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The 2023 Medicare Advantage Plans in San Diego County CA.
2022 San Diego County California
Medicare Advantage Plans
There are 59 Medicare Advantage Plans available in San Diego County CA from 15 different health insurance providers. 39 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $845 and the highest out of pocket is $7550. San Diego County California residents can also pick from 21 Medicare Special Needs Plans. The best Medicare Advantage plan in San Diego County California received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars.
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San Francisco County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (HMO) (H0543-121) | $0 | Local HMO * | $4,900 | |
| Aetna Medicare Eagle Plan (HMO) (H4982-013) | $0 | Local HMO * | $4,200 | |
| Brand New Day Valor Care Plan (HMO) (H0838-048) | $0 | Local HMO * | $4,500 | |
| Humana Honor (HMO) (H5619-120) | $0 | Local HMO * | $6,700 |
2022 Medicare Special Needs Plans in San Diego county California
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Align Connect (HMO C-SNP) | $0 | $480.0 | No Gap Coverage | Chronic or Disabling Condition | Too New |
| Align Premier (HMO I-SNP) | $26.70 | $480.0 | No Gap Coverage | Institutional | Too New |
| Align Thrive (HMO I-SNP) | $0 | $480.0 | No Gap Coverage | Institutional | Too New |
| Anthem MediBlue ESRD Care (PPO C-SNP) | $33.20 | $130.0 | Few Generics | Chronic or Disabling Condition | |
| Blue Shield TotalDual Plan (HMO D-SNP) | $33.20 | $480.0 | Few Generics | Dual-Eligible | |
| Brand New Day Bridges Care Plan (HMO C-SNP) | $0 | $0 | Some Generics | Chronic or Disabling Condition | |
| Brand New Day Bridges Choice Plan (HMO C-SNP) | $33.20 | $480.0 | Some Generics | Chronic or Disabling Condition | |
| Brand New Day Embrace Care Plan (HMO C-SNP) | $0 | $0 | Some Generics | Chronic or Disabling Condition | |
| Brand New Day Embrace Choice Plan (HMO C-SNP) | $33.20 | $480.0 | Some Generics | Chronic or Disabling Condition | |
| Brand New Day Harmony Care Plan (HMO C-SNP) | $0 | $100.0 | Some Generics | Chronic or Disabling Condition | |
| Brand New Day Harmony Choice Plan (HMO C-SNP) | $33.20 | $480.0 | Some Generics | Chronic or Disabling Condition | |
| Brand New Day Select Care II Plan (HMO I-SNP) | $0 | $0 | Some Generics | Institutional | |
| Brand New Day Select Choice II Plan (HMO I-SNP) | $33.20 | $480.0 | Some Generics | Institutional | |
| Heart and Diabetes (HMO C-SNP) | $0 | $0 | Some Generics | Chronic or Disabling Condition | |
| Imperial Senior Value (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP) | $31.40 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Molina Medicare Complete Care (HMO D-SNP) | $33.20 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Scripps Heart First offered by SCAN Health Plan (HMO C-SN | $26.00 | $0 | Some Generics | Chronic or Disabling Condition | |
| UnitedHealthcare Chronic Complete Focus (HMO C-SNP) | $0 | $0 | Some Generics | Chronic or Disabling Condition | |
| Wellcare Dual Liberty (HMO D-SNP) | $33.20 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Wellcare Specialty No Premium (HMO C-SNP) | $0 | $0 | No Gap Coverage | Chronic or Disabling Condition |
Plan Type Is the type of organization offering the Medicare Plan.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type- (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
GAP
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.