage. H0523
-002
-0
$0.00$10.00$47.00$47.00$2000

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Aetna Medicare Select Plan (HMO)
Details        
$0.00 $2,000 $0Yes, some additional gap coverage. $0.00$10.00$47.00$47.00$2000
2021 Formulary
2020 Anthem MediBlue Care On Site (HMO I-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0544
-005
-0
$0.00$9.50$37.50$37.50n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Care On Site (HMO I-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$9.50$37.50$37.50tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Anthem MediBlue Diabetes (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0544
-004
-0
$0.00$7.50$37.50$37.50n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Diabetes Care (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$7.50$37.50$37.50tbd
2021 Formulary
2020 Anthem MediBlue ESRD (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0544
-015
-0
$0.00$7.50$37.50$37.50n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue ESRD Care (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$7.50$37.50$37.50tbd
2021 Formulary
2020 Anthem MediBlue Heart (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0544
-013
-0
$0.00$7.50$37.50$37.50n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Heart Care (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$7.50$37.50$37.50tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Anthem MediBlue Breathe (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0544
-014
-0
$0.00$7.50$37.50$37.50n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Lung Care (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$7.50$37.50$37.50tbd
2021 Formulary
2020 Anthem MediBlue Plus (HMO)
Details        
$0.00 $6,700 $0Yes, some additional gap coverage. H0544
-061
-0
$7.00$15.00$42.00$42.00$6700

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Plus (HMO)
Details        
$0.00 $7,550 $0Yes, some additional gap coverage. $0.00$15.00$42.00$42.00$7550
2021 Formulary
2020 Anthem MediBlue Select (HMO)
Details        
$0.00 $900 $0Yes, some additional gap coverage. H0544
-059
-0
$0.00$5.00$42.00$42.00$900

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Select (HMO)
Details        
$0.00 $900 $0Yes, some additional gap coverage. $0.00$5.00$42.00$42.00$900
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Anthem MediBlue StartSmart Plus (HMO)
Details        
$0.00 $3,000 $0No additional gap coverage, only the Donut Hole Discount H0544
-007
-0
$5.00$14.50$45.00$45.00$3000

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue StartSmart Plus (HMO)
Details        
$0.00 $3,000 $0No additional gap coverage, only the Donut Hole Discount $5.00$14.50$45.00$45.00$3000
2021 Formulary
2020 Anthem MediBlue Value Plus (HMO)
Details        
$0.00 $900 $0Yes, some additional gap coverage. H0544
-002
-0
$0.00$9.50$37.50$37.50$900

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Value Plus (HMO)
Details        
$0.00 $900 $0Yes, some additional gap coverage. $0.00$9.50$37.50$37.50$900
2021 Formulary

-- This plan not offered in 2020 --

H1993
-001
-0
     
new new new  
2021 Astiva Health Advantage (HMO)
Details        
$0.00 $1,899 $0Yes, some additional gap coverage. $0.00$0.00$32.00$32.00$1899
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2020 --

H3815
-027
-0
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2021 AVA (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. $0.00$3.00$40.00$40.00$999
2021 Formulary
2020 Blue Shield 65 Plus (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. H0504
-015
-0
$0.00$5.00$38.00$38.00$999

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Blue Shield 65 Plus (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. $0.00$5.00$38.00$38.00$999
2021 Formulary
2020 Blue Shield 65 Plus Choice Plan (HMO)
Details        
$0.00 $1,899 $0Yes, some additional gap coverage. H0504
-021
-0
$0.00$10.00$40.00$40.00$1899

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Blue Shield 65 Plus Plan 2 (HMO)
Details        
$0.00 $1,899 $0Yes, some additional gap coverage. $0.00$10.00$40.00$40.00$1899
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Blue Shield Promise AdvantageOptimum Plan (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. H5928
-004
-0
$0.00$3.00$40.00$40.00$999

2020 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Blue Shield AdvantageOptimum Plan (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. $0.00$3.00$40.00$40.00$999
2021 Formulary
2020 Blue Shield Inspire (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. H0504
-043
-0
$0.00$3.00$35.00$35.00$999

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Blue Shield Inspire (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. $0.00$3.00$35.00$35.00$999
2021 Formulary
2020 Blue Shield Vital (HMO)
Details        
$0.00 $3,400 $0Yes, some additional gap coverage. H0504
-044
-0
$0.00$10.00$40.00$40.00$3400

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Blue Shield Vital (HMO)
Details        
$0.00 $3,400 $0Yes, some additional gap coverage. $0.00$10.00$40.00$40.00$3400
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Brand New Day Bridges Care Plan (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0838
-028
-0
$0.00$9.00$45.00$45.00n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Bridges Care Plan (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$5.00$45.00$45.00tbd
2021 Formulary
2020 Brand New Day Classic Care I Plan (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. H0838
-025
-0
$0.00$9.00$47.00$47.00$999
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Classic Care I Plan (HMO)
Details        
$0.00 $999 $0Yes, some additional gap coverage. $0.00$5.00$47.00$47.00$999
2021 Formulary
2020 Brand New Day Classic Care II Plan (HMO)
Details        
$0.00 $999 $125Yes, some additional gap coverage. H0838
-037
-0
$0.00$12.00$47.00$47.00$999
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Classic Care II Plan (HMO)
Details        
$0.00 $999 $50Yes, some additional gap coverage. $0.00$12.00$47.00$47.00$999
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Brand New Day Embrace Care Plan (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0838
-039
-1
$0.00$12.00$47.00$47.00n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Embrace Care Plan (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$9.00$47.00$47.00tbd
2021 Formulary
2020 Brand New Day Harmony Care Plan (HMO C-SNP)
Details        
$0.00 n/a $100Yes, some additional gap coverage. H0838
-032
-0
$0.00$10.00$45.00$45.00n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Harmony Care Plan (HMO C-SNP)
Details        
$0.00 n/a $100Yes, some additional gap coverage. $0.00$10.00$45.00$45.00tbd
2021 Formulary

-- This plan not offered in 2020 --

H0838
-042
-0
     
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Select Care I Plan (HMO I-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$9.00$47.00$47.00tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Central Health Focus Plan (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H5649
-006
-0
$0.00$0.00$35.00$35.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Central Health Focus Plan (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$0.00$35.00$35.00tbd
2021 Formulary
2020 Central Health Medicare Plan (HMO)
Details        
$0.00 $2,995 $0Yes, some additional gap coverage. H5649
-001
-0
$0.00$0.00$35.00$35.00$2995

2020 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Central Health Medicare Plan (HMO)
Details        
$0.00 $1,800 $0Yes, some additional gap coverage. $0.00$0.00$35.00$35.00$1800
2021 Formulary

-- This plan not offered in 2020 --

H7607
-002
-2
     
new new new  
2021 Clever Care Longevity Medicare Advantage (HMO)
Details        
$0.00 $2,999 $0Yes, some additional gap coverage. 0%$5.00$35.00$35.00$2999
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Connected Care (HMO)
Details        
$0.00 $1,499 $0Yes, some additional gap coverage. H2241
-013
-0
$0.00$10.00$45.00$45.00$1499

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Connected Care (HMO)
Sanctioned        
$0.00 $1,499 $0Yes, some additional gap coverage. $0.00$10.00$45.00$45.00$1499
2021 Formulary
2020 Connected Care Select (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H2241
-019
-0
$0.00$10.00$45.00$45.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Connected Care Select (HMO C-SNP)
Sanctioned        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$10.00$45.00$45.00tbd
2021 Formulary

-- This plan not offered in 2020 --

H0562
-125
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Gold Select (HMO)
Details        
$0.00 $850 $0Yes, some additional gap coverage. $0.00$1.00$42.00$42.00$850
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Health Net Jade (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H0562
-092
-0
$0.00$10.00$37.00$37.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Jade (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$8.00$42.00$42.00tbd
2021 Formulary
2020 Alignment Health Plan Heart & Diabetes (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H3815
-010
-0
$0.00$5.00$30.00$30.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2021 Heart & Diabetes (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$5.00$30.00$30.00tbd
2021 Formulary
2020 Humana Gold Plus H5619-021 (HMO)
Details        
$0.00 $990 $0Yes, some additional gap coverage. H5619
-021
-0
$0.00$0.00$35.00$35.00$990

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Humana Gold Plus H5619-021 (HMO)
Details        
$0.00 $1,000 $0Yes, some additional gap coverage. $0.00$0.00$35.00$35.00$1000
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Humana Honor (HMO)
Details      
$0.00 $6,700 No Rx Coverage H5619
-120
-0
This plan does NOT include Prescription Drug coverage.$6700
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Humana Honor (HMO)
Details      
$0.00 $6,700 No Rx Coverage This plan does NOT include Prescription Drug coverage.$6700

-- This plan not offered in 2020 --

H5496
-012
-0
     
new new  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Imperial Dynamic Plan (HMO)
Details        
$0.00 $899 $0Yes, some additional gap coverage. $0.00$3.00$30.00$30.00$899
2021 Formulary
2020 Imperial Senior Value (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H5496
-005
-0
$0.00$5.00$45.00$45.00n/a

2020 Formulary
new new  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Imperial Senior Value (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$5.00$45.00$45.00tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Imperial Traditional (HMO) (HMO)
Details        
$0.00 $4,000 $0Yes, some additional gap coverage. H5496
-007
-0
$0.00$5.00$45.00$45.00$4000

2020 Formulary
new new  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Imperial Traditional (HMO)
Details        
$0.00 $2,999 $0Yes, some additional gap coverage. $0.00$5.00$45.00$45.00$2999
2021 Formulary
2020 Inter Valley Health Plan Service To Seniors (HMO)
Details        
$0.00 $2,000 $0Yes, some additional gap coverage. H0545
-001
-0
$0.00$5.00$47.00$47.00$2000

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Inter Valley Health Plan Service To Seniors (HMO)
Details        
$0.00 $1,000 $0Yes, some additional gap coverage. $0.00$5.00$47.00$47.00$1000
2021 Formulary
2020 Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
Details        
$0.00 $4,000 $0Yes, some additional gap coverage. H0524
-003
-0
$3.00$15.00$47.00$47.00$4000

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2021 Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
Details        
$0.00 $3,400 $0Yes, some additional gap coverage. $3.00$10.00$47.00$47.00$3400
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Alignment Health Plan My Choice (HMO)
Details        
$0.00 $3,200 $0Yes, some additional gap coverage. H3815
-001
-0
$0.00$5.00$30.00$30.00$3200

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2021 My Choice (HMO)
Details        
$0.00 $2,400 $0Yes, some additional gap coverage. $0.00$5.00$30.00$30.00$2400
2021 Formulary
2020 OneCare Connect (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H8016
-001
-0
0%0%0% n/a

2020 Formulary
-- -- --  
2021 OneCare Connect (Medicare-Medicaid Plan)
Details        
$0.00 n/a $0All Generics,
All Brands
    tbd
2021 Formulary
2020 Alignment Health Plan Platinum (HMO)
Details        
$0.00 $1,499 $0Yes, some additional gap coverage. H3815
-008
-0
$0.00$3.00$30.00$30.00$1499

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2021 Platinum (HMO)
Details        
$0.00 $800 $0Yes, some additional gap coverage. $0.00$3.00$30.00$30.00$800
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 SCAN Balance (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H5425
-034
-0
$0.00$2.00$30.00$30.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 SCAN Balance (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$2.00$30.00$30.00tbd
2021 Formulary
2020 SCAN Classic (HMO)
Details        
$0.00 $899 $0Yes, some additional gap coverage. H5425
-007
-0
$0.00$5.00$42.00$42.00$899

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 SCAN Classic (HMO)
Details        
$0.00 $799 $0Yes, some additional gap coverage. $0.00$5.00$37.00$37.00$799
2021 Formulary
2020 SCAN Healthy at Home (HMO I-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H9104
-006
-0
$0.00$5.00$42.00$42.00n/a

2020 Formulary
-- -- --  
2021 SCAN Healthy at Home (HMO I-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$5.00$42.00$42.00tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 SCAN Heart First (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. H5425
-028
-0
$0.00$2.00$42.00$42.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 SCAN Heart First (HMO C-SNP)
Details        
$0.00 n/a $0Yes, some additional gap coverage. $0.00$2.00$37.00$37.00tbd
2021 Formulary
2020 WellCare Best (HMO)
Details        
$0.00 $2,500 $0Yes, some additional gap coverage. H5087
-005
-0
$0.00$0.00$25.00$25.00$2500

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 WellCare Best (HMO)
Details        
$0.00 $1,000 $0Yes, some additional gap coverage. $0.00$0.00$25.00$25.00$1000
2021 Formulary
2020 WellCare Dividend (HMO)
Details        
$0.00 $3,400 $0Yes, some additional gap coverage. H5087
-025
-0
$0.00$10.00$47.00$47.00$3400

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 WellCare Dividend (HMO)
Details        
$0.00 $2,900 $0Yes, some additional gap coverage. $0.00$10.00$47.00$47.00$2900
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 WellCare Plus (HMO)
Details        
$0.00 $2,500 $435No additional gap coverage, only the Donut Hole Discount H5087
-002
-0
$0.00$20.00$47.00$47.00$2500

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) --  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 WellCare Plus (HMO)
Details        
$4.60 $2,500 $445No additional gap coverage, only the Donut Hole Discount $0.00$20.00$47.00$47.00$2500
2021 Formulary
2020 Anthem MediBlue Coordination Plus (HMO)
Details        
$25.30 $6,700 $435Yes, some additional gap coverage. H0544
-072
-0
$0.00$15.00$47.00$47.00$6700

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Coordination Plus (HMO)
Details        
$12.20 $7,550 $445Yes, some additional gap coverage. $0.00$15.00$47.00$47.00$7550
2021 Formulary

-- This plan not offered in 2020 --

H0562
-123
-0
     
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Healthy Heart (HMO)
Details        
$17.00 $2,400 $0Yes, some additional gap coverage. $1.00$8.00$42.00$42.00$2400
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Alignment Health Plan CalPlus (HMO)
Details        
$27.30 $6,700 $435No additional gap coverage, only the Donut Hole Discount H3815
-009
-0
$0.00$14.0025%25%$6700

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2021 CalPlus (HMO)
Details        
$20.10 $4,900 $445No additional gap coverage, only the Donut Hole Discount $0.00$14.0023%23%$4900
2021 Formulary
2020 Humana Value Plus H5619-037 (HMO)
Details        
$16.80 $6,700 $435No additional gap coverage, only the Donut Hole Discount H5619
-037
-0
$0.00$19.00$47.00$47.00$6700

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Humana Value Plus H5619-037 (HMO)
Details        
$20.40 $7,550 $445No additional gap coverage, only the Donut Hole Discount $0.00$19.00$47.00$47.00$7550
2021 Formulary
2020 UnitedHealthcare Medicare Advantage Assure (HMO)
Details        
$14.90 $6,700 $435No additional gap coverage, only the Donut Hole Discount H0543
-153
-0
25%25%25%25%$6700

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 UnitedHealthcare Medicare Advantage Assure (HMO)
Details        
$22.50 $7,550 $445No additional gap coverage, only the Donut Hole Discount     $7550
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2020 --

H0544
-122
-1
     
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Connect Plus (HMO)
Details        
$23.50 $7,550 $445Yes, some additional gap coverage. 25%25%25%25%$7550
2021 Formulary
2020 Health Net Seniority Plus Sapphire Premier (HMO)
Details        
$32.00 $6,700 $370No additional gap coverage, only the Donut Hole Discount H3561
-002
-0
$0.00$20.00$47.00$47.00$6700

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Sapphire Premier (HMO)
Details        
$25.40 $3,450 $445No additional gap coverage, only the Donut Hole Discount $0.00$20.00$47.00$47.00$3450
2021 Formulary
2020 SCAN Prime (HMO)
Details        
$26.00 $800 $0Yes, some additional gap coverage. H5425
-066
-0
$0.00$5.00$42.00$42.00$800

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 SCAN Prime (HMO)
Details        
$26.00 $699 $0Yes, some additional gap coverage. $0.00$5.00$37.00$37.00$699
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Health Net Seniority Plus Amber II (HMO D-SNP)
Details        
$32.00 n/a $350No additional gap coverage, only the Donut Hole Discount H0562
-121
-0
$0.00$20.00$47.00$47.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Amber II (HMO D-SNP)
Details        
$26.60 n/a $445No additional gap coverage, only the Donut Hole Discount $0.00$20.00$47.00$47.00tbd
2021 Formulary
2020 Health Net Seniority Plus Sapphire Premier II (HMO)
Details        
$32.00 $6,700 $410No additional gap coverage, only the Donut Hole Discount H3561
-005
-0
$0.00$20.00$47.00$47.00$6700

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Sapphire Premier II (HMO)
Details        
$26.70 $3,450 $445No additional gap coverage, only the Donut Hole Discount $0.00$20.00$47.00$47.00$3450
2021 Formulary
2020 Health Net Seniority Plus Amber I (HMO D-SNP)
Details        
$32.00 n/a $350No additional gap coverage, only the Donut Hole Discount H0562
-055
-0
$0.00$20.00$47.00$47.00n/a

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Amber I (HMO D-SNP)
Details        
$27.80 n/a $445No additional gap coverage, only the Donut Hole Discount $0.00$20.00$47.00$47.00tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 AARP Medicare Advantage SecureHorizons Premier (HMO)
Details        
$26.00 $1,000 $0Yes, some additional gap coverage. H0543
-165
-0
$0.00$9.00$47.00$47.00$1000

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 AARP Medicare Advantage SecureHorizons Premier (HMO)
Details        
$28.20 $1,000 $0Yes, some additional gap coverage. $0.00$9.00$47.00$47.00$1000
2021 Formulary
2020 Health Net Seniority Plus Sapphire (HMO)
Details        
$0.00 $4,500 $370No additional gap coverage, only the Donut Hole Discount H0562
-122
-0
$0.00$20.00$47.00$47.00$4500

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Health Net Sapphire (HMO)
Details        
$28.50 $3,450 $445No additional gap coverage, only the Donut Hole Discount $0.00$20.00$47.00$47.00$3450
2021 Formulary
2020 Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP)
Details        
$31.10 n/a $435No additional gap coverage, only the Donut Hole Discount H0524
-029
-0
15%15%15%15%n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  
2021 Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP)
Details        
$30.50 n/a $445No additional gap coverage, only the Donut Hole Discount     tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Anthem MediBlue Extra (HMO)
Details        
$14.40 $900 $435Yes, some additional gap coverage. H0544
-081
-0
$0.00$2.00$47.00$47.00$900

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Extra (HMO)
Details        
$31.50 $900 $445Yes, some additional gap coverage. $0.00$2.00$47.00$47.00$900
2021 Formulary

-- This plan not offered in 2020 --

H1993
-002
-0
     
new new new  
2021 Astiva Health Value (HMO)
Details        
$31.50 $7,550 $445Yes, some additional gap coverage. $0.00$0.0025%25%$7550
2021 Formulary
2020 Blue Shield Promise Coordinated Choice Plan (HMO)
Details        
$32.00 $6,700 $435Yes, some additional gap coverage. H5928
-037
-0
$0.0025%25%25%$6700

2020 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Blue Shield Coordinated Choice Plan (HMO)
Details        
$31.50 $6,700 $445Yes, some additional gap coverage. $0.0025%25%25%$6700
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Blue Shield Promise TotalDual Plan (HMO D-SNP)
Details        
$32.00 n/a $435Yes, some additional gap coverage. H5928
-005
-0
$0.0025%25%25%n/a

2020 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Blue Shield TotalDual Plan (HMO D-SNP)
Details        
$31.50 n/a $445Yes, some additional gap coverage. $0.0025%25%25%tbd
2021 Formulary
2020 Brand New Day Bridges Choice Plan (HMO C-SNP)
Details        
$32.00 n/a $435No additional gap coverage, only the Donut Hole Discount H0838
-029
-0
0%25%25%25%n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Bridges Choice Plan (HMO C-SNP)
Details        
$31.50 n/a $445No additional gap coverage, only the Donut Hole Discount 0%25%25%25%tbd
2021 Formulary
2020 Brand New Day Classic Choice Plan (HMO)
Details        
$32.00 $6,700 $435No additional gap coverage, only the Donut Hole Discount H0838
-033
-0
0%25%25%25%$6700
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Classic Choice Plan (HMO)
Details        
$31.50 $7,550 $445No additional gap coverage, only the Donut Hole Discount 0%25%25%25%$7550
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Brand New Day Dual Access Plan (HMO D-SNP)
Details        
$32.00 n/a $435No additional gap coverage, only the Donut Hole Discount H0838
-024
-0
0%25%25%25%n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Dual Access Plan (HMO D-SNP)
Details        
$31.50 n/a $445No additional gap coverage, only the Donut Hole Discount 0%25%25%25%tbd
2021 Formulary
2020 Brand New Day Embrace Choice Plan (HMO C-SNP)
Details        
$32.00 n/a $435No additional gap coverage, only the Donut Hole Discount H0838
-040
-1
0%25%25%25%n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Embrace Choice Plan (HMO C-SNP)
Details        
$31.50 n/a $445No additional gap coverage, only the Donut Hole Discount 0%25%25%25%tbd
2021 Formulary
2020 Brand New Day Harmony Choice Plan (HMO C-SNP)
Details        
$32.00 n/a $435No additional gap coverage, only the Donut Hole Discount H0838
-020
-0
0%25%25%25%n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Harmony Choice Plan (HMO C-SNP)
Details        
$31.50 n/a $445No additional gap coverage, only the Donut Hole Discount 0%25%25%25%tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4

-- This plan not offered in 2020 --

H0838
-044
-0
     
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Brand New Day Select Choice I Plan (HMO I-SNP)
Details        
$31.50 n/a $445No additional gap coverage, only the Donut Hole Discount 0%25%25%25%tbd
2021 Formulary
2020 Central Health Premier Plan (HMO)
Details        
$32.00 $6,700 $435Yes, some additional gap coverage. H5649
-004
-0
$0.00$0.0025%25%$6700

2020 Formulary
 Medicare Part D Plan Rating - 3 Stars (Average) --  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Central Health Premier Plan (HMO)
Details        
$31.50 $6,700 $445Yes, some additional gap coverage. $0.00$0.0025%25%$6700
2021 Formulary

-- This plan not offered in 2020 --

H7607
-003
-2
     
new new new  
2021 Clever Care Balance Medicare Advantage (HMO)
Details        
$31.50 $7,550 $435Yes, some additional gap coverage. 0%25%25%25%$7550
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Imperial Traditional Plus (HMO) (HMO)
Details        
$32.00 $4,000 $435Yes, some additional gap coverage. H5496
-009
-0
0%25%25%25%$4000

2020 Formulary
new new  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 Imperial Traditional Plus (HMO)
Details        
$31.50 $2,999 $445Yes, some additional gap coverage. 0%25%25%25%$2999
2021 Formulary
2020 Inter Valley Health Plan Vitality Plus (HMO)
Details        
$32.00 $5,900 $435No additional gap coverage, only the Donut Hole Discount H0545
-015
-0
$0.0025%25%25%$5900

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Inter Valley Health Plan Vitality Plus (HMO)
Details        
$31.50 $5,900 $445No additional gap coverage, only the Donut Hole Discount $0.0025%25%25%$5900
2021 Formulary
2020 OneCare (HMO D-SNP)
Details        
$32.00 n/a $0No additional gap coverage, only the Donut Hole Discount H5433
-001
-0
$0.00$0.00  n/a

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 OneCare (HMO D-SNP)
Details        
$31.50 n/a $0Yes, some additional gap coverage. $0.00   tbd
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 SCAN Plus (HMO)
Details        
$32.00 $6,700 $435No additional gap coverage, only the Donut Hole Discount H5425
-045
-0
$0.0025%25%25%$6700

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  
2021 SCAN Plus (HMO)
Details        
$31.50 $7,550 $445No additional gap coverage, only the Donut Hole Discount $0.0025%25%25%$7550
2021 Formulary
2020 Aetna Medicare Choice Plan (PPO)
Details        
$98.00 $6,700 $0Yes, some additional gap coverage. H5521
-056
-0
$0.00$0.00$47.00$47.00$6700

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Aetna Medicare Choice Plan (PPO)
Details        
$89.00 $7,550 $0Yes, some additional gap coverage. $0.00$10.00$47.00$47.00$7550
2021 Formulary
2020 Anthem MediBlue Access (PPO)
Details        
$171.00 $6,700 $370No additional gap coverage, only the Donut Hole Discount H8552
-020
-0
$4.00$8.00$42.00$42.00$6700

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 2 Stars (Below Average)  Medicare Part D Plan Rating - 3 Stars (Average)  
2021 Anthem MediBlue Access (PPO)
Details        
$172.00 $6,700 $370No additional gap coverage, only the Donut Hole Discount $4.00$8.00$42.00$42.00$6700
2021 Formulary
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Anthem MediBlue Connect Plus (HMO)
Details        
$20.20 $6,700 $435Yes, some additional gap coverage. H0544
-049
-0
25%25%25%25%$6700

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  

-- Members will be assigned to Anthem MediBlue Connect Plus (HMO) H0544-122-1 --

     
2020 Health Net Healthy Heart (HMO)
Details        
$16.00 $2,400 $0Yes, some additional gap coverage. H0562
-100
-1
$5.00$10.00$37.00$37.00$2400

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- Members will be assigned to Health Net Healthy Heart (HMO) H0562-123-0 --

     
2020 Health Net Gold Select (HMO)
Details        
$0.00 $899 $0Yes, some additional gap coverage. H0562
-101
-1
$0.00$10.00$37.00$37.00$899

2020 Formulary
 Medicare Part D Plan Rating - 4 Stars (Above Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- This plan not offered in 2021 --

     
Plan Name Monthly
Premium
Parts A&B
MOOP
Part D
Deduct-
ible
Additional
Gap
Coverage
Plan
ID
Cost-Sharing MOOP Lmt.
Cust.
Serv.
Plan
Exper.
Cost
Info.
Tier
1
Tier
2
Tier
3
Tier
4
2020 Brand New Day Select Care Plan (HMO I-SNP)
Details        
$32.00 n/a $435No additional gap coverage, only the Donut Hole Discount H0838
-041
-0
0%25%25%25%n/a
 Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 3 Stars (Average)  Medicare Part D Plan Rating - 4 Stars (Above Average)  

-- This plan not offered in 2021 --

     
2020 VillageHealth (HMO-POS C-SNP)
Details        
$32.00 n/a $435No additional gap coverage, only the Donut Hole Discount H5943
-002
-0
$0.0025%25%25%n/a

2020 Formulary
 Medicare Part D Plan Rating - 5 Stars (Excellent) -- --  

-- This plan not offered in 2021 --

     



Chart Legend:

What does all this mean? Below are a few notes to help you understand the 2021 Medicare Part D Plan information above.

  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The same plan name generally has a different plan id in each state. (Search Tip: If you would like to reduce the plans shown to just plans for one or two specific carriers, you can select the carrier name in the "Plan Family" fields 1 and 2. Select the empty (blank) option at the top of the list to remove the criteria. You can also click the "National Plans" checkbox to limit your search to just national plans.)

  • CMS Plan Ratings: these are found under the Plan Name at the left side of the chart.
    This is a 1 to 5 star rating system with five (5) stars as excellent, four (4) stars as very good, three (3) stars as good, two (2) stars as fair and one (1) star as poor.

    • Cust. Service Rating - Drug Plan Customer Service - Medicare and members rate the drug plan and how well a drug plan provides customer service.

      This category includes measures of how drug plans rate on the following areas:
      • Time on Hold When Customer and Pharmacist Calls Drug Plan.
      • Calls Disconnected When Customer and Pharmacist Calls Drug Plan.
      • Drug Plan’s Timeliness in Giving a Decision for Members Who Make an Appeal.
      • Fairness of Drug Plan’s Denials to a Member’s Appeal, Based on an Independent Reviewer.

    • Member Plan Exper. - Member Experience with Drug Plan - This category shows how well drug plans make prescription drugs available to their members.

      This category includes measures of how drug plans rate on the following areas:
      • Drug Plan Provides Information or Help When Members Need It.
      • Members’ Overall Rating of Drug Plan.
      • Members’ Ability to Get Prescriptions Filled Easily When Using the Drug Plan.

    • RxCost Info Rating - This category shows how well drug plans are doing with pricing prescriptions and providing information on the Medicare website.

      This category includes measures of how drug plans rate on the following areas:
      • Completeness of the Drug Plan’s Information on Members Who Need Extra Help.
      • Drug Plan Provides Current Information on Costs and Coverage for Medicare’s Website (the same data is used on this Q1Medicare.com).
      • Drug Plan’s Prices that Did Not Increase More Than Expected During the Year.
      • Drug Plan’s Prices on Medicare’s Website (and this website) Are Similar to the Prices Members Pay at the Pharmacy.
      • Drug Plan’s Members 65 and Older Who Received Prescriptions for Certain Drugs with a High Risk of Side Effects, when There May Be Safer Drug Choices.

  • Monthly Premium: This is the amount you must pay each month to use the plan. This monthly premium must be paid even if you are in the initial deductible phase or the coverage gap (donut hole) phase. (Search Tip: If you would like to reduce the plans shown to just plans under a certain premium, enter this value in the "Maximum Premium" field.)

    (Search Tip: If you have selected an amount in the "LIS Subsidy Amount" filed, the premium shown is the premium based on your Low-Income Subsidy selection.

  • Deductible: The standard CMS plan initial deductible is $445. Many Medicare plans do not have a deductible; however their plan premium may be higher. (Search Tip: If you would like to reduce the plans shown to just plans with a deductible under a certain value, enter this value in the "Maximum Deductible" field.) Some plans that have an annual deductible exempt certain drug tiers from the deductible. For example, "Tier 1 exempt" may be shown. This would mean that Tier 1 drugs purchased during the Deductible phase, would not fall into the deductible and would be charged the Initial Coverage Phase tier 1 cost-sharing.

  • Gap Coverage: In the CMS Standard Plan, the beneficiary, or others on their behalf (e.g. the brand-name drug manufacturer discount), pay(s) up to $5,184 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2021, all formulary drugs will have at least a 75% discount in the coverage gap (Donut Hole). The Gap Coverage Types discussed in this section are supplemental coverage your plan pays in addition to the Healthcare Reform mandated discounts. In our chart, you will see one of the following:
    • No Gap Coverage: You receive the 75% Donut Hole Discount and pay up to $5,184 depending on your mix of generics and brand-name drugs, before exiting into Catastrophic Coverage. Read more...
    • Yes: This plan offers some supplemental gap coverage in addition to the 75% Donut Hole Discount. See plan details for a description of the gap coverage. The description may read similar to: Under this plan you may pay even less for the brand and generic drugs on the formulary. Your cost varies by tier. You will need to use your formulary to locate your drug's tier. See the chart that follows to find out how much it will cost you.

  • $0 Premium with Full LIS - Does the plan qualify for $0 premium with full Low-Income Subsidy?: If Yes is in the field, then you would pay a $0 premium if you have a Full Low-Income Subsidy (LIS). If No is in the field, then you would be responsible for the difference between what the state provides as the Full Low-Income Subsidy and the actual cost of the plan even if you have a Full Low-Income Subsidy. (Search Tip: If you would like to reduce the plans shown to just plans that qualify for the $0 premium (Benchmark plans), select "Yes..." in the "Full Low-Income Subsidy?" field.)

  • Plan ID: This is the unique id for this particular plan.

  • Copay / Coinsurance - Cost Sharing - This is what you will pay for formulary drugs in the Initial Coverage Phase of your plan. This is the phase after the initial deductible has been met and before you reach the Coverage Gap (Donut Hole). Plans often cover drugs in "tiers". Tiers are specific to the list of drugs covered by the plan. Plans may have several tiers, and the copay for a drug depends on the drug’s tier. Plans can form their own tiers, so you should contact the plan or reference their summary of benefits to find out what copays and limitations are associated with each tier. These cost sharing figures DO NOT necessarily apply to the Coverage Gap. The plan may have a separate copay/coinsurance for the same drug while in the Coverage Gap. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)




Additional Information Fields:
You can select one of the following additional pieces of plan information to display (Search Tip: to change the type of information shown in the last column of the chart, select the data to be shown in the "Additional Info" field.)
  • Total Formulary Drugs (default) - This is the total number of medications on the plans formulary or drug list. This total drug count does not include "Bonus Drugs". These are non-Medicare Part D drugs which are covered by the plan, however they do not count toward your plan deductible, retail drug cost, or TrOOP.

  • Plan’s Summary Star Rating - This is the overall star rating for the Medicare Part D plan. To learn more about the star ratings, please see our Plan Quality Star Ratings.

  • Offers Mail Order - "Yes" is displayed if this plan offers mail order on any medications. It does NOT mean that ALL medications are available through mail order.

  • Members in This State (updated: September 2021 figures) - This is the total number of members in this plan for this PDP CMS Region. For regions that contain more than one state, this is the total for all of those states combined. If the CMS Region contains more than one state, the actual state enrollment is shown, along with the CMS region and national enrollment figures on the plan details page. you can access the plan details by clicking the plan name, orange enroll options button, or the plan details icon.

  • Members Nation Wide (updated: September 2021 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.

  • Initial Coverage Limit (ICL) - The Initial Coverage Phase of a Medicare Part D plan is the phase AFTER the initial deductible is met (if the plan has an initial deductible) and BEFORE the coverage gap (or donut hole) begins. The ICL is the phase of the prescription drug plan during which you and your plan share your prescription costs. During this phase you will pay either a co-payment (a flat fee per prescription) or co-insurance (a percentage of the drug cost). The details of the cost-sharing for the plan are shown in the Cost-Sharing column directly to the left of this column. The CMS standard Initial Coverage Limit for 2021 is $4,130 and increases each year.

  • National or Regional Plans - This column simply displays the word "National" if the plan is sponsored by a national carrier or "Regional" if the plan sponsor is a regional carrier.



(Chart Source: various files provided by the Centers for Medicare and Medicaid Services along with data from the Medicare.gov website plan finder.)

Please note: The above plan information comes from CMS. We make every attempt to keep our information up-to-date with plan/premium changes. However, we cannot guarantee the accuracy of this information. You should always verify cost and coverage information with your Medicare plan provider.



 
 


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