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The 2023 Medicare Advantage Plans in Tulare County CA.
2022 Tulare County California
Medicare Advantage Plans
There are 16 Medicare Advantage Plans available in Tulare County CA from 8 different health insurance providers. 10 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $999 and the highest out of pocket is $7550. Tulare County California residents can also pick from 15 Medicare Special Needs Plans. The best Medicare Advantage plan in Tulare County California received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars.
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Ventura County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| Brand New Day Valor Care Plan (HMO) (H0838-048) | $0 | Local HMO * | $4,500 | |
| Humana Honor (HMO) (H5619-121) | $0 | Local HMO * | $6,700 |
2022 Medicare Special Needs Plans in Tulare county California
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Anthem MediBlue Dual Advantage (HMO D-SNP) | $2.70 | $480.0 | Few Generics | Dual-Eligible | |
| Anthem MediBlue Dual Plus (HMO D-SNP) | $0 | $480.0 | Few Generics | Dual-Eligible | |
| Anthem MediBlue ESRD Care (PPO C-SNP) | $33.20 | $130.0 | Few Generics | Chronic or Disabling Condition | |
| Brand New Day Dual Access Plan (HMO D-SNP) | $32.90 | $480.0 | Some Generics | Dual-Eligible | |
| 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 | |
| Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) | $9.90 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Imperial Dual Plan (HMO D-SNP) | $33.20 | $480.0 | Many | Dual-Eligible | |
| 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 | |
| Wellcare Dual Liberty (HMO D-SNP) | $33.20 | $480.0 | No Gap Coverage | Dual-Eligible |
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.