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2022 Medicare Advantage Plans: SNPs,
    Health (MAs), Health & Rx Drug (MA-PDs)

Not sure where to begin? Just select your state below to get started:
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. . . Or . . . enter your preferences below and click  "Click to Find Plans".
Choose Your Medicare Advantage Plan Preferences
  *required  
Scroll down to see plans meeting your criteria.
Orange, California

  Partial Plan Name(s):
 1:
 2:
ex: AARP
Only plans with MOOP ≤ $3,400   5-star rated plans   limit search to 10 plans   Part B Giveback plans   Insulin $35 or less plans  
 none  
 LIS 100%    LIS 75%  
 LIS 50%    LIS 25%

$  max: $303

$  max: $480
Only show SNPs (All 3 Types)
OR only: Dual-Eligible  
Chronic Condition  
Institutional

$  
tip: enter 0 to show plans with a $0 Tier 1 Co-pay
* required
There are 102 California 2022 Medicare Advantage plans (MAPD) meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2022 Medicare Advantage Plan Information
Click here to jump to the Chart Legend & Search Tips
Plan Name County Monthly
Prem. (Parts C & D)
Deduct-
ible
(Donut Hole)
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
30-Day Supply
MOOP for Part A & B Benefits
Cust.
Service
Rating
Member
Plan
Exper.
RxCost
Info
Rating
AARP Medicare Advantage Freedom Plus (HMO-POS) - H0543-215-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

select insulin pay $35 copay
$800
Browse Formulary
AARP Medicare Advantage Freedom Plus (HMO-POS) - H0543-215-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage Freedom Plus (HMO-POS) - H0543-215-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage Freedom Plus (HMO-POS) - H0543-215-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AARP Medicare Advantage Harmony (HMO) - H0543-220-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

select insulin pay $35 copay
$800
Browse Formulary
AARP Medicare Advantage Harmony (HMO) - H0543-220-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage Harmony (HMO) - H0543-220-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage Harmony (HMO) - H0543-220-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AARP Medicare Advantage Patriot (HMO) - H0543-121-0
Benefits & Contact Info
        
Orange $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$4,900
AARP Medicare Advantage Patriot (HMO) - H0543-121-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage Patriot (HMO) - H0543-121-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage Patriot (HMO) - H0543-121-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
AARP Medicare Advantage SecureHorizons Focus (HMO) - H0543-169-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

select insulin pay $35 copay
$800
Browse Formulary
AARP Medicare Advantage SecureHorizons Focus (HMO) - H0543-169-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage SecureHorizons Focus (HMO) - H0543-169-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage SecureHorizons Focus (HMO) - H0543-169-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AARP Medicare Advantage SecureHorizons Plan 2 (HMO) - H0543-138-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $14.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

select insulin pay $35 copay
$1,500
Browse Formulary
AARP Medicare Advantage SecureHorizons Plan 2 (HMO) - H0543-138-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage SecureHorizons Plan 2 (HMO) - H0543-138-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage SecureHorizons Plan 2 (HMO) - H0543-138-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Aetna Medicare Eagle Plan (HMO) - H4982-013-0
Benefits & Contact Info
        
Orange $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$4,200
Aetna Medicare Eagle Plan (HMO) - H4982-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Eagle Plan (HMO) - H4982-013-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Eagle Plan (HMO) - H4982-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare Plus Plan (HMO) - H4982-001-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $37.00
Non-Preferred Drug: $99.00
Specialty Tier: 33%
$899
Browse Formulary
Aetna Medicare Plus Plan (HMO) - H4982-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Plus Plan (HMO) - H4982-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Plus Plan (HMO) - H4982-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare Prime Plan (HMO) - H0523-061-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
$2,200
Browse Formulary
Aetna Medicare Prime Plan (HMO) - H0523-061-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Prime Plan (HMO) - H0523-061-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Aetna Medicare Prime Plan (HMO) - H0523-061-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare Select Plan (HMO) - H0523-002-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
$2,000
Browse Formulary
Aetna Medicare Select Plan (HMO) - H0523-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Select Plan (HMO) - H0523-002-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Aetna Medicare Select Plan (HMO) - H0523-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Align Connect (HMO C-SNP) - H3274-003-0
Benefits & Contact Info
           
Orange $0.00 $480
Tier 1 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
new new new  
Align Thrive (HMO I-SNP) - H3274-002-0
Benefits & Contact Info
           
Orange $0.00 $480
Tier 1 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $2.00
Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
n/a
Browse Formulary
new new new  
Anthem MediBlue Care On Site (HMO I-SNP) - H0544-005-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $9.50
Preferred Brand: $37.50
Non-Preferred Drug: $85.00
Specialty Tier: 33%
Select Care Drugs: $0.00
n/a
Browse Formulary
Anthem MediBlue Care On Site (HMO I-SNP) - H0544-005-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Care On Site (HMO I-SNP) - H0544-005-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Care On Site (HMO I-SNP) - H0544-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Anthem MediBlue Diabetes Care (HMO C-SNP) - H0544-004-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $7.50
Preferred Brand: $35.00
Non-Preferred Drug: $85.00
Specialty Tier: 33%
Select Care Drugs: $0.00

select insulin pay $0-$35 copay
n/a
Browse Formulary
Anthem MediBlue Diabetes Care (HMO C-SNP) - H0544-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Diabetes Care (HMO C-SNP) - H0544-004-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Diabetes Care (HMO C-SNP) - H0544-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue ESRD Care (HMO C-SNP) - H0544-015-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $7.50
Preferred Brand: $37.50
Non-Preferred Drug: $85.00
Specialty Tier: 33%
Select Care Drugs: $0.00
n/a
Browse Formulary
Anthem MediBlue ESRD Care (HMO C-SNP) - H0544-015-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue ESRD Care (HMO C-SNP) - H0544-015-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue ESRD Care (HMO C-SNP) - H0544-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Heart Care (HMO C-SNP) - H0544-013-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $7.50
Preferred Brand: $37.50
Non-Preferred Drug: $85.00
Specialty Tier: 33%
Select Care Drugs: $0.00
n/a
Browse Formulary
Anthem MediBlue Heart Care (HMO C-SNP) - H0544-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Heart Care (HMO C-SNP) - H0544-013-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Heart Care (HMO C-SNP) - H0544-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Anthem MediBlue Lung Care (HMO C-SNP) - H0544-014-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $7.50
Preferred Brand: $37.50
Non-Preferred Drug: $85.00
Specialty Tier: 33%
Select Care Drugs: $0.00
n/a
Browse Formulary
Anthem MediBlue Lung Care (HMO C-SNP) - H0544-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Lung Care (HMO C-SNP) - H0544-014-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Lung Care (HMO C-SNP) - H0544-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Plus (HMO) - H0544-061-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $15.00
Preferred Brand: $42.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
$7,550
Browse Formulary
Anthem MediBlue Plus (HMO) - H0544-061-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Plus (HMO) - H0544-061-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Plus (HMO) - H0544-061-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Select (HMO) - H0544-058-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $42.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
$900
Browse Formulary
Anthem MediBlue Select (HMO) - H0544-058-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Select (HMO) - H0544-058-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Select (HMO) - H0544-058-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Anthem MediBlue StartSmart Plus (HMO) - H0544-007-0
Benefits & Contact Info
           
Orange $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $5.00
Generic: $14.50
Preferred Brand: $45.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
Select Care Drugs: $10.00
$3,000
Browse Formulary
Anthem MediBlue StartSmart Plus (HMO) - H0544-007-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue StartSmart Plus (HMO) - H0544-007-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue StartSmart Plus (HMO) - H0544-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Value Plus (HMO) - H0544-002-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $9.50
Preferred Brand: $37.50
Non-Preferred Drug: $85.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$900
Browse Formulary
Anthem MediBlue Value Plus (HMO) - H0544-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Value Plus (HMO) - H0544-002-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Value Plus (HMO) - H0544-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Astiva Health Advantage (HMO) - H1993-001-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $32.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin pay $0 copay
$845
Browse Formulary
Astiva Health Advantage (HMO) - H1993-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
AVA (HMO) - H3815-027-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: $93.00
Specialty Tier: 33%
Select Care Drugs: $3.00
$999
Browse Formulary
AVA (HMO) - H3815-027-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AVA (HMO) - H3815-027-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AVA (HMO) - H3815-027-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Blue Shield 65 Plus (HMO) - H0504-015-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $38.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
$999
Browse Formulary
Blue Shield 65 Plus (HMO) - H0504-015-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Blue Shield 65 Plus (HMO) - H0504-015-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Blue Shield 65 Plus (HMO) - H0504-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Blue Shield 65 Plus Plan 2 (HMO) - H0504-021-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $40.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
$1,899
Browse Formulary
Blue Shield 65 Plus Plan 2 (HMO) - H0504-021-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Blue Shield 65 Plus Plan 2 (HMO) - H0504-021-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Blue Shield 65 Plus Plan 2 (HMO) - H0504-021-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Blue Shield AdvantageOptimum Plan (HMO) - H5928-004-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
$999
Browse Formulary
Blue Shield AdvantageOptimum Plan (HMO) - H5928-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Blue Shield AdvantageOptimum Plan (HMO) - H5928-004-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Blue Shield AdvantageOptimum Plan (HMO) - H5928-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Blue Shield Inspire (HMO) - H0504-043-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $35.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
$799
Browse Formulary
Blue Shield Inspire (HMO) - H0504-043-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Blue Shield Inspire (HMO) - H0504-043-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Blue Shield Inspire (HMO) - H0504-043-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Blue Shield Vital (HMO) - H0504-045-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $40.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
$3,400
Browse Formulary
Blue Shield Vital (HMO) - H0504-045-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Blue Shield Vital (HMO) - H0504-045-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Blue Shield Vital (HMO) - H0504-045-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Brand New Day Bridges Care Plan (HMO C-SNP) - H0838-028-0
Benefits & Contact Info
           
Orange $0.00 $0 Some GenericsPreferred Generic: $0.00
Generic: $5.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Bridges Care Plan (HMO C-SNP) - H0838-028-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Bridges Care Plan (HMO C-SNP) - H0838-028-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Classic Care I Plan (HMO) - H0838-025-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$999
Browse Formulary
Brand New Day Classic Care I Plan (HMO) - H0838-025-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Classic Care I Plan (HMO) - H0838-025-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Classic Care II Plan (HMO) - H0838-037-0
Benefits & Contact Info
           
Orange $0.00 $50
Tier 1 and 6 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $12.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 32%
Select Care Drugs: $0.00
$999
Browse Formulary
Brand New Day Classic Care II Plan (HMO) - H0838-037-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Classic Care II Plan (HMO) - H0838-037-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Brand New Day Embrace Care Plan (HMO C-SNP) - H0838-039-1
Benefits & Contact Info
           
Orange $0.00 $0 Some GenericsPreferred Generic: $0.00
Generic: $9.00
Preferred Brand: $47.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Care Drugs: $0.00

select insulin pay $0-$35 copay
n/a
Browse Formulary
Brand New Day Embrace Care Plan (HMO C-SNP) - H0838-039-1 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Embrace Care Plan (HMO C-SNP) - H0838-039-1 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Harmony Care Plan (HMO C-SNP) - H0838-032-0
Benefits & Contact Info
           
Orange $0.00 $100
Tier 1 and 6 exempt
Some GenericsPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 30%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Harmony Care Plan (HMO C-SNP) - H0838-032-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Harmony Care Plan (HMO C-SNP) - H0838-032-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Part B Savings Plan (HMO) - H0838-049-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $12.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$2,900
Browse Formulary
Brand New Day Part B Savings Plan (HMO) - H0838-049-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Part B Savings Plan (HMO) - H0838-049-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Brand New Day Select Care I Plan (HMO I-SNP) - H0838-042-0
Benefits & Contact Info
           
Orange $0.00 $0 Some GenericsPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $0.00
Non-Preferred Drug: $50.00
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Select Care I Plan (HMO I-SNP) - H0838-042-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Select Care I Plan (HMO I-SNP) - H0838-042-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Valor Care Plan (HMO) - H0838-048-0
Benefits & Contact Info
        
Orange $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$4,500
Brand New Day Valor Care Plan (HMO) - H0838-048-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Valor Care Plan (HMO) - H0838-048-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
CalPlus (HMO) - H3815-009-0
Benefits & Contact Info
           
Orange $0.00 $480
Tier 1 and 6 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $20.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $5.00
$4,900
Browse Formulary
CalPlus (HMO) - H3815-009-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) CalPlus (HMO) - H3815-009-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) CalPlus (HMO) - H3815-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Central Health Focus Plan (HMO C-SNP) - H5649-006-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Diabetic Drugs: $0.00

select insulin pay $0 copay
n/a
Browse Formulary
Central Health Focus Plan (HMO C-SNP) - H5649-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Central Health Focus Plan (HMO C-SNP) - H5649-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Central Health Medicare Plan (HMO) - H5649-001-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Diabetic Drugs: $10.00
$990
Browse Formulary
Central Health Medicare Plan (HMO) - H5649-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Central Health Medicare Plan (HMO) - H5649-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Central Health Savings Plan (HMO) - H5649-019-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Drug: $99.00
Specialty Tier: 33%
Select Diabetic Drugs: $10.00
$2,900
Browse Formulary
Central Health Savings Plan (HMO) - H5649-019-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Central Health Savings Plan (HMO) - H5649-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Clever Care Fortune Medicare Advantage Plan (HMO) - H7607-007-2
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Brand: $99.00
Specialty Tier: 33%
Supplemental Drugs: $0.00

select insulin pay $0-$35 copay
$888
Browse Formulary
Clever Care Fortune Medicare Advantage Plan (HMO) - H7607-007-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Clever Care Longevity Medicare Advantage (HMO) - H7607-002-2
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Brand: $99.00
Specialty Tier: 33%
Supplemental Drugs: $0.00

select insulin pay $0-$35 copay
$1,700
Browse Formulary
Clever Care Longevity Medicare Advantage (HMO) - H7607-002-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Clever Care Value Medicare Advantage Plan (HMO) - H7607-008-2
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Brand: $99.00
Specialty Tier: 33%
Supplemental Drugs: $0.00

select insulin pay $0-$35 copay
$3,000
Browse Formulary
Clever Care Value Medicare Advantage Plan (HMO) - H7607-008-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Connected Care (HMO) - H2241-013-0
Sanctioned Plan
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin coverage $35 or less
$1,499
Browse Formulary
Connected Care (HMO) - H2241-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Connected Care (HMO) - H2241-013-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Connected Care (HMO) - H2241-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Connected Care Select (HMO C-SNP) - H2241-019-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
Select Care Drugs: $0.00

select insulin coverage $35 or less
n/a
Browse Formulary
Connected Care Select (HMO C-SNP) - H2241-019-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Connected Care Select (HMO C-SNP) - H2241-019-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Connected Care Select (HMO C-SNP) - H2241-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
ESRD Balance (HMO C-SNP) - H3815-033-0
Benefits & Contact Info
           
Orange $0.00 $0 Few GenericsPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00
n/a
Browse Formulary
ESRD Balance (HMO C-SNP) - H3815-033-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) ESRD Balance (HMO C-SNP) - H3815-033-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) ESRD Balance (HMO C-SNP) - H3815-033-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Heart & Diabetes (HMO C-SNP) - H3815-010-0
Benefits & Contact Info
           
Orange $0.00 $0 Some GenericsPreferred Generic: $0.00
Generic: $5.00
Preferred Brand: $30.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $5.00
n/a
Browse Formulary
Heart & Diabetes (HMO C-SNP) - H3815-010-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Heart & Diabetes (HMO C-SNP) - H3815-010-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Heart & Diabetes (HMO C-SNP) - H3815-010-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Humana Gold Plus H5619-021 (HMO) - H5619-021-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

select insulin pay $35 copay
$900
Browse Formulary
Humana Gold Plus H5619-021 (HMO) - H5619-021-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Gold Plus H5619-021 (HMO) - H5619-021-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus H5619-021 (HMO) - H5619-021-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Humana Honor (HMO) - H5619-120-0
Benefits & Contact Info
        
Orange $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$6,700
Humana Honor (HMO) - H5619-120-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Honor (HMO) - H5619-120-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Honor (HMO) - H5619-120-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Imperial Dynamic Plan (HMO) - H5496-012-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $30.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%

select insulin pay $0 copay
$899
Browse Formulary
Imperial Dynamic Plan (HMO) - H5496-012-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Imperial Dynamic Plan (HMO) - H5496-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Imperial Senior Value (HMO C-SNP) - H5496-005-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Care Drugs: $3.00

select insulin pay $0 copay
n/a
Browse Formulary
Imperial Senior Value (HMO C-SNP) - H5496-005-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Imperial Senior Value (HMO C-SNP) - H5496-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Imperial Strong (HMO) - H5496-014-0
Benefits & Contact Info
           
Orange $0.00 $480 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
$7,550
Browse Formulary
Imperial Strong (HMO) - H5496-014-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Imperial Strong (HMO) - H5496-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Imperial Traditional (HMO) - H5496-007-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%

select insulin pay $0 copay
$2,999
Browse Formulary
Imperial Traditional (HMO) - H5496-007-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Imperial Traditional (HMO) - H5496-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Inter Valley Health Plan Service To Seniors (HMO) - H0545-001-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Diabetic Drugs: $11.00

select insulin pay $11-$35 copay
$1,000
Browse Formulary
Inter Valley Health Plan Service To Seniors (HMO) - H0545-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Inter Valley Health Plan Service To Seniors (HMO) - H0545-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Inter Valley Health Plan Service To Seniors (HMO) - H0545-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) - H0524-003-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Brand: $100.00
Specialty Tier: 33%
Vaccines: $0.00
$2,900
Browse Formulary
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) - H0524-003-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) - H0524-003-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) - H0524-003-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
My Choice (HMO) - H3815-001-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $30.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $3.00
$998
Browse Formulary
My Choice (HMO) - H3815-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) My Choice (HMO) - H3815-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) My Choice (HMO) - H3815-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
OneCare Connect (Medicare-Medicaid Plan) - H8016-001-0
Benefits & Contact Info
           
Orange $0.00 $0 All Generics,
All Brands
Tier 1: 0%
n/a
Browse Formulary
-- -- --  
Platinum (HMO) - H3815-008-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $1.00
Preferred Brand: $30.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $5.00
$698
Browse Formulary
Platinum (HMO) - H3815-008-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Platinum (HMO) - H3815-008-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Platinum (HMO) - H3815-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
SCAN Balance (HMO C-SNP) - H5425-034-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin pay $0 copay
n/a
Browse Formulary
SCAN Balance (HMO C-SNP) - H5425-034-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Balance (HMO C-SNP) - H5425-034-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Balance (HMO C-SNP) - H5425-034-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
SCAN Classic (HMO) - H5425-007-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin pay $35 copay
$499
Browse Formulary
SCAN Classic (HMO) - H5425-007-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Classic (HMO) - H5425-007-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Classic (HMO) - H5425-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
SCAN Embrace (HMO I-SNP) - H5425-087-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $37.00
Non-Preferred Drug: $99.00
Specialty Tier: 33%

select insulin pay $0 copay
n/a
Browse Formulary
SCAN Embrace (HMO I-SNP) - H5425-087-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Embrace (HMO I-SNP) - H5425-087-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Embrace (HMO I-SNP) - H5425-087-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
SCAN Healthy at Home (HMO I-SNP) - H9104-006-0
Benefits & Contact Info
           
Orange $0.00 $0 Some GenericsPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin pay $35 copay
n/a
Browse Formulary
SCAN Healthy at Home (HMO I-SNP) - H9104-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- -- Higher cost-sharing at standard network pharmacies. Details:
SCAN Heart First (HMO C-SNP) - H5425-028-0
Benefits & Contact Info
           
Orange $0.00 $0 Many Generics,
Some Brands
Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $37.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin pay $35 copay
n/a
Browse Formulary
SCAN Heart First (HMO C-SNP) - H5425-028-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Heart First (HMO C-SNP) - H5425-028-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Heart First (HMO C-SNP) - H5425-028-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
SCAN Venture (HMO) - H5425-084-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin pay $35 copay
$1,000
Browse Formulary
SCAN Venture (HMO) - H5425-084-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Venture (HMO) - H5425-084-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Venture (HMO) - H5425-084-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
the ONE + Rite Aid (HMO) - H3815-034-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $1.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00
$3,400
Browse Formulary
the ONE + Rite Aid (HMO) - H3815-034-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) the ONE + Rite Aid (HMO) - H3815-034-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) the ONE + Rite Aid (HMO) - H3815-034-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
UnitedHealthcare Chronic Complete (HMO C-SNP) - H0543-218-0
Benefits & Contact Info
           
Orange $0.00 $0 Some Generics,
Few Brands
Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

select insulin pay $25 copay
n/a
Browse Formulary
UnitedHealthcare Chronic Complete (HMO C-SNP) - H0543-218-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) UnitedHealthcare Chronic Complete (HMO C-SNP) - H0543-218-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) UnitedHealthcare Chronic Complete (HMO C-SNP) - H0543-218-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Wellcare Giveback (HMO) - H5087-025-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $37.00
Non-Preferred Drug: $89.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$2,900
Browse Formulary
Wellcare Giveback (HMO) - H5087-025-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Wellcare Giveback (HMO) - H5087-025-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Wellcare No Premium (HMO) - H0562-125-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $1.00
Preferred Brand: $37.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$850
Browse Formulary
Wellcare No Premium (HMO) - H0562-125-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Wellcare No Premium (HMO) - H0562-125-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Wellcare No Premium (HMO) - H0562-125-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Wellcare No Premium Best (HMO) - H5087-005-0
Benefits & Contact Info
           
Orange $0.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $15.00
Non-Preferred Drug: $89.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$1,000
Browse Formulary
Wellcare No Premium Best (HMO) - H5087-005-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Wellcare No Premium Best (HMO) - H5087-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Wellcare Plus (HMO) - H5087-002-0
Benefits & Contact Info
           
Orange $0.00 $480
Tier 1 and 6 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $20.00
Preferred Brand: $47.00
Non-Preferred Drug: 42%
Specialty Tier: 25%
Select Care Drugs: $0.00
$2,500
Browse Formulary
Wellcare Plus (HMO) - H5087-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Wellcare Plus (HMO) - H5087-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Wellcare Specialty No Premium (HMO C-SNP) - H0562-092-0
Benefits & Contact Info
           
Orange $0.00 $0 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $8.00
Preferred Brand: $37.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Diabetic Drugs: $0.00

select insulin pay $0 copay
n/a
Browse Formulary
Wellcare Specialty No Premium (HMO C-SNP) - H0562-092-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Wellcare Specialty No Premium (HMO C-SNP) - H0562-092-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Wellcare Specialty No Premium (HMO C-SNP) - H0562-092-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Coordination Plus (HMO) - H0544-072-0
Benefits & Contact Info
           
Orange $2.10 $480
Tier 1 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $15.00
Preferred Brand: $47.00
Non-Preferred Drug: $95.00
Specialty Tier: 25%
$7,550
Browse Formulary
Anthem MediBlue Coordination Plus (HMO) - H0544-072-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Coordination Plus (HMO) - H0544-072-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Coordination Plus (HMO) - H0544-072-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
Wellcare Low Premium (HMO) - H0562-123-0
Benefits & Contact Info
           
Orange $18.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $8.00
Preferred Brand: $37.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Care Drugs: $0.00
$2,400
Browse Formulary
Wellcare Low Premium (HMO) - H0562-123-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Wellcare Low Premium (HMO) - H0562-123-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Wellcare Low Premium (HMO) - H0562-123-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Anthem MediBlue Connect Plus (HMO) - H0544-128-0
Benefits & Contact Info
           
Orange $21.50 $480
Tier 1 and 6 exempt
Yes, some additional gap coverage.Preferred Generic: 25%
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: $85.00
Specialty Tier: 25%
Select Care Drugs: $0.00
$7,550
Browse Formulary
Anthem MediBlue Connect Plus (HMO) - H0544-128-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Connect Plus (HMO) - H0544-128-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Connect Plus (HMO) - H0544-128-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
AVA (PPO) - H4961-008-0
Benefits & Contact Info
           
Orange $22.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00
$3,900
Browse Formulary
AVA (PPO) - H4961-008-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new AVA (PPO) - H4961-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AVA (PPO) - H4961-007-0
Benefits & Contact Info
           
Orange $22.50 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00
$3,900
Browse Formulary
AVA (PPO) - H4961-007-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new AVA (PPO) - H4961-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Humana Value Plus H5619-037 (HMO) - H5619-037-0
Benefits & Contact Info
           
Orange $22.60 $480
Tier 1 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $19.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 25%
$7,550
Browse Formulary
Humana Value Plus H5619-037 (HMO) - H5619-037-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Humana Value Plus H5619-037 (HMO) - H5619-037-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Value Plus H5619-037 (HMO) - H5619-037-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Extra (HMO) - H0544-081-0
Benefits & Contact Info
           
Orange $25.70 $480
Tier 1 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $2.00
Preferred Brand: $47.00
Non-Preferred Drug: $95.00
Specialty Tier: 25%
$900
Browse Formulary
Anthem MediBlue Extra (HMO) - H0544-081-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Extra (HMO) - H0544-081-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Anthem MediBlue Extra (HMO) - H0544-081-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:
SCAN Prime (HMO) - H5425-066-0
Benefits & Contact Info
           
Orange $26.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

select insulin pay $35 copay
$399
Browse Formulary
SCAN Prime (HMO) - H5425-066-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Prime (HMO) - H5425-066-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Prime (HMO) - H5425-066-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Align Premier (HMO I-SNP) - H3274-001-0
Benefits & Contact Info
           
Orange $26.70 $480 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
n/a
Browse Formulary
new new new  
AARP Medicare Advantage SecureHorizons Premier (HMO) - H0543-165-0
Benefits & Contact Info
           
Orange $29.70 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $9.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%

select insulin pay $35 copay
$800
Browse Formulary
AARP Medicare Advantage SecureHorizons Premier (HMO) - H0543-165-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) AARP Medicare Advantage SecureHorizons Premier (HMO) - H0543-165-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage SecureHorizons Premier (HMO) - H0543-165-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
OneCare (HMO D-SNP) - H5433-001-0
Benefits & Contact Info
           
Orange $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Many Generics,
Some Brands
Generic: $0.00
n/a
Browse Formulary
OneCare (HMO D-SNP) - H5433-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) OneCare (HMO D-SNP) - H5433-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) OneCare (HMO D-SNP) - H5433-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP) - H0524-030-0
Benefits & Contact Info
           
Orange $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole DiscountTier 1: 15%
n/a
Browse Formulary
Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP) - H0524-030-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP) - H0524-030-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP) - H0524-030-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Brand New Day Classic Choice Plan (HMO) - H0838-033-0
Benefits & Contact Info
           
Orange $32.20 $480
Tier 1 and 6 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00
$7,550
Browse Formulary
Brand New Day Classic Choice Plan (HMO) - H0838-033-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Classic Choice Plan (HMO) - H0838-033-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
UnitedHealthcare Medicare Advantage Assure (HMO) - H0543-153-0
Benefits & Contact Info
           
Orange $32.70 $480 No additional gap coverage, only the Donut Hole DiscountTier 1: 25%
$7,550
Browse Formulary
UnitedHealthcare Medicare Advantage Assure (HMO) - H0543-153-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) UnitedHealthcare Medicare Advantage Assure (HMO) - H0543-153-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) UnitedHealthcare Medicare Advantage Assure (HMO) - H0543-153-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Brand New Day Dual Access Plan (HMO D-SNP) - H0838-024-0
Benefits & Contact Info
           
Orange $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Some GenericsPreferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Dual Access Plan (HMO D-SNP) - H0838-024-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Dual Access Plan (HMO D-SNP) - H0838-024-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Astiva Health Value (HMO) - H1993-002-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%

select insulin pay $0 copay
$7,550
Browse Formulary
Astiva Health Value (HMO) - H1993-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Blue Shield Coordinated Choice Plan (HMO) - H5928-037-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
$6,700
Browse Formulary
Blue Shield Coordinated Choice Plan (HMO) - H5928-037-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Blue Shield Coordinated Choice Plan (HMO) - H5928-037-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Blue Shield Coordinated Choice Plan (HMO) - H5928-037-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Blue Shield TotalDual Plan (HMO D-SNP) - H5928-005-0
Benefits & Contact Info
           
Orange $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Few GenericsPreferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
n/a
Browse Formulary
Blue Shield TotalDual Plan (HMO D-SNP) - H5928-005-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Blue Shield TotalDual Plan (HMO D-SNP) - H5928-005-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Blue Shield TotalDual Plan (HMO D-SNP) - H5928-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Bridges Choice Plan (HMO C-SNP) - H0838-029-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 6 exempt
Some GenericsPreferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Bridges Choice Plan (HMO C-SNP) - H0838-029-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Bridges Choice Plan (HMO C-SNP) - H0838-029-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Embrace Choice Plan (HMO C-SNP) - H0838-040-1
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 6 exempt
Some GenericsPreferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Embrace Choice Plan (HMO C-SNP) - H0838-040-1 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Embrace Choice Plan (HMO C-SNP) - H0838-040-1 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Brand New Day Harmony Choice Plan (HMO C-SNP) - H0838-020-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 6 exempt
Some GenericsPreferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Harmony Choice Plan (HMO C-SNP) - H0838-020-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Harmony Choice Plan (HMO C-SNP) - H0838-020-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Brand New Day Select Choice I Plan (HMO I-SNP) - H0838-044-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 6 exempt
Some GenericsPreferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Brand New Day Select Choice I Plan (HMO I-SNP) - H0838-044-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Brand New Day Select Choice I Plan (HMO I-SNP) - H0838-044-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Central Health Premier Plan (HMO) - H5649-004-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 2 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Diabetic Drugs: $10.00
$6,700
Browse Formulary
Central Health Premier Plan (HMO) - H5649-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Central Health Premier Plan (HMO) - H5649-004-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Clever Care Balance Medicare Advantage (HMO) - H7607-003-2
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 6 exempt
Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Supplemental Drugs: $0.00

select insulin pay $0-$35 copay
$5,999
Browse Formulary
Clever Care Balance Medicare Advantage (HMO) - H7607-003-2 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Imperial Traditional Plus (HMO) - H5496-009-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 exempt
Yes, some additional gap coverage.Preferred Generic: 0%
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
$2,999
Browse Formulary
Imperial Traditional Plus (HMO) - H5496-009-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Imperial Traditional Plus (HMO) - H5496-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Inter Valley Health Plan Vitality Plus (HMO) - H0545-015-0
Benefits & Contact Info
           
Orange $33.20 $480 No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
$5,900
Browse Formulary
Inter Valley Health Plan Vitality Plus (HMO) - H0545-015-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Inter Valley Health Plan Vitality Plus (HMO) - H0545-015-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Inter Valley Health Plan Vitality Plus (HMO) - H0545-015-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
SCAN Plus (HMO) - H5425-045-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
$7,550
Browse Formulary
SCAN Plus (HMO) - H5425-045-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Plus (HMO) - H5425-045-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Plus (HMO) - H5425-045-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Wellcare Dual Liberty (HMO D-SNP) - H0562-121-0
Benefits & Contact Info
           
Orange $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $20.00
Preferred Brand: $47.00
Non-Preferred Drug: 44%
Specialty Tier: 25%
Select Care Drugs: $0.00
n/a
Browse Formulary
Wellcare Dual Liberty (HMO D-SNP) - H0562-121-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Wellcare Dual Liberty (HMO D-SNP) - H0562-121-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Wellcare Dual Liberty (HMO D-SNP) - H0562-121-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Wellcare Plus Sapphire I (HMO) - H0562-122-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 6 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $20.00
Preferred Brand: $47.00
Non-Preferred Drug: 46%
Specialty Tier: 25%
Select Care Drugs: $0.00
$3,450
Browse Formulary
Wellcare Plus Sapphire I (HMO) - H0562-122-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Wellcare Plus Sapphire I (HMO) - H0562-122-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Wellcare Plus Sapphire I (HMO) - H0562-122-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.
Deduct-
ible
Additional
Gap
Coverage
Preferred Pharmacy
Copay/
Coinsurance
MOOP for
A & B
Service Exper. Cost Info
Wellcare Plus Sapphire II (HMO) - H3561-002-0
Benefits & Contact Info
           
Orange $33.20 $480
Tier 1 and 6 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $0.00
Generic: $20.00
Preferred Brand: $47.00
Non-Preferred Drug: 44%
Specialty Tier: 25%
Select Care Drugs: $0.00
$3,450
Browse Formulary
Wellcare Plus Sapphire II (HMO) - H3561-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Wellcare Plus Sapphire II (HMO) - H3561-002-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Wellcare Plus Sapphire II (HMO) - H3561-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Aetna Medicare Choice Plan (PPO) - H5521-056-0
Benefits & Contact Info
           
Orange $90.00 $0 Yes, some additional gap coverage.Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
$6,700
Browse Formulary
Aetna Medicare Choice Plan (PPO) - H5521-056-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Aetna Medicare Choice Plan (PPO) - H5521-056-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Choice Plan (PPO) - H5521-056-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem MediBlue Access (PPO) - H8552-020-0
Benefits & Contact Info
           
Orange $172.00 $370
Tier 1 and 6 exempt
No additional gap coverage, only the Donut Hole DiscountPreferred Generic: $4.00
Generic: $8.00
Preferred Brand: $42.00
Non-Preferred Drug: $95.00
Specialty Tier: 26%
Select Care Drugs: $0.00
$6,700
Browse Formulary
Anthem MediBlue Access (PPO) - H8552-020-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Anthem MediBlue Access (PPO) - H8552-020-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Anthem MediBlue Access (PPO) - H8552-020-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average) Higher cost-sharing at standard network pharmacies. Details:



Chart Legend:

Below are a few notes to help with the understanding of the 2022 Medicare Advantage Plan chart above and Search Tips to help you narrow down your list of plans to those that best meet your needs.


  • Plan Name: This is the official plan name from the Centers for Medicare and Medicaid Services (CMS). The plan name is followed by the health plan type (HMO, HMO-POS, PPO, PFFS, etc).  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.

  • County: Medicare Advantage Plans are only available in specific county and in some cases only in part of a county. This field will note the county where the plan is available or in some cases, "Statewide" if the plan is available in every county. (Search Tip: You must enter your 5-digit ZIP Code in the criteria field to begin your search. We will determine your county from your ZIP code and only show appropriate plans.)

  • 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 $480. 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 $5,583 in drug costs, depending on your mix of generics and brand-name drugs. The Healthcare Reform provides that for plan year 2022, 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 Rx Cov.: This plan does not include prescription drug coverage. You are 100% responsible for your medication costs. If you would like to see ONLY those plans that do include some type of prescription coverage, please select "Show only plans WITH Drug Coverage" in the "Prescription Drug Coverage" selector above (this is the default setting);
    • No Gap Coverage: You receive the 75% Donut Hole Discount and pay up to $5,583 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.

  • 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.)

    * When the text, for example: select insulin pay $0-$35 copay appears, this Part D plan may offer particular forms of insulin as part of the Senior Savings Model.  The Senior Savings Model stipulates that some insulin will cost no more than $35 in the deductible, initial coverage, and coverage gap phases of your Part D plan. Please contact the drug plan for more details.

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 Plan ID (September 2021 figures) - This is the total number of members in this plan's service area (a "Plan ID" is a specific contract ID and plan ID, for example H1234-001). The number of members for the selected county and the enrollment for the selected state are shown in addition to the plan ID enrollment 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.

  • 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 2022 is $4,430 and increases each year.

  • Medicare Part B Giveback Amount - If the plan rebates a portion of the Medicare Part B premium back to plan members, the amount will be shown in this column. This is also called "Part B premium Buy-Down", "Part B premium reduction", or "Part B premium give-back".

  • MOOP for Part A & B Benefits - MOOP is the Maximum Out-of-Pocket limit set by the Medicare Advantage Plan. The figure shown is the beneficiaries yearly maximum out of pocket cost-sharing expenditure (co-payments / co-insurance) for Medicare Parts A & B (NOT Part D - prescription drug cost-sharing). Also see, What happens when I reach my Medicare Advantage plan maximum out of pocket limit (MOOP)? N/A means that this plan does not actually offer health cost-sharing benefits. Example: a Medicare Savings Account (MSA).

  • Health Plan Type - This the organization type for the Medicare Advantage Plan. This could be Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), etc. (Search Tip: If you would like to limit your search to a specific type of Medicare Advantage Plans, please select the health plan type in the "Type of Health Coverage" field.)

  • SNP Eligibility Requirements - Special Needs Plans (SNPs) have an eligibility requirement whereas all other Medicare Advantage plans do not. (Search Tip: If you would like to limit your search to specific types of Special Needs Medicare Advantage Plans, please check the appropriate boxes in the "Special Needs Plans (SNP) Options" field.)


(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.






Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.