There are 65 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
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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 |
2023 Aetna Medicare Eagle Plan (HMO)
| $0.00 |
$4,200 |
No Rx Coverage |
H4982 -013 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plan (HMO)
| $0.00 |
$4,200 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Aetna Medicare Eagle Plus Plan (PPO)
| $0.00 |
$6,700 |
No Rx Coverage |
H5521 -369 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Aetna Medicare Eagle Plus Plan (PPO)
| $0.00 |
$6,700 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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2023 Brand New Day Valor Care Plan (HMO)
| $0.00 |
$3,000 |
No Rx Coverage |
H0838 -048 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Brand New Day Valor Care Plan (HMO)
| $0.00 |
$3,850 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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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 |
2023 Imperial Courage Plan (HMO)
| $0.00 |
$2,999 |
No Rx Coverage |
H5496 -016 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Imperial Courage Plan (HMO)
| $0.00 |
$2,999 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
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-- This plan not offered in 2023 --
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H0294 -040 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC CA-0032 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
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-- This plan not offered in 2023 --
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H5521 -425 -0 | | | | | |
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2024 Aetna Medicare Core Plan (PPO)
| $0.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 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 |
2023 Aetna Medicare Elite Plan (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. |
H5521 -293 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
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2024 Aetna Medicare Elite Plan (PPO)
| $0.00 |
$5,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
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2023 Aetna Medicare Plus Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H4982 -007 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,622
2023 Formulary |
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2024 Aetna Medicare Plus Plan (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,658 2024 Formulary |
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2023 Aetna Medicare Select Plan (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H0523 -070 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,622
2023 Formulary |
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2024 Aetna Medicare Select Plan (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,658 2024 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 |
2023 Alignment Health CalPlus + Veterans (HMO)
| $0.00 |
$5,900 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3815 -036 -0 | $0.00 | $20.00 | 25% | 25% | 3,467
2023 Formulary |
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2024 Alignment Health CalPlus + Veterans (HMO)
| $0.00 |
$5,900 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | 25% | 25% | 3,517 2024 Formulary |
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2023 Alignment Health Harmony (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H3815 -031 -0 | $0.00 | $3.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
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2024 Alignment Health Harmony (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $3.00 | $40.00 | $40.00 | 3,517 2024 Formulary |
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2023 Alignment Health Heart & Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H3815 -010 -0 | $0.00 | $5.00 | $30.00 | $30.00 | 3,467
2023 Formulary |
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2024 Alignment Health Heart & Diabetes (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $30.00 | $30.00 | 3,517 2024 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 |
2023 Alignment Health My Choice CalPlus (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. |
H3815 -007 -0 | $0.00 | $3.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
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2024 Alignment Health My Choice CalPlus (HMO)
| $0.00 |
$3,000 |
$0 | Yes, some additional gap coverage. | $0.00 | $3.00 | $40.00 | $40.00 | 3,517 2024 Formulary |
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-- This plan not offered in 2023 --
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H3815 -016 -0 | | | | | |
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2024 Alignment Health Platinum + Instacart (HMO-POS)
| $0.00 |
$998 |
$0 | Yes, some additional gap coverage. | $0.00 | $3.00 | $30.00 | $30.00 | 3,517 2024 Formulary |
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2023 Anthem MediBlue Prime (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H4161 -004 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,583
2023 Formulary |
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new |
new |
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2024 Anthem Prime (HMO)
| $0.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $42.00 | $42.00 | 3,557 2024 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 |
2023 Anthem MediBlue Select (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H0544 -069 -0 | $0.00 | $10.00 | $42.00 | $42.00 | 3,583
2023 Formulary |
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2024 Anthem Select (HMO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $42.00 | $42.00 | 3,557 2024 Formulary |
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2023 Brand New Day Classic Care II Plan (HMO)
| $0.00 |
$1,500 |
$50 | Yes, some additional gap coverage. |
H0838 -051 -1 | $0.00 | $12.00 | $47.00 | $47.00 | 3,467
2023 Formulary |
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2024 Brand New Day Classic Care II Plan (HMO)
| $0.00 |
$2,499 |
$50 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,494 2024 Formulary |
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2023 Brand New Day Embrace Care Plan (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0838 -039 -2 | $0.00 | $9.00 | $47.00 | $47.00 | 3,467
2023 Formulary |
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2024 Brand New Day Embrace Care Plan (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $9.00 | $47.00 | $47.00 | 3,494 2024 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 |
2023 CCHP Senior Value Program (HMO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0571 -007 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,288
2023 Formulary |
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2024 CCHP Senior Value Program (HMO)
| $0.00 |
$7,550 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $12.00 | $47.00 | $47.00 | 3,332 2024 Formulary |
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2023 Imperial Dynamic Plan (HMO)
| $0.00 |
$899 |
$0 | Yes, some additional gap coverage. |
H5496 -012 -0 | $0.00 | $3.00 | $30.00 | $30.00 | 3,346
2023 Formulary |
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2024 Imperial Dynamic Plan (HMO)
| $0.00 |
$298 |
$0 | Yes, some additional gap coverage. | $0.00 | $3.00 | $30.00 | $30.00 | 3,404 2024 Formulary |
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2023 Imperial Senior Value (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5496 -005 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,387
2023 Formulary |
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2024 Imperial Senior Value (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,404 2024 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 |
2023 Imperial Strong (HMO)
| $0.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5496 -014 -0 | | | | | 3,346
2023 Formulary |
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2024 Imperial Strong (HMO)
| $0.00 |
$8,850 |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,404 2024 Formulary |
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2023 Imperial Traditional (HMO)
| $0.00 |
$2,999 |
$0 | Yes, some additional gap coverage. |
H5496 -007 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,346
2023 Formulary |
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2024 Imperial Traditional (HMO)
| $0.00 |
$1,349 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $45.00 | $45.00 | 3,404 2024 Formulary |
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2023 Kaiser Permanente Senior Advantage Basic SF (HMO)
| $0.00 |
$6,000 |
$0 | Yes, some additional gap coverage. |
H0524 -060 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
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2024 Kaiser Permanente Senior Advantage Basic SF (HMO)
| $0.00 |
$6,000 |
$0 | Yes, some additional gap coverage. | $5.00 | $18.00 | $47.00 | $47.00 | 3,403 2024 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 |
2023 Align Connect (HMO C-SNP)
| $0.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3274 -003 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,833
2023 Formulary |
|
new |
new |
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2024 Memory Care (HMO C-SNP)
| $0.00 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 3,702 2024 Formulary |
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2023 Align Thrive (HMO I-SNP)
| $0.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3274 -002 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,833
2023 Formulary |
|
new |
new |
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2024 Premier Care (HMO I-SNP)
| $0.00 |
n/a |
$400 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $45.00 | $45.00 | 3,702 2024 Formulary |
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2023 Wellcare No Premium (HMO)
| $0.00 |
$4,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0562 -097 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
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2024 Wellcare No Premium Focus (HMO)
| $0.00 |
$6,350 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,372 2024 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 |
2023 Alignment Health CalPlusDuals (HMO D-SNP)
| $14.80 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3815 -030 -0 | $0.00 | $20.00 | 25% | 25% | 3,467
2023 Formulary |
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2024 Alignment Health CalPlusDuals (HMO D-SNP)
| $1.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,517 2024 Formulary |
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-- This plan not offered in 2023 --
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H3815 -039 -0 | | | | | |
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2024 Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)
| $8.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,517 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0523 -076 -0 | | | | | |
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2024 Aetna Medicare Value Plus Plan (HMO-POS)
| $13.70 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,658 2024 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 |
2023 UnitedHealthcare Canopy Health Medicare Advantage (HMO-POS)
| $19.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H0543 -191 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 UHC Canopy Health Medicare Advantage CA-009P (HMO-POS)
| $19.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H3561 -001 -0 | | | | | |
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2024 Wellcare Dual Liberty (HMO D-SNP)
| $24.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,353 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H4471 -004 -0 | | | | | |
new |
new |
new |
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2024 Anthem Dual Advantage (HMO D-SNP)
| $27.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,557 2024 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 |
2023 UnitedHealthcare Medicare Advantage Assure (HMO)
| $27.50 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0543 -183 -0 | | | | | 3,682
2023 Formulary |
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2024 UHC Medicare Advantage CA-001A (HMO)
| $27.80 |
$8,850 |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 HumanaChoice H5525-055 (PPO)
| $27.00 |
$6,500 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5525 -055 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 HumanaChoice H5525-055 (PPO)
| $28.00 |
$6,500 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5425 -107 -0 | | | | | |
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2024 SCAN Affirm partnered with Included LGBTQ+ Health (HMO)
| $29.00 |
$3,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,535 2024 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 2023 --
|
H5425 -106 -0 | | | | | |
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|
|
2024 SCAN Balance (HMO C-SNP)
| $29.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,535 2024 Formulary |
|
2023 SCAN Classic (HMO)
| $33.00 |
$5,000 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5425 -019 -0 | $0.00 | $0.00 | $42.00 | $42.00 | 3,458
2023 Formulary |
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|
|
2024 SCAN Classic (HMO)
| $29.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $42.00 | $42.00 | 3,535 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5425 -111 -0 | | | | | |
|
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|
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2024 SCAN Heart First (HMO C-SNP)
| $29.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,535 2024 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 |
2023 Aetna Medicare Preferred Plan (HMO D-SNP)
| $20.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H4982 -008 -0 | | | | | 3,597
2023 Formulary |
|
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|
|
2024 Aetna Medicare Preferred Plan (HMO D-SNP)
| $29.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 Anthem MediBlue Access (PPO)
| $30.00 |
$6,700 |
$370 | No additional gap coverage, only the Donut Hole Discount |
H8552 -029 -0 | $4.00 | $12.00 | $42.00 | $42.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Anthem Medicare Advantage (PPO)
| $30.00 |
$8,850 |
$370 | No additional gap coverage, only the Donut Hole Discount | $4.00 | $12.00 | $42.00 | $42.00 | 3,581 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H8794 -004 -0 | | | | | |
new |
new |
new |
|
2024 Senior Advantage Medicare Medi-Cal North P4 (HMO D-SNP)
| $34.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,403 2024 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 |
2023 Brand New Day Classic Care I Plan (HMO)
| $38.90 |
$3,650 |
$0 | Yes, some additional gap coverage. |
H0838 -050 -2 | $0.00 | $0.00 | $47.00 | $47.00 | 3,467
2023 Formulary |
|
|
|
|
2024 Brand New Day Classic Care I Plan (HMO)
| $37.60 |
$2,100 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,494 2024 Formulary |
|
2023 CCHP Senior Program (HMO)
| $42.00 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0571 -001 -0 | $0.00 | $7.00 | $40.00 | $40.00 | 3,288
2023 Formulary |
|
|
|
|
2024 CCHP Senior Program (HMO)
| $39.50 |
$6,700 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $7.00 | $40.00 | $40.00 | 3,332 2024 Formulary |
|
2023 Align Kidney Care (HMO C-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3274 -004 -0 | $2.00 | $15.00 | $45.00 | $45.00 | 3,838
2023 Formulary |
|
new |
new |
|
2024 Align Kidney Care (HMO C-SNP)
| $41.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $15.00 | $45.00 | $45.00 | 3,702 2024 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 |
2023 Brand New Day Dual Access Plan (HMO D-SNP)
| $38.90 |
n/a |
$505 | Yes, some additional gap coverage. |
H0838 -024 -0 | $0.00 | 25% | 25% | 25% | 3,467
2023 Formulary |
|
|
|
|
2024 Brand New Day Dual Access Plan (HMO D-SNP)
| $41.00 |
n/a |
$545 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,494 2024 Formulary |
|
2023 Brand New Day Embrace Choice Plan (HMO C-SNP)
| $38.90 |
n/a |
$505 | Yes, some additional gap coverage. |
H0838 -040 -2 | $0.00 | 25% | 25% | 25% | 3,467
2023 Formulary |
|
|
|
|
2024 Brand New Day Embrace Choice Plan (HMO C-SNP)
| $41.00 |
n/a |
$545 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,494 2024 Formulary |
|
2023 CCHP Senior Select Program (HMO D-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0571 -005 -0 | | | | | 3,288
2023 Formulary |
|
|
|
|
2024 CCHP Senior Select Program (HMO D-SNP)
| $41.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,332 2024 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 2023 --
|
H5496 -011 -0 | | | | | |
|
|
|
|
2024 Imperial Dual Plan (HMO D-SNP)
| $41.00 |
n/a |
$545 | Yes, some additional gap coverage. | 0% | 0% | 25% | 25% | 3,404 2024 Formulary |
|
2023 Align Premier (HMO I-SNP)
| $38.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3274 -001 -0 | | | | | 3,683
2023 Formulary |
|
new |
new |
|
2024 Senior Care (HMO I-SNP)
| $41.00 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,665 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H0294 -031 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC CA-0023 (PPO)
| $44.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 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 |
2023 Alignment Health Sutter Advantage (HMO)
| $48.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H3815 -023 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
|
|
|
|
2024 Alignment Health Sutter Advantage (HMO)
| $48.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,517 2024 Formulary |
|
2023 Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
| $70.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H0524 -032 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
|
|
|
|
2024 Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
| $70.00 |
$3,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $7.00 | $47.00 | $47.00 | 3,403 2024 Formulary |
|
2023 Wellcare Premium Ultra (HMO)
| $133.00 |
$6,700 |
$200 | No additional gap coverage, only the Donut Hole Discount |
H0562 -009 -0 | $0.00 | $5.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Premium Ultra (HMO)
| $131.00 |
$8,850 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,372 2024 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 |
2023 AARP Medicare Advantage Choice Plan 1 (PPO)
| $45.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H4829 -004 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC CA-0023 (PPO) H0294-031 --
| | | | | |
|
2023 AARP Medicare Advantage Choice Plan 2 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H4829 -016 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC CA-0032 (PPO) H0294-040 --
| | | | | |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $26.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0562 -121 -0 | | | | | 3,394
2023 Formulary |
|
|
|
|
-- Members will be assigned to Wellcare Dual Liberty (HMO D-SNP) H3561-001 --
| | | | | |
|
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 |
2023 Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
| $29.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0524 -030 -0 | | | | | 3,388
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Dual Advantage (HMO D-SNP)
| $15.60 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0544 -054 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,583
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Dual Plus (HMO D-SNP)
| $13.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0544 -089 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,583
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 |
2023 Wellcare Specialty No Premium (HMO C-SNP)
| $0.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0562 -118 -0 | $0.00 | $5.00 | $25.00 | $25.00 | 3,393
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Brand New Day Bridges Care Plan (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0838 -028 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,467
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Brand New Day Bridges Choice Plan (HMO C-SNP)
| $38.90 |
n/a |
$505 | Yes, some additional gap coverage. |
H0838 -029 -0 | $0.00 | 25% | 25% | 25% | 3,467
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 |
2023 Brand New Day Select Care II Plan (HMO I-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0838 -043 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,467
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Brand New Day Select Choice II Plan (HMO I-SNP)
| $38.90 |
n/a |
$505 | Yes, some additional gap coverage. |
H0838 -045 -0 | $0.00 | 25% | 25% | 25% | 3,467
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|