There are 71 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
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 |
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 Humana Honor (HMO)
| $0.00 |
$4,999 |
No Rx Coverage |
H5619 -121 -0 | This plan does NOT include Prescription Drug coverage. | |
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2024 Humana USAA Honor (HMO)
| $0.00 |
$4,999 |
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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H5525 -079 -0 | | | | | |
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2024 Humana USAA Honor (PPO)
| $0.00 |
$6,500 |
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 -041 -0 | | | | | |
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2024 AARP Medicare Advantage from UHC CA-0033 (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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2023 AARP Medicare Advantage SecureHorizons Focus (HMO-POS)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H0543 -196 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC CA-011P (HMO-POS)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 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 |
-- 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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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 Alignment Health AllCare Preferred (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. |
H3815 -011 -0 | $3.00 | $10.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
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2024 Alignment Health AllCare Preferred (HMO)
| $0.00 |
$999 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 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 AVA (HMO-POS)
| $0.00 |
$1,999 |
$0 | Yes, some additional gap coverage. |
H3815 -026 -0 | $0.00 | $3.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
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2024 Alignment Health AVA + Instacart (HMO-POS)
| $0.00 |
$1,999 |
$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 Balance (PPO)
| $0.00 |
$2,850 |
$0 | Yes, some additional gap coverage. |
H4961 -006 -0 | $0.00 | $3.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
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2024 Alignment Health Balance (PPO)
| $0.00 |
$2,850 |
$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 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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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 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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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 -040 -0 | | | | | |
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2024 Alignment Health smartHMO (HMO)
| $0.00 |
$1,999 |
$545 | Yes, some additional gap coverage. | $0.00 | $0.00 | $45.00 | $45.00 | 3,517 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 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 |
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-- This plan not offered in 2023 --
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H1426 -001 -0 | | | | | |
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-- |
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2024 CCA Medicare Excel (HMO)
| $0.00 |
$1,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $30.00 | $30.00 | 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 |
2023 Humana Gold Plus H5619-032 (HMO)
| $0.00 |
$2,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5619 -032 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H5619-032 (HMO)
| $0.00 |
$2,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
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2023 Humana Gold Plus H5619-150 (HMO)
| $0.00 |
$5,000 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H5619 -150 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H5619-150 (HMO)
| $0.00 |
$5,000 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,448 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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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 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 |
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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 |
|
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 Senior Advantage Basic Stanis (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. |
H0524 -041 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
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2024 Kaiser Permanente Senior Advantage Basic Stanis (HMO)
| $0.00 |
$4,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,403 2024 Formulary |
|
2023 SCAN Balance (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H5425 -070 -0 | $0.00 | $0.00 | $30.00 | $30.00 | 3,458
2023 Formulary |
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2024 SCAN Balance (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $35.00 | $35.00 | 3,535 2024 Formulary |
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2023 SCAN Classic (HMO)
| $0.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H5425 -069 -0 | $0.00 | $0.00 | $40.00 | $40.00 | 3,458
2023 Formulary |
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2024 SCAN Classic (HMO)
| $0.00 |
$2,700 |
$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 |
-- This plan not offered in 2023 --
|
H5425 -112 -0 | | | | | |
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2024 SCAN Heart First (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | $40.00 | $40.00 | 3,535 2024 Formulary |
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-- This plan not offered in 2023 --
|
H0562 -079 -0 | | | | | |
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2024 Wellcare No Premium Ruby (HMO)
| $0.00 |
$3,850 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,372 2024 Formulary |
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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 |
|
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 --
|
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 |
|
2023 AARP Medicare Advantage SecureHorizons Plan 2 (HMO-POS)
| $9.00 |
$3,900 |
$0 | Yes, some additional gap coverage. |
H0543 -147 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
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2024 AARP Medicare Advantage from UHC CA-0011 (HMO-POS)
| $19.00 |
$3,800 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Blue Shield Inspire (HMO)
| $0.00 |
$3,500 |
$0 | Yes, some additional gap coverage. |
H0504 -047 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,455
2023 Formulary |
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2024 Blue Shield Inspire (HMO)
| $22.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $40.00 | $40.00 | 3,431 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 -098 -0 | | | | | |
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2024 SCAN Strive (HMO C-SNP)
| $23.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,535 2024 Formulary |
|
2023 Wellcare Dual Liberty Amber (HMO D-SNP)
| $19.70 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3561 -001 -0 | | | | | 3,394
2023 Formulary |
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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 |
|
2023 Humana Gold Plus H5619-148 (HMO)
| $24.00 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H5619 -148 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus H5619-148 (HMO)
| $25.00 |
$3,200 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $40.00 | $40.00 | 3,448 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 Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)
| $14.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H5619 -038 -0 | $13.00 | $20.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
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2024 Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)
| $25.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,448 2024 Formulary |
|
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 |
|
-- 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 Anthem MediBlue ESRD Care (PPO C-SNP)
| $29.30 |
n/a |
$130 | Yes, some additional gap coverage. |
H8552 -028 -0 | $1.00 | $6.00 | $42.00 | $42.00 | 3,579
2023 Formulary |
|
|
|
|
2024 Anthem Kidney Care (PPO C-SNP)
| $37.10 |
n/a |
$130 | Yes, some additional gap coverage. | $1.00 | $6.00 | $42.00 | $42.00 | 3,562 2024 Formulary |
|
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 |
|
-- This plan not offered in 2023 --
|
H2819 -002 -0 | | | | | |
new |
new |
new |
|
2024 Blue Shield Inspire (HMO D-SNP)
| $38.60 |
n/a |
$545 | Yes, some additional gap coverage. | $0.00 | 25% | 25% | 25% | 3,272 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 |
|
-- 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 |
|
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 --
|
H0294 -033 -0 | | | | | |
|
|
|
|
2024 AARP Medicare Advantage from UHC CA-0025 (PPO)
| $44.00 |
$5,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5525 -080 -0 | | | | | |
|
|
|
|
2024 HumanaChoice H5525-080 (PPO)
| $46.00 |
$5,900 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
| $65.00 |
$2,500 |
$0 | Yes, some additional gap coverage. |
H0524 -040 -0 | $0.00 | $5.00 | $45.00 | $45.00 | 3,388
2023 Formulary |
|
|
|
|
2024 Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
| $65.00 |
$2,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $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 Alignment Health My Choice (PPO)
| $79.00 |
$4,200 |
$0 | Yes, some additional gap coverage. |
H4961 -001 -0 | $0.00 | $5.00 | $40.00 | $40.00 | 3,467
2023 Formulary |
|
|
|
|
2024 Alignment Health My Choice (PPO)
| $79.00 |
$4,200 |
$0 | Yes, some additional gap coverage. | $0.00 | $5.00 | $40.00 | $40.00 | 3,517 2024 Formulary |
|
2023 AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
| $97.00 |
$2,900 |
$0 | Yes, some additional gap coverage. |
H0543 -036 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC CA-0006 (HMO-POS)
| $94.00 |
$2,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $47.00 | $47.00 | 3,634 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 (PPO)
| $43.00 |
$5,900 |
$0 | Yes, some additional gap coverage. |
H4829 -008 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC CA-0025 (PPO) H0294-033 --
| | | | | |
|
2023 AARP Medicare Advantage Choice Plan 2 (PPO)
| $0.00 |
$6,700 |
$0 | Yes, some additional gap coverage. |
H4829 -017 -0 | $0.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
-- Members will be assigned to AARP Medicare Advantage from UHC CA-0033 (PPO) H0294-041 --
| | | | | |
|
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 --
|
| | | | |
|
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 Value Plus (HMO)
| $49.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0544 -027 -0 | $0.00 | $9.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Lung (HMO C-SNP)
| $59.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0544 -031 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Diabetes (HMO C-SNP)
| $59.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0544 -032 -0 | $0.00 | $7.50 | $35.00 | $35.00 | 3,157
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 Anthem MediBlue Heart (HMO C-SNP)
| $59.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0544 -036 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Care On Site (HMO I-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0544 -050 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Lung Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0544 -103 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
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 Anthem MediBlue Diabetes Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0544 -104 -0 | $0.00 | $7.50 | $35.00 | $35.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Heart Care (HMO C-SNP)
| $0.00 |
n/a |
$0 | Yes, some additional gap coverage. |
H0544 -105 -0 | $0.00 | $7.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Value (HMO)
| $0.00 |
$3,400 |
$0 | Yes, some additional gap coverage. |
H0544 -107 -0 | $0.00 | $9.50 | $40.00 | $40.00 | 3,157
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 Anthem MediBlue StartSmart Plus (HMO)
| $0.00 |
$3,400 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0544 -121 -2 | $5.00 | $12.50 | $40.00 | $40.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Anthem MediBlue Connect (HMO D-SNP)
| $36.20 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0544 -126 -0 | $10.00 | $20.00 | $47.00 | $47.00 | 3,157
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Wellcare Patriot Giveback (HMO)
| $0.00 |
$4,500 |
No Rx Coverage |
H0562 -044 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
-- 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 No Premium (HMO)
| $0.00 |
$3,450 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0562 -120 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 |
|
-- This plan not offered in 2024 --
|
| | | | |
|
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 |
|
-- 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 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 |
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Blue Shield Inspire (HMO D-SNP)
| $38.90 |
n/a |
$505 | Yes, some additional gap coverage. |
H5928 -054 -0 | $0.00 | 25% | 25% | 25% | 3,290
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|