q1medicare.com
Powered by Q1Group LLC
A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu ☰
  • Home
  • Contact
  • MAPD
  • PDP
  • 2025
  • FAQs
  • Articles
  • Search ⌕
  • Contact
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search ⌕

2025 Medicare Advantage Plans: SNPs,
    Health (MAs), Health & Rx Drug (MA-PDs)

 Not sure where to begin? Just select your state below to get started:
AK  AL  AR  AS  AZ  CA  CO  CT  DC  DE  FL  GA  GU  HI  IA  ID  IL  IN  IS  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VI  VT  WA  WI  WV  WY

. . . 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.
LOS ANGELES, California

  Partial Plan Name(s):
 1:
 2:
ex: AARP
Only plans with MOOP ≤ $3,650   5-star rated plans   Limit search to 10 plans   Part B Giveback plans  
 No    Yes

$  max: $353

$  max: $590
Only show SNPs (All 3 Types)
OR only: Dual-Eligible  
Chronic Condition  
Institutional

$  
tip: enter 0 to show plans with a $0 Tier 1 copay
* required

Review Medicare Advantage plans

Email chart to me:
Free Part D Newsletter?

There are 118 California 2025 Medicare Advantage plans (MAPD) meeting your criteria.
Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less.

Click on the plan name or details button below to access plan details and contact information.
2025 Medicare Advantage Plan Information
Click here to jump to the Chart Legend & Search Tips
Plan Name County Monthly
Prem. (Parts C & D)		 Deduct-
ible		Drug
Benefit
Detail		 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 Patriot No Rx CA-MA01 (HMO-POS) - H0543-121-0
Benefits & Contact Info
         		Los Angeles $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$4,900
AARP Medicare Advantage Patriot No Rx CA-MA01 (HMO-POS) - H0543-121-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP Medicare Advantage Patriot No Rx CA-MA01 (HMO-POS) - H0543-121-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage Patriot No Rx CA-MA01 (HMO-POS) - H0543-121-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Aetna Medicare Eagle Plus (PPO) - H5521-369-0
Benefits & Contact Info
         		Los Angeles $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$6,750
Aetna Medicare Eagle Plus (PPO) - H5521-369-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Eagle Plus (PPO) - H5521-369-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Eagle Plus (PPO) - H5521-369-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Central Health Valor Care Plan (HMO) - H5649-030-0
Benefits & Contact Info
         		Los Angeles $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$4,999
Central Health Valor Care Plan (HMO) - H5649-030-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Valor Care Plan (HMO) - H5649-030-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Valor Care Plan (HMO) - H5649-030-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Humana USAA Honor Giveback (HMO) - H5619-121-0
Benefits & Contact Info
         		Los Angeles $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$4,999
Humana USAA Honor Giveback (HMO) - H5619-121-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana USAA Honor Giveback (HMO) - H5619-121-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana USAA Honor Giveback (HMO) - H5619-121-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Humana USAA Honor Giveback (PPO) - H5525-078-0
Benefits & Contact Info
         		Los Angeles $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$6,350
Humana USAA Honor Giveback (PPO) - H5525-078-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana USAA Honor Giveback (PPO) - H5525-078-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana USAA Honor Giveback (PPO) - H5525-078-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Imperial Courage Plan (HMO) - H5496-016-0
Benefits & Contact Info
         		Los Angeles $0.00 No Rx CoverageThis Plan does NOT include Prescription Drug coverage.$2,999
Imperial Courage Plan (HMO) - H5496-016-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Imperial Courage Plan (HMO) - H5496-016-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
AARP Medicare Advantage from UHC CA-0029 (PPO) - H0294-037-0
Benefits & Contact Info
            		Los Angeles $0.00 $570
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $14.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 26%

all covered insulin pay $35 or less		$6,700
Browse Formulary
AARP Medicare Advantage from UHC CA-0029 (PPO) - H0294-037-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP Medicare Advantage from UHC CA-0029 (PPO) - H0294-037-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage from UHC CA-0029 (PPO) - H0294-037-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AARP Medicare Advantage from UHC CA-003P (HMO-POS) - H0543-151-0
Benefits & Contact Info
            		Los Angeles $0.00 $255
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%

all covered insulin pay $35 or less		$800
Browse Formulary
AARP Medicare Advantage from UHC CA-003P (HMO-POS) - H0543-151-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP Medicare Advantage from UHC CA-003P (HMO-POS) - H0543-151-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage from UHC CA-003P (HMO-POS) - H0543-151-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
AARP Medicare Advantage from UHC CA-004P (HMO-POS) - H0543-168-0
Benefits & Contact Info
            		Los Angeles $0.00 $255
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%

all covered insulin pay $35 or less		$800
Browse Formulary
AARP Medicare Advantage from UHC CA-004P (HMO-POS) - H0543-168-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP Medicare Advantage from UHC CA-004P (HMO-POS) - H0543-168-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage from UHC CA-004P (HMO-POS) - H0543-168-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) - H0543-236-0
Benefits & Contact Info
            		Los Angeles $0.00 $255
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $14.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%

all covered insulin pay $35 or less		$800
Browse Formulary
AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) - H0543-236-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) - H0543-236-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS) - H0543-236-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Advantage Care (HMO) - H3274-005-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%

all covered insulin pay $35 or less		$1,900
Browse Formulary
Advantage Care (HMO) - H3274-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- --  
Aetna Medicare Core (PPO) - H5521-419-0
Benefits & Contact Info
            		Los Angeles $0.00 $590
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 24%
Non-Preferred Drug: 25%
Specialty Tier: 25%

all covered insulin pay $35 or less		$4,500
Browse Formulary
Aetna Medicare Core (PPO) - H5521-419-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Core (PPO) - H5521-419-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Core (PPO) - H5521-419-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare Plus (HMO-POS) - H4982-001-0
Benefits & Contact Info
            		Los Angeles $0.00 $590
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 24%
Non-Preferred Drug: 25%
Specialty Tier: 25%

all covered insulin pay $35 or less		$599
Browse Formulary
Aetna Medicare Plus (HMO-POS) - H4982-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Plus (HMO-POS) - H4982-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Plus (HMO-POS) - 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 Preferred Plus (HMO-POS) - H4982-027-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: 25%
Non-Preferred Drug: 35%
Specialty Tier: 33%

all covered insulin pay $35 or less		$399
Browse Formulary
Aetna Medicare Preferred Plus (HMO-POS) - H4982-027-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Preferred Plus (HMO-POS) - H4982-027-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Preferred Plus (HMO-POS) - H4982-027-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare Prime (HMO-POS) - H4982-025-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: 25%
Non-Preferred Drug: 35%
Specialty Tier: 33%

all covered insulin pay $35 or less		$299
Browse Formulary
Aetna Medicare Prime (HMO-POS) - H4982-025-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Prime (HMO-POS) - H4982-025-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Prime (HMO-POS) - H4982-025-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Aetna Medicare Prime Value Plus (HMO-POS) - H4982-021-0
Benefits & Contact Info
            		Los Angeles $0.00 $450
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 22%
Non-Preferred Drug: 25%
Specialty Tier: 27%

all covered insulin pay $35 or less		$299
Browse Formulary
Aetna Medicare Prime Value Plus (HMO-POS) - H4982-021-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Prime Value Plus (HMO-POS) - H4982-021-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Prime Value Plus (HMO-POS) - H4982-021-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare Select (HMO-POS) - H0523-022-0
Benefits & Contact Info
            		Los Angeles $0.00 $590
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 24%
Non-Preferred Drug: 25%
Specialty Tier: 25%

all covered insulin pay $35 or less		$2,000
Browse Formulary
Aetna Medicare Select (HMO-POS) - H0523-022-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Aetna Medicare Select (HMO-POS) - H0523-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Aetna Medicare Value Plus (HMO-POS) - H4982-017-0
Benefits & Contact Info
            		Los Angeles $0.00 $450
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 22%
Non-Preferred Drug: 25%
Specialty Tier: 27%

all covered insulin pay $35 or less		$599
Browse Formulary
Aetna Medicare Value Plus (HMO-POS) - H4982-017-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Value Plus (HMO-POS) - H4982-017-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) Aetna Medicare Value Plus (HMO-POS) - H4982-017-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Alignment Health ESRD Balance (HMO C-SNP) - H3815-033-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$1,499
Browse Formulary
Alignment Health ESRD Balance (HMO C-SNP) - H3815-033-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health ESRD Balance (HMO C-SNP) - H3815-033-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health ESRD Balance (HMO C-SNP) - H3815-033-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Alignment Health Heart & Diabetes (HMO C-SNP) - H3815-010-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$790
Browse Formulary
Alignment Health Heart & Diabetes (HMO C-SNP) - H3815-010-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health Heart & Diabetes (HMO C-SNP) - H3815-010-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health Heart & Diabetes (HMO C-SNP) - H3815-010-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Alignment Health Heart & Diabetes Care (HMO C-SNP) - H3815-048-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $30.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$990
Browse Formulary
Alignment Health Heart & Diabetes Care (HMO C-SNP) - H3815-048-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health Heart & Diabetes Care (HMO C-SNP) - H3815-048-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health Heart & Diabetes Care (HMO C-SNP) - H3815-048-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Alignment Health Heroes+ (HMO) - H3815-043-0
Benefits & Contact Info
            		Los Angeles $0.00 $590
Tier 1, 2, 3 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$5,900
Browse Formulary
Alignment Health Heroes+ (HMO) - H3815-043-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health Heroes+ (HMO) - H3815-043-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health Heroes+ (HMO) - H3815-043-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Alignment Health My Choice (HMO) - H3815-001-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $30.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $3.00

all covered insulin pay $35 or less		$498
Browse Formulary
Alignment Health My Choice (HMO) - H3815-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health My Choice (HMO) - H3815-001-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health My Choice (HMO) - H3815-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Alignment Health My Choice CalPlus (HMO) - H3815-007-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$3,499
Browse Formulary
Alignment Health My Choice CalPlus (HMO) - H3815-007-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health My Choice CalPlus (HMO) - H3815-007-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health My Choice CalPlus (HMO) - H3815-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Alignment Health My Choice Select (HMO) - H3815-049-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $30.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $3.00

all covered insulin pay $35 or less		$798
Browse Formulary
Alignment Health My Choice Select (HMO) - H3815-049-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health My Choice Select (HMO) - H3815-049-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health My Choice Select (HMO) - H3815-049-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Alignment Health Platinum + Instacart (HMO) - H3815-008-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$198
Browse Formulary
Alignment Health Platinum + Instacart (HMO) - H3815-008-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health Platinum + Instacart (HMO) - H3815-008-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health Platinum + Instacart (HMO) - H3815-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Alignment Health smartHMO (HMO) - H3815-013-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$2,499
Browse Formulary
Alignment Health smartHMO (HMO) - H3815-013-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health smartHMO (HMO) - H3815-013-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health smartHMO (HMO) - H3815-013-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Alignment Health smartSavings (HMO) - H3815-047-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $30.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$2,899
Browse Formulary
Alignment Health smartSavings (HMO) - H3815-047-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health smartSavings (HMO) - H3815-047-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health smartSavings (HMO) - H3815-047-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Alignment Health the ONE + Rite Aid (HMO) - H3815-034-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $1.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$3,400
Browse Formulary
Alignment Health the ONE + Rite Aid (HMO) - H3815-034-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health the ONE + Rite Aid (HMO) - H3815-034-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health the ONE + Rite Aid (HMO) - H3815-034-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Anthem I Carelon Chronic Care (HMO-POS C-SNP) - H0544-004-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$800
Browse Formulary
Anthem I Carelon Chronic Care (HMO-POS C-SNP) - H0544-004-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem I Carelon Chronic Care (HMO-POS C-SNP) - H0544-004-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Anthem I Carelon Chronic Care 2 (HMO-POS C-SNP) - H4161-014-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 20%
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$499
Browse Formulary
Anthem I Carelon Chronic Care 2 (HMO-POS C-SNP) - H4161-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new Anthem I Carelon Chronic Care 2 (HMO-POS C-SNP) - H4161-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem I Carelon Home Care (HMO I-SNP) - H0544-005-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$800
Browse Formulary
Anthem I Carelon Home Care (HMO I-SNP) - H0544-005-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem I Carelon Home Care (HMO I-SNP) - H0544-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Anthem I Carelon Kidney Care (HMO-POS C-SNP) - H0544-015-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 20%
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$800
Browse Formulary
Anthem I Carelon Kidney Care (HMO-POS C-SNP) - H0544-015-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem I Carelon Kidney Care (HMO-POS C-SNP) - H0544-015-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Anthem I Carelon Lung Care (HMO-POS C-SNP) - H0544-014-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $45.00
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$800
Browse Formulary
Anthem I Carelon Lung Care (HMO-POS C-SNP) - H0544-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem I Carelon Lung Care (HMO-POS C-SNP) - H0544-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem I Carelon Lung Care 2 (HMO-POS C-SNP) - H4161-016-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 20%
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$499
Browse Formulary
Anthem I Carelon Lung Care 2 (HMO-POS C-SNP) - H4161-016-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new Anthem I Carelon Lung Care 2 (HMO-POS C-SNP) - H4161-016-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem I Carelon Medicare Advantage (HMO-POS) - H4161-011-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 15%
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$499
Browse Formulary
Anthem I Carelon Medicare Advantage (HMO-POS) - H4161-011-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new Anthem I Carelon Medicare Advantage (HMO-POS) - H4161-011-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Anthem I Carelon Medicare Advantage 2 (HMO-POS) - H0544-002-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 20%
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,000
Browse Formulary
Anthem I Carelon Medicare Advantage 2 (HMO-POS) - H0544-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem I Carelon Medicare Advantage 2 (HMO-POS) - H0544-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem I Carelon Premium Savings (HMO-POS) - H4161-012-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 15%
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,500
Browse Formulary
Anthem I Carelon Premium Savings (HMO-POS) - H4161-012-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new Anthem I Carelon Premium Savings (HMO-POS) - H4161-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem I Carelon Premium Savings 2 (HMO-POS) - H0544-007-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $7.00
Preferred Brand: 20%
Non-Preferred Drug: 25%
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$4,000
Browse Formulary
Anthem I Carelon Premium Savings 2 (HMO-POS) - H0544-007-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem I Carelon Premium Savings 2 (HMO-POS) - H0544-007-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Anthem Medicare Advantage (HMO-POS) - H0544-061-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: 20%
Non-Preferred Drug: 35%
Specialty Tier: 33%

all covered insulin pay $35 or less		$7,550
Browse Formulary
Anthem Medicare Advantage (HMO-POS) - H0544-061-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem Medicare Advantage (HMO-POS) - H0544-061-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem Prime (HMO-POS) - H4161-009-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 15%
Non-Preferred Drug: 35%
Specialty Tier: 33%

all covered insulin pay $35 or less		$499
Browse Formulary
Anthem Prime (HMO-POS) - H4161-009-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new Anthem Prime (HMO-POS) - H4161-009-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Anthem Select (HMO-POS) - H0544-058-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 15%
Non-Preferred Drug: 35%
Specialty Tier: 33%

all covered insulin pay $35 or less		$800
Browse Formulary
Anthem Select (HMO-POS) - H0544-058-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Anthem Select (HMO-POS) - H0544-058-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Astiva Health C-SNP Deluxe (HMO C-SNP) - H1993-007-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $28.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,800
Browse Formulary
Astiva Health C-SNP Deluxe (HMO C-SNP) - H1993-007-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Astiva Health C-SNP Deluxe (HMO C-SNP) - H1993-007-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Astiva Health C-SNP Deluxe (HMO C-SNP) - H1993-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Astiva Health Premier Plan (HMO) - H1993-010-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,500
Browse Formulary
Astiva Health Premier Plan (HMO) - H1993-010-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Astiva Health Premier Plan (HMO) - H1993-010-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Astiva Health Premier Plan (HMO) - H1993-010-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Astiva Health Savings Plan (HMO) - H1993-001-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $12.00
Preferred Brand: $45.00
Non-Preferred Drug: $98.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$2,700
Browse Formulary
Astiva Health Savings Plan (HMO) - H1993-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Astiva Health Savings Plan (HMO) - H1993-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Astiva Health Savings Plan (HMO) - H1993-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Blue Shield 65 Plus (HMO) - H0504-015-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $38.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

all covered insulin pay $35 or less		$1,500
Browse Formulary
Blue Shield 65 Plus (HMO) - H0504-015-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) 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
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $40.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

all covered insulin pay $35 or less		$2,100
Browse Formulary
Blue Shield 65 Plus Plan 2 (HMO) - H0504-021-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) 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:
Blue Shield AdvantageOptimum Plan (HMO) - H5928-004-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $40.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

all covered insulin pay $35 or less		$2,900
Browse Formulary
Blue Shield AdvantageOptimum Plan (HMO) - H5928-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above 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:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Blue Shield Inspire (HMO) - H0504-043-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $35.00
Non-Preferred Drug: $95.00
Specialty Tier: 33%

all covered insulin pay $35 or less		$599
Browse Formulary
Blue Shield Inspire (HMO) - H0504-043-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) 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:
Central Health Classic Care Plan I (HMO) - H5649-027-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$999
Browse Formulary
Central Health Classic Care Plan I (HMO) - H5649-027-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Classic Care Plan I (HMO) - H5649-027-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Classic Care Plan I (HMO) - H5649-027-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Central Health Embrace Care Plan (HMO C-SNP) - H5649-025-1
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $9.00
Preferred Brand: $47.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$999
Browse Formulary
Central Health Embrace Care Plan (HMO C-SNP) - H5649-025-1 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Embrace Care Plan (HMO C-SNP) - H5649-025-1 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Embrace Care Plan (HMO C-SNP) - H5649-025-1 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 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
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,800
Browse Formulary
Central Health Focus Plan (HMO C-SNP) - H5649-006-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Focus Plan (HMO C-SNP) - H5649-006-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Focus Plan (HMO C-SNP) - H5649-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Central Health Jade Plan (HMO) - H5649-022-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$999
Browse Formulary
Central Health Jade Plan (HMO) - H5649-022-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Jade Plan (HMO) - H5649-022-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Jade Plan (HMO) - H5649-022-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Central Health Medicare Plan (HMO) - H5649-001-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,100
Browse Formulary
Central Health Medicare Plan (HMO) - H5649-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Medicare Plan (HMO) - H5649-001-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Medicare Plan (HMO) - H5649-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Central Health Part B Savings Plan (HMO) - H5649-029-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$2,000
Browse Formulary
Central Health Part B Savings Plan (HMO) - H5649-029-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Part B Savings Plan (HMO) - H5649-029-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Part B Savings Plan (HMO) - H5649-029-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Central Health Savings Plan (HMO) - H5649-019-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $75.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$3,500
Browse Formulary
Central Health Savings Plan (HMO) - H5649-019-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Savings Plan (HMO) - H5649-019-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Savings Plan (HMO) - H5649-019-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Champion Advantage (HMO-POS C-SNP) - H6170-001-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $3.00
Preferred Brand: $47.00
Non-Preferred Brand: $100.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$499
Browse Formulary
Champion Advantage (HMO-POS C-SNP) - H6170-001-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) new new  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Clever Care Longevity (HMO) - H7607-002-1
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Brand: $99.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,200
Browse Formulary
Clever Care Longevity (HMO) - H7607-002-1 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Clever Care Longevity (HMO) - H7607-002-1 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Clever Care Value (HMO) - H7607-008-1
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Brand: $99.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$2,900
Browse Formulary
Clever Care Value (HMO) - H7607-008-1 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Clever Care Value (HMO) - H7607-008-1 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Humana Gold Plus Giveback H5619-146 (HMO) - H5619-146-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $34.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$2,450
Browse Formulary
Humana Gold Plus Giveback H5619-146 (HMO) - H5619-146-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana Gold Plus Giveback H5619-146 (HMO) - H5619-146-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana Gold Plus Giveback H5619-146 (HMO) - H5619-146-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Humana Gold Plus H5619-021 (HMO) - H5619-021-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 40%
Specialty Tier: 33%

all covered insulin pay $35 or less		$675
Browse Formulary
Humana Gold Plus H5619-021 (HMO) - H5619-021-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) 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 - 3 Stars (Average)  
Humana USAA Honor Giveback with Rx (PPO) - H5525-057-0
Benefits & Contact Info
            		Los Angeles $0.00 $350
Tier 1, 2 and 3 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Drug: 48%
Specialty Tier: 28%

all covered insulin pay $35 or less		$6,100
Browse Formulary
Humana USAA Honor Giveback with Rx (PPO) - H5525-057-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Humana USAA Honor Giveback with Rx (PPO) - H5525-057-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Humana USAA Honor Giveback with Rx (PPO) - H5525-057-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
HumanaChoice H5525-075 (PPO) - H5525-075-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$3,850
Browse Formulary
HumanaChoice H5525-075 (PPO) - H5525-075-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice H5525-075 (PPO) - H5525-075-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) HumanaChoice H5525-075 (PPO) - H5525-075-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Imperial Dynamic Plan (HMO) - H5496-012-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $6.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%

all covered insulin pay $35 or less		$297
Browse Formulary
Imperial Dynamic Plan (HMO) - H5496-012-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Imperial Dynamic Plan (HMO) - H5496-012-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Imperial Giveback (HMO) - H5496-014-0
Benefits & Contact Info
            		Los Angeles $0.00 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Imperial Giveback (HMO) - H5496-014-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Imperial Giveback (HMO) - H5496-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Imperial Senior Value (HMO C-SNP) - H5496-005-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $6.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%
Select Care Drugs: $3.00

all covered insulin pay $35 or less		$297
Browse Formulary
Imperial Senior Value (HMO C-SNP) - H5496-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Imperial Senior Value (HMO C-SNP) - H5496-005-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Imperial Traditional (HMO) - H5496-007-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Drug: $90.00
Specialty Tier: 33%

all covered insulin pay $35 or less		$1,499
Browse Formulary
Imperial Traditional (HMO) - H5496-007-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Imperial Traditional (HMO) - H5496-007-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Kaiser Permanente Dual Complete South P1 (HMO D-SNP) - H8794-001-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: 23%
Preferred Brand: 24%
Non-Preferred Drug: 25%
Specialty Tier: 25%
Vaccines: $0.00

all covered insulin pay $35 or less		$3,400
Browse Formulary
Kaiser Permanente Dual Complete South P1 (HMO D-SNP) - H8794-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) - H0524-003-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Vaccines: $0.00

all covered insulin pay $35 or less		$699
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 - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) - H0524-078-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $7.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Vaccines: $0.00

all covered insulin pay $35 or less		$1,999
Browse Formulary
Kaiser Permanente Sr Advantage LA, Orange Value (HMO) - H0524-078-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Kaiser Permanente Sr Advantage LA, Orange Value (HMO) - H0524-078-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Kaiser Permanente Sr Advantage LA, Orange Value (HMO) - H0524-078-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Molina Medicare Choice Care (HMO) - H5810-014-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $3.00
Generic: $12.00
Preferred Brand: $47.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$6,000
Browse Formulary
Molina Medicare Choice Care (HMO) - H5810-014-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- Molina Medicare Choice Care (HMO) - H5810-014-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Molina Medicare Complete Care (HMO D-SNP) - H3038-001-0
Sanctioned Plan
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Enhanced Alternative (EA)Preferred Generic: 25%
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Molina Medicare Complete Care (HMO D-SNP) - H3038-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
PHP (HMO C-SNP) - H5852-001-0
Benefits & Contact Info
            		Los Angeles $0.00 $580
Tier 5 exempt		 Enhanced Alternative (EA)Generic: 15%
Preferred Brand: 15%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$5,000
Browse Formulary
PHP (HMO C-SNP) - H5852-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) PHP (HMO C-SNP) - H5852-001-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) PHP (HMO C-SNP) - H5852-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Premier Care (HMO I-SNP) - H3274-002-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $10.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%

all covered insulin pay $35 or less		$1,900
Browse Formulary
Premier Care (HMO I-SNP) - H3274-002-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- --  
SCAN Affirm partnered with Included LGBTQ+ Health (HMO) - H5425-092-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 25%

all covered insulin pay $35 or less		$199
Browse Formulary
SCAN Affirm partnered with Included LGBTQ+ Health (HMO) - H5425-092-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Affirm partnered with Included LGBTQ+ Health (HMO) - H5425-092-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Affirm partnered with Included LGBTQ+ Health (HMO) - H5425-092-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
SCAN Allied (HMO) - H5425-123-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$1,000
Browse Formulary
SCAN Allied (HMO) - H5425-123-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Allied (HMO) - H5425-123-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Allied (HMO) - H5425-123-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
SCAN Balance (HMO C-SNP) - H5425-034-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$199
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 - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
SCAN Classic (HMO) - H5425-006-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$199
Browse Formulary
SCAN Classic (HMO) - H5425-006-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Classic (HMO) - H5425-006-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Classic (HMO) - H5425-006-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
SCAN Embrace (HMO I-SNP) - H5425-086-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$799
Browse Formulary
SCAN Embrace (HMO I-SNP) - H5425-086-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Embrace (HMO I-SNP) - H5425-086-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Embrace (HMO I-SNP) - H5425-086-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
SCAN MyChoice (HMO) - H5425-108-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$199
Browse Formulary
SCAN MyChoice (HMO) - H5425-108-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN MyChoice (HMO) - H5425-108-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN MyChoice (HMO) - H5425-108-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
SCAN Venture (HMO) - H5425-084-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$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 - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
UCLA Health Medicare Advantage Principal Plan (HMO) - H4647-001-0
Benefits & Contact Info
            		Los Angeles $0.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: 45%
Specialty Tier: 33%

all covered insulin pay $35 or less		$2,499
Browse Formulary
new new new  
UHC Complete Care CA-18P (HMO-POS C-SNP) - H0543-217-0
Benefits & Contact Info
            		Los Angeles $0.00 $255
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%

all covered insulin pay $35 or less		$800
Browse Formulary
UHC Complete Care CA-18P (HMO-POS C-SNP) - H0543-217-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) UHC Complete Care CA-18P (HMO-POS C-SNP) - H0543-217-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) UHC Complete Care CA-18P (HMO-POS C-SNP) - H0543-217-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
VillageHealth (HMO-POS C-SNP) - H5943-002-0
Benefits & Contact Info
            		Los Angeles $0.00 $490
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $1.00
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
VillageHealth (HMO-POS C-SNP) - H5943-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) -- -- Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Wellcare Giveback (HMO) - H5087-032-0
Benefits & Contact Info
            		Los Angeles $0.00 $420
Tier 1, 2 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 36%
Specialty Tier: 28%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$6,750
Browse Formulary
Wellcare Giveback (HMO) - H5087-032-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Wellcare Giveback (HMO) - H5087-032-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Wellcare Simple (HMO) - H5087-005-0
Benefits & Contact Info
            		Los Angeles $0.00 $420
Tier 1, 2 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 37%
Specialty Tier: 28%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,000
Browse Formulary
Wellcare Simple (HMO) - H5087-005-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Wellcare Simple (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 Simple Focus (HMO) - H0562-125-0
Benefits & Contact Info
            		Los Angeles $0.00 $420
Tier 1, 2 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 32%
Specialty Tier: 28%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$1,000
Browse Formulary
Wellcare Simple Focus (HMO) - H0562-125-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Wellcare Simple Focus (HMO) - H0562-125-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Wellcare Simple Focus (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:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Wellcare Specialty Simple (HMO C-SNP) - H0562-092-0
Benefits & Contact Info
            		Los Angeles $0.00 $300
Tier 1, 2 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 41%
Specialty Tier: 29%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$2,400
Browse Formulary
Wellcare Specialty Simple (HMO C-SNP) - H0562-092-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Wellcare Specialty Simple (HMO C-SNP) - H0562-092-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Wellcare Specialty Simple (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:
Molina Medicare Complete Care Plus (HMO D-SNP) - H3038-003-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Molina Medicare Complete Care Plus (HMO D-SNP) - H3038-003-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
SCAN Connections (HMO D-SNP) - H0976-001-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 50%
Specialty Tier: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
SCAN Connections (HMO D-SNP) - H0976-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
SCAN Connections at Home (HMO D-SNP) - H0976-002-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 45%
Specialty Tier: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
SCAN Connections at Home (HMO D-SNP) - H0976-002-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new Higher cost-sharing at standard network pharmacies. Details:
HumanaChoice H5525-074 (PPO) - H5525-074-0
Benefits & Contact Info
            		Los Angeles $11.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $2.00
Preferred Brand: $47.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$2,700
Browse Formulary
HumanaChoice H5525-074 (PPO) - H5525-074-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) HumanaChoice H5525-074 (PPO) - H5525-074-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) HumanaChoice H5525-074 (PPO) - H5525-074-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Champion Select (HMO-POS C-SNP) - H6170-003-0
Benefits & Contact Info
            		Los Angeles $13.20 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$499
Browse Formulary
Champion Select (HMO-POS C-SNP) - H6170-003-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) new new  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Central Health Embrace Choice Plan (HMO C-SNP) - H5649-026-1
Benefits & Contact Info
            		Los Angeles $13.40 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$7,900
Browse Formulary
Central Health Embrace Choice Plan (HMO C-SNP) - H5649-026-1 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Embrace Choice Plan (HMO C-SNP) - H5649-026-1 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Embrace Choice Plan (HMO C-SNP) - H5649-026-1 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Central Health Medi-Medi Plan I (HMO D-SNP) - H5649-002-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Central Health Medi-Medi Plan I (HMO D-SNP) - H5649-002-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Central Health Medi-Medi Plan I (HMO D-SNP) - H5649-002-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Central Health Medi-Medi Plan I (HMO D-SNP) - H5649-002-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Alignment Health BreathEasy (HMO C-SNP) - H3815-041-0
Benefits & Contact Info
            		Los Angeles $18.10 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$8,850
Browse Formulary
Alignment Health BreathEasy (HMO C-SNP) - H3815-041-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health BreathEasy (HMO C-SNP) - H3815-041-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health BreathEasy (HMO C-SNP) - H3815-041-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Clever Care Total+ (HMO C-SNP) - H7607-011-1
Benefits & Contact Info
            		Los Angeles $18.40 $590
Tier 6 exempt		 Enhanced Alternative (EA)Preferred Generic: 25%
Generic: 25%
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$9,350
Browse Formulary
Clever Care Total+ (HMO C-SNP) - H7607-011-1 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) -- Clever Care Total+ (HMO C-SNP) - H7607-011-1 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Champion Connect (HMO-POS C-SNP) - H6170-002-0
Benefits & Contact Info
            		Los Angeles $20.50 $590
Tier 1 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Brand: 25%
Specialty Tier: 25%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$9,350
Browse Formulary
Champion Connect (HMO-POS C-SNP) - H6170-002-0 Medicare Part D Plan Customer Service Rating - 3 Stars (Average) new new  
SCAN Prime (HMO) - H5425-065-0
Benefits & Contact Info
            		Los Angeles $22.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$299
Browse Formulary
SCAN Prime (HMO) - H5425-065-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Prime (HMO) - H5425-065-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Prime (HMO) - H5425-065-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Alignment Health Clarity (HMO C-SNP) - H3815-042-0
Benefits & Contact Info
            		Los Angeles $24.10 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$8,850
Browse Formulary
Alignment Health Clarity (HMO C-SNP) - H3815-042-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health Clarity (HMO C-SNP) - H3815-042-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health Clarity (HMO C-SNP) - H3815-042-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Anthem Dual Advantage (HMO D-SNP) - H4471-009-0
Sanctioned Plan
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Anthem Dual Advantage (HMO D-SNP) - H4471-009-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
SCAN Inspired by women for women (HMO) - H5425-100-0
Benefits & Contact Info
            		Los Angeles $25.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $42.00
Non-Preferred Drug: 50%
Specialty Tier: 33%

all covered insulin pay $35 or less		$299
Browse Formulary
SCAN Inspired by women for women (HMO) - H5425-100-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Inspired by women for women (HMO) - H5425-100-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Inspired by women for women (HMO) - H5425-100-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Anthem Full Dual Advantage Aligned (HMO D-SNP) - H4471-001-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Anthem Full Dual Advantage Aligned (HMO D-SNP) - H4471-001-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) new new  
SCAN Strive (HMO C-SNP) - H5425-097-0
Benefits & Contact Info
            		Los Angeles $25.70 $590
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 24%
Non-Preferred Drug: 45%
Specialty Tier: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
SCAN Strive (HMO C-SNP) - H5425-097-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) SCAN Strive (HMO C-SNP) - H5425-097-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) SCAN Strive (HMO C-SNP) - H5425-097-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent) Higher cost-sharing at standard network pharmacies. Details:
Wellcare Dual Align (HMO D-SNP) - H3561-008-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Wellcare Dual Align (HMO D-SNP) - H3561-008-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- Wellcare Dual Align (HMO D-SNP) - H3561-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Blue Shield TotalDual Plan (HMO D-SNP) - H2819-001-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Enhanced Alternative (EA)Preferred Generic: 25%
Generic: 25%
Preferred Brand: 25%
Non-Preferred Drug: 25%
Specialty Tier: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Blue Shield TotalDual Plan (HMO D-SNP) - H2819-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) new new  
Align Kidney Care (HMO C-SNP) - H3274-004-0
Benefits & Contact Info
            		Los Angeles $29.70 $590
Tier 1 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $2.00
Generic: $15.00
Preferred Brand: $45.00
Non-Preferred Brand: $95.00
Specialty Tier: 25%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$9,350
Browse Formulary
Align Kidney Care (HMO C-SNP) - H3274-004-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- --  
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) - H3815-039-0
Benefits & Contact Info
            		Los Angeles $29.70 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$7,350
Browse Formulary
Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) - H3815-039-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) - H3815-039-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) - H3815-039-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Alignment Health L.A. (HMO C-SNP) - H3815-044-0
Benefits & Contact Info
            		Los Angeles $29.70 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$8,850
Browse Formulary
Alignment Health L.A. (HMO C-SNP) - H3815-044-0 Medicare Part D Plan Customer Service Rating - 5 Stars (Excellent) Alignment Health L.A. (HMO C-SNP) - H3815-044-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Alignment Health L.A. (HMO C-SNP) - H3815-044-0 Medicare Part D Plan Drug Pricing and Patient Safety - 5 Stars (Excellent)  
Astiva Health C-SNP WOW (HMO C-SNP) - H1993-008-0
Benefits & Contact Info
            		Los Angeles $29.70 $590
Tier 1, 2 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $15.00
Preferred Brand: $35.00
Non-Preferred Drug: $95.00
Specialty Tier: 25%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$9,350
Browse Formulary
Astiva Health C-SNP WOW (HMO C-SNP) - H1993-008-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Astiva Health C-SNP WOW (HMO C-SNP) - H1993-008-0 Medicare Part D Plan Member Experience with Drug Plan - 5 Stars (Excellent) Astiva Health C-SNP WOW (HMO C-SNP) - H1993-008-0 Medicare Part D Plan Drug Pricing and Patient Safety - 3 Stars (Average)  
L.A. Care Medicare Plus (HMO D-SNP) - H1224-001-0
Benefits & Contact Info
            		Los Angeles $0.00 for people who qualify for both Medicare and Medicaid. $0 for people who qualify for both Medicare and Medicaid. Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,250
Browse Formulary
L.A. Care Medicare Plus (HMO D-SNP) - H1224-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) L.A. Care Medicare Plus (HMO D-SNP) - H1224-001-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) L.A. Care Medicare Plus (HMO D-SNP) - H1224-001-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
Senior Care (HMO I-SNP) - H3274-001-0
Benefits & Contact Info
            		Los Angeles $29.70 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
Senior Care (HMO I-SNP) - H3274-001-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) -- --  
UHC Complete Care Support CA-1AP (HMO C-SNP) - H0543-239-0
Benefits & Contact Info
            		Los Angeles $29.70 $590 Defined Standard (DS)All formulary drugs: 25%

all covered insulin pay $35 or less		$9,350
Browse Formulary
UHC Complete Care Support CA-1AP (HMO C-SNP) - H0543-239-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) UHC Complete Care Support CA-1AP (HMO C-SNP) - H0543-239-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) UHC Complete Care Support CA-1AP (HMO C-SNP) - H0543-239-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  
Wellcare Low Premium (HMO) - H0562-136-0
Benefits & Contact Info
            		Los Angeles $36.00 $420
Tier 1, 2 and 6 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 25%
Non-Preferred Drug: 35%
Specialty Tier: 28%
Select Care Drugs: $0.00

all covered insulin pay $35 or less		$4,150
Browse Formulary
Wellcare Low Premium (HMO) - H0562-136-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Wellcare Low Premium (HMO) - H0562-136-0 Medicare Part D Plan Member Experience with Drug Plan - 2 Stars (Below Average) Wellcare Low Premium (HMO) - H0562-136-0 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		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
UCLA Health Medicare Advantage Prestige Plan (HMO) - H4647-002-0
Benefits & Contact Info
            		Los Angeles $39.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $47.00
Non-Preferred Drug: 45%
Specialty Tier: 33%

all covered insulin pay $35 or less		$1,499
Browse Formulary
new new new  
Aetna Medicare Core II (PPO) - H5521-578-0
Benefits & Contact Info
            		Los Angeles $42.00 $590
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: 22%
Non-Preferred Drug: 25%
Specialty Tier: 25%

all covered insulin pay $35 or less		$3,400
Browse Formulary
Aetna Medicare Core II (PPO) - H5521-578-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) Aetna Medicare Core II (PPO) - H5521-578-0 Medicare Part D Plan Member Experience with Drug Plan - 4 Stars (Above Average) Aetna Medicare Core II (PPO) - H5521-578-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average) Higher cost-sharing at standard network pharmacies. Details:
Alignment Health Advantage PPO (PPO) - H8832-001-0
Benefits & Contact Info
            		Los Angeles $45.00 $0 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $5.00
Preferred Brand: $40.00
Non-Preferred Drug: $100.00
Specialty Tier: 33%
Select Care Drugs: $5.00

all covered insulin pay $35 or less		$4,151
Browse Formulary
new new new  
Plan Name County Monthly
Prem.		 Deduct-
ible		Drug
Benefit
Detail		 Preferred Pharmacy
Copay/
Coinsurance		 MOOP for
A & B
Service Exper. Cost Info
AARP Medicare Advantage from UHC CA-37P (HMO-POS) - H0543-251-0
Benefits & Contact Info
            		Los Angeles $49.00 $255
Tier 1 and 2 exempt		 Enhanced Alternative (EA)Preferred Generic: $0.00
Generic: $0.00
Preferred Brand: $35.00
Non-Preferred Drug: $100.00
Specialty Tier: 30%

all covered insulin pay $35 or less		$800
Browse Formulary
AARP Medicare Advantage from UHC CA-37P (HMO-POS) - H0543-251-0 Medicare Part D Plan Customer Service Rating - 4 Stars (Above Average) AARP Medicare Advantage from UHC CA-37P (HMO-POS) - H0543-251-0 Medicare Part D Plan Member Experience with Drug Plan - 3 Stars (Average) AARP Medicare Advantage from UHC CA-37P (HMO-POS) - H0543-251-0 Medicare Part D Plan Drug Pricing and Patient Safety - 4 Stars (Above Average)  

Review Medicare Advantage plans

Email chart to me:
Free Part D Newsletter?



Chart Legend:

Below are a few notes to help with the understanding of the 2025 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.

      • Note: Plan ratings are by contract. This means that a Medicare Advantage plan that does NOT offer prescription drug coverage will still show drug plan ratings in the table above because these ratings are for the entire contract -- which may include plans that offer drug coverage and plans that do not. Click on the star icons to see further star rating details for the plan -- including the health plan ratings.

    • 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. (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 $590. 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.

    • 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 your maximum cap on out-of-pocket spending for Part D formulary drugs - RxMOOP. 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. (Search Tip: If you would like to reduce the plans shown to just plans that have a tier 1 (Generics) co-pay of up to a certain value (ex: $0 co-pay), enter the value (ex: 0) in the "Max. Co-pay Tier 1 (Generics)" field.)

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

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

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

    • Members in This Plan ID (February 2025 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.

    • Members Nationwide (updated: February 2025 figures) - This is the total number of member for this plan in all CMS Regions (States) combined.

    • 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.





 
 

Email chart to me:
Free Part D Newsletter?


Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
» Medicare Supplement FAQs




© Q1Group LLC 2005 - 2025  



Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • 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 PDPCompare.com and MACompare.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.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • 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.
.