MedicarePartD.guide

A non-government resource built from CMS public data

Astiva Health C-SNP WOW - NorCal (HMO C-SNP)

Available to residents of Santa Clara County, CA for 2026. Contract H1993, plan 013, segment 0.

Plan details

Monthly premium$12.00
Drug deductible$615.00Tier 1, 2 and 6 exempt
Plan typeChronic-condition SNP
Contract / planH1993-013-0
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$15.00
Tier 3$45.00
Tier 4$100.00
Tier 525%
Tier 6$0.00