MedicarePartD.guide

A non-government resource built from CMS public data

UCLA Health Medicare Advantage Principal Plan (HMO)

Available to residents of Los Angeles County, CA for 2026. Contract H4647, plan 001, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$250.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH4647-001-0
Offered byUCLA Health Medicare Advantage Plan
Parent organizationThe Regents of the University of California
Formulary drugs3,250

CMS star ratings

Overall
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Health plan (Part C)
—
Drug plan (Part D)
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Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$0.00
Tier 3$47.00
Tier 445%
Tier 530%