MedicarePartD.guide

A non-government resource built from CMS public data

Astiva Health Savings Plan (HMO)

Available to residents of San Bernardino County, CA for 2026. Contract H1993, plan 001, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$50.00Tier 1, 2 and 6 exempt
Plan typeMedicare Advantage
Contract / planH1993-001-0
Offered byAstiva Health
Parent organizationAstiva Health Holdings Incorporated
Formulary drugs3,250

CMS star ratings

Overall
4 out of 5 stars for Overall
Health plan (Part C)
4 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$12.00
Tier 3$45.00
Tier 4$98.00
Tier 529%
Tier 6$0.00

Also available in 5 other CA counties