California Medicare Advantage Companies for 2021 (Full List of Plans)

There are a lot of Medicare Advantage companies in California to choose from, and each has a different selection of plans available. California Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in California without paying anything more than your original Medicare Part B cost.

Are you looking for free insurance quotes?

 Secured with SHA-256 Encryption

D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

Full Bio →

Written by

Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

Full Bio →

Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Sep 23, 2021

Advertiser Disclosure

It’s all about you. We want to help you make the right coverage choices.

Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.

Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.

Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.

The Highlights

  • You’ll still need to pay your California original Medicare premium if you choose Medicare Advantage
  • Standalone Medicare Part D Plans in California can help cover prescription drugs
  • You can choose from California PPO and HMO Medicare Advantage plans

If you’re shopping for a Medicare Advantage plan in California, there are a lot of options to choose from. 39 companies offer Medicare Advantage (Part C) coverage in California. Plans vary by county and include HMO, PPO, and POS options.

Finding the best Medicare company can be a challenge. To choose the right CA Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.

Ready to compare Medicare plans from top companies in California? Enter your ZIP code for fast, free California Medicare quotes today.

Table of Contents

The Complete List of Medicare Advantage Companies in California

You have a lot of companies to choose from for Part C Medicare Advantage in CA. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in California, which counties the plans are offered in, and how many plans each company offers.

View as image

Medicare Advantage Companies in California

Company Number of Plans Counties
AHF 1 Los Angeles
Aetna 4 Riverside, Ventura, Kern, Fresno, San Bernardino, Los Angeles, Alameda, San Diego, San Francisco, Marin, Santa Clara, Orange
Aetna Medicare 4 Riverside, Ventura, Kern, Fresno, San Bernardino, Los Angeles, Alameda, San Diego, San Francisco, Marin, Santa Clara, Orange, Sacramento, Placer, Stanislaus, San Joaquin, Yolo
Alignment Health Plan 11 Riverside, San Bernardino, Los Angeles, San Diego, San Joaquin, Marin, Orange, Ventura, San Luis Obispo, Stanislaus, San Francisco, Santa Clara
Anthem 21 Shasta, Yuba, Sutter, Butte, Solano, Sonoma, El Dorado, Tehama, Napa, Orange, Riverside, San Bernardino, Los Angeles, San Diego, San Francisco, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, Alameda, San Mateo, San Joaquin, Yolo, Santa Clara, San Luis Obispo, Stanislaus, Monterey, Merced, San Benito
Anthem Blue Cross 3 Riverside, San Bernardino, Los Angeles, San Diego, Orange, San Benito, Stanislaus, Santa Clara
Aspire Health Plan 3 Monterey
Astiva Health 2 San Diego, Orange
Blue Shield of California 8 Riverside, San Bernardino, Fresno, Los Angeles, Stanislaus, San Diego, San Joaquin, Merced, Santa Clara, Orange, Alameda
BlueShield of California 4 Riverside, Ventura, Kern, San Luis Obispo, San Bernardino, Los Angeles, San Diego, Santa Barbara, Orange, Sacramento, Madera, Fresno, Alameda, San Mateo, Stanislaus, San Joaquin, Merced, Santa Clara
Brand New Day 14 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange
Brandman Health Plan 4 Los Angeles
CCHP Health Plan 1 San Francisco
Central Health 3 Ventura, San Bernardino, Los Angeles, Orange
Central Health Medicare Plan 3 Riverside, San Bernardino, Los Angeles, Orange, Ventura
Chinese Community Health Plan 2 San Mateo, San Francisco
Clever Care Health Plan 2 Los Angeles, San Diego, Orange
Golden State 2 Riverside, San Luis Obispo, San Bernardino, Los Angeles, Stanislaus, San Diego, San Joaquin, Orange, San Francisco
Golden State Medicare Health Plan 1 Riverside, San Luis Obispo, Los Angeles, Stanislaus, Orange
Health Net 8 Riverside, Kern, Fresno, Tulare, San Bernardino, Los Angeles, San Diego, San Francisco, Orange, Alameda, Imperial, Sacramento, Placer, Yolo
Health Net of California 4 Riverside, Sacramento, Fresno, San Bernardino, Los Angeles, Alameda, Placer, Stanislaus, San Diego, San Francisco, Yolo, Imperial, Orange, Kern, Santa Clara
Humana 17 Contra Costa, Riverside, San Joaquin, San Bernardino, Los Angeles, San Diego, Orange, Ventura, Kern, Santa Barbara, Kings, San Luis Obispo, Madera, Fresno, Tulare, Stanislaus
Imperial Health Plan of California 2 Contra Costa, Riverside, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, Placer, San Mateo, Stanislaus, San Diego, San Joaquin, Santa Barbara, San Francisco, Yolo, Merced, Santa Clara, Orange
Imperial Health Plan of California, Inc 3 Contra Costa, Riverside, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, Placer, San Mateo, Stanislaus, San Diego, San Joaquin, Santa Barbara, San Francisco, Yolo, Merced, Santa Clara, Orange
Inter Valley Health Plan 3 Riverside, San Bernardino, Los Angeles, Orange
Kaiser Permanente 26 Yuba, Sutter, Sacramento, Placer, Amador, Sonoma, El Dorado, Yolo, Contra Costa, Kings, Madera, Fresno, Tulare, Santa Cruz, Alameda, Solano, San Mateo, Stanislaus, San Joaquin, Mariposa, San Francisco, Marin, Napa, Santa Clara, Riverside, San Bernardino, Ventura, Kern, Los Angeles, San Diego, Orange
Molina Healthcare 1 Riverside, San Bernardino, Los Angeles, San Diego, Imperial
My Choice Health 1 Sacramento, Santa Cruz, Placer, San Mateo, Stanislaus, San Joaquin, Sonoma, Yolo
OneCare 1 Orange
SCAN Health 1 Riverside, San Bernardino, Los Angeles
SCAN Health Plan 15 Riverside, San Bernardino, Los Angeles, Orange, Sonoma, Napa, Ventura, Stanislaus, San Francisco, Santa Clara, San Diego
Sharp Health Plan 2 San Diego
Stanford Health Care Advantage 2 Alameda, San Mateo, Santa Clara
Sutter Health 1 Sacramento, Santa Cruz, Placer, San Mateo, Sonoma, San Francisco, Yolo, Santa Clara
UnitedHealthCare 5 Shasta, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, Santa Cruz, Placer, Solano, Lake, Amador, San Joaquin, Sonoma, San Francisco, Marin, El Dorado, Tehama, Yolo, Merced, Nevada, Napa, Mendocino, Santa Clara, Contra Costa, Riverside, San Bernardino, Los Angeles, San Mateo, Stanislaus, Orange, San Luis Obispo, San Diego
UnitedHealthcare 12 Shasta, Contra Costa, Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, Placer, Solano, Lake, Stanislaus, Amador, San Diego, San Joaquin, Sonoma, San Francisco, Marin, El Dorado, Tehama, Yolo, Merced, Nevada, Napa, Mendocino, Santa Clara, Orange, Santa Cruz, San Luis Obispo, San Mateo, Santa Barbara, Ventura
Vitality Health Plan 1 San Joaquin, Santa Clara
WellCare 4 Riverside, Ventura, San Bernardino, Los Angeles, Orange, San Joaquin
Western Health Advantage 2 Sacramento, Solano, Sonoma, Marin, Yolo, Napa

Your one-stop online insurance guide. Get free quotes now!

 Secured with SHA-256 Encryption

Medicare Advantage Plans by Company in California

To compare Medicare Advantage plans by company in California, we’ve gathered a list of all the plans available from each CA Medicare company.

Take a look at the CA Medicare plans by company here, and bear in mind that plan availability and details vary by county.

Anthem Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Anthem MediBlue Dual Access (PPO D-SNP) H8552-030 Shasta, Yuba, Sutter, Butte, Solano, Sonoma, El Dorado, Tehama, Napa Local PPO $0.00 for people who qualify for both Medicare and Medicaid.
Anthem MediBlue Access (PPO) H8552-029 Shasta, Yuba, Sutter, Butte, Solano, Sonoma, El Dorado, Tehama, Napa, Orange Local PPO $30.00
Anthem MediBlue Select (HMO) H0544-067 Riverside, San Bernardino, Los Angeles, San Diego, San Francisco, Orange Local HMO $0.00
Anthem MediBlue Plus (HMO) H0544-060 Riverside, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, San Mateo, San Diego, San Joaquin, San Francisco, Yolo, Santa Clara, Orange Local HMO $0.00
Anthem MediBlue Coordination Plus (HMO) H0544-071 Riverside, San Bernardino, Los Angeles, Alameda, San Mateo, San Diego, Santa Clara, Orange Local HMO $18.70
Anthem MediBlue Diabetes Care Plus (HMO C-SNP) H0544-094 Sacramento Local HMO $0.00
Anthem MediBlue Care To You (HMO I-SNP) H0544-093 Sacramento Local HMO $0.00
Anthem MediBlue Dual Advantage (HMO D-SNP) H0544-054 Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Joaquin, San Francisco Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Anthem MediBlue Dual Plus (HMO D-SNP) H0544-089 Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Francisco Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Anthem MediBlue ESRD Care (PPO C-SNP) H8552-028 Ventura, Kern, Kings, San Luis Obispo, Madera, Fresno, Tulare, Stanislaus, San Diego, San Joaquin, Monterey, Merced Local PPO $31.50
Anthem MediBlue Diabetes (HMO C-SNP) H0544-118 San Benito, Stanislaus, Santa Clara Local HMO $55.00
Anthem MediBlue Heart (HMO C-SNP) H0544-119 San Benito, Stanislaus, Santa Clara Local HMO $55.00
Anthem MediBlue Value Plus (HMO) H0544-120 San Benito, San Bernardino, Los Angeles, Stanislaus, Santa Clara, Orange Local HMO $60.00
Anthem MediBlue StartSmart Plus (HMO) H0544-121 San Benito, San Bernardino, Los Angeles, Stanislaus, Santa Clara, Orange Local HMO $0.00
Anthem MediBlue Lung (HMO C-SNP) H0544-117 San Benito, Stanislaus, Santa Clara Local HMO $55.00
Anthem MediBlue Care On Site (HMO I-SNP) H0544-005 San Bernardino, Los Angeles, Stanislaus, Santa Clara, Orange Local HMO $0.00
Anthem MediBlue Heart Care (HMO C-SNP) H0544-038 San Bernardino, Los Angeles, Stanislaus, Santa Clara, Orange Local HMO $0.00
Anthem MediBlue Diabetes Care (HMO C-SNP) H0544-010 San Bernardino, Los Angeles, Stanislaus, Santa Clara, Orange Local HMO $0.00
Anthem MediBlue ESRD Care (HMO C-SNP) H0544-020 San Bernardino, Los Angeles, Orange Local HMO $0.00
Anthem MediBlue Lung Care (HMO C-SNP) H0544-019 San Bernardino, Los Angeles, Stanislaus, Santa Clara, Orange Local HMO $0.00
Anthem MediBlue Connect (HMO D-SNP) H0544-003 Los Angeles, Santa Clara Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

UnitedHealthCare Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AARP Medicare Advantage SecureHorizons (HMO) H0543-195 Shasta, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, Santa Cruz, Placer, Solano, Lake, Amador, San Joaquin, Sonoma, San Francisco, Marin, El Dorado, Tehama, Yolo, Merced, Nevada, Napa, Mendocino, Santa Clara Local HMO $59.00
AARP Medicare Advantage SecureHorizons Focus (HMO) H0543-163 Contra Costa, Riverside, Sacramento, San Bernardino, Los Angeles, Placer, San Mateo, Stanislaus, Yolo, Santa Clara, Orange Local HMO $64.00
AARP Medicare Advantage SecureHorizons Plan 2 (HMO) H0543-144 Riverside, San Luis Obispo, San Bernardino, Los Angeles, Stanislaus, Orange Local HMO $0.00
AARP Medicare Advantage Freedom Plus (HMO-POS) H0543-216 Riverside, San Bernardino, Los Angeles, Orange Local HMO $0.00
AARP Medicare Advantage SecureHorizons Premier (HMO) H0543-166 Riverside, San Bernardino, Los Angeles, San Diego, Orange Local HMO $28.10

UnitedHealthcare Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
UnitedHealthcare Medicare Advantage Assure (HMO) H0543-202 Shasta, Contra Costa, Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, Placer, Solano, Lake, Stanislaus, Amador, San Diego, San Joaquin, Sonoma, San Francisco, Marin, El Dorado, Tehama, Yolo, Merced, Nevada, Napa, Mendocino, Santa Clara, Orange Local HMO $17.10
UnitedHealthcare Canopy Health Medicare Advantage (HMO) H0543-189 Contra Costa, Santa Cruz, Alameda, San Francisco, Marin Local HMO $69.00
AARP Medicare Advantage SecureHorizons Plan 1 (HMO) H0543-070 Contra Costa, San Luis Obispo, Los Angeles, Alameda, San Mateo, Stanislaus, Santa Barbara Local HMO $110.00
AARP Medicare Advantage Patriot (HMO) H0543-121 Riverside, Ventura, Kern, San Luis Obispo, San Bernardino, Los Angeles, San Diego, Santa Barbara, Orange Local HMO * $0.00
UnitedHealthcare Dual Complete (HMO D-SNP) H1375-002 Kings, Madera, Fresno, Alameda Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AARP Medicare Advantage Choice (PPO) H4829-003 Tulare, Solano, Lake, Sonoma, Marin, Napa, Mendocino Local PPO $75.00
Sharp SecureHorizons Plan by UnitedHealthcare (HMO) H0543-145 San Diego Local HMO $0.00
AARP Medicare Advantage Walgreens (HMO) H0543-204 San Diego Local HMO $0.00
UnitedHealthcare Chronic Complete Focus (HMO C-SNP) H0543-214 San Diego Local HMO $0.00
AARP Medicare Advantage SecureHorizons Plan 4 (HMO) H0543-152 San Diego Local HMO $0.00
AARP Medicare Advantage SecureHorizons Value (HMO) H0543-013 San Diego Local HMO $25.00
Choice (HMO) H1426-001 San Joaquin, Santa Clara Local HMO $0.00

Kaiser Permanente Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) H0524-051 Yuba, Sutter, Sacramento, Placer, Amador, Sonoma, El Dorado, Yolo Local HMO $15.00
Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) H0524-030 Yuba, Sutter, Contra Costa, Sacramento, Kings, Madera, Fresno, Tulare, Santa Cruz, Alameda, Placer, Solano, San Mateo, Stanislaus, Amador, San Joaquin, Mariposa, San Francisco, Marin, El Dorado, Yolo, Napa, Santa Clara Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) H0524-013 Yuba, Sutter, Sacramento, Placer, Amador, Sonoma, El Dorado, Yolo Local HMO $75.00
Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO) H0524-033 Contra Costa Local HMO $84.00
Kaiser Permanente Sr Adv Basic Contra Costa (HMO) H0524-061 Contra Costa Local HMO $24.00
Kaiser Permanente Senior Advantage Inland Empire (HMO) H0524-015 Riverside, San Bernardino Local HMO $0.00
Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP) H0524-029 Riverside, Ventura, Kern, San Bernardino, Los Angeles, San Diego, Orange Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Kaiser Permanente Senior Advantage Ventura (HMO) H0524-034 Ventura Local HMO $0.00
Kaiser Permanente Senior Advantage Enhanced Kern (HMO) H0524-035 Kern Local HMO $29.00
Kaiser Permanente Senior Advantage Basic Kern (HMO) H0524-036 Kern Local HMO $0.00
Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) H0524-038 Kings, Madera, Fresno, Tulare, Mariposa Local HMO $75.00
Kaiser Permanente Senior Advantage Basic Fresno (HMO) H0524-046 Kings, Madera, Fresno, Tulare, Mariposa Local HMO $15.00
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) H0524-003 Los Angeles, Orange Local HMO $0.00
Kaiser Permanente Senior Advantage Santa Cruz (HMO) H0524-054 Santa Cruz Local HMO $79.00
Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) H0524-032 Alameda, San Francisco, Napa Local HMO $84.00
Kaiser Permanente Senior Advantage Basic Alameda (HMO) H0524-059 Alameda Local HMO $24.00
Kaiser Permanente Senior Advantage Solano (HMO) H0524-008 Solano Local HMO $89.00
Kaiser Permanente Senior Advantage Marin San Mateo (HMO) H0524-031 San Mateo, Marin Local HMO $89.00
Kaiser Permanente Senior Advantage Basic Stanis (HMO) H0524-041 Stanislaus Local HMO $15.00
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) H0524-040 Stanislaus Local HMO $75.00
Kaiser Permanente Senior Advantage San Diego (HMO) H0524-037 San Diego Local HMO $0.00
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) H0524-043 San Joaquin Local HMO $15.00
Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) H0524-042 San Joaquin Local HMO $75.00
Kaiser Permanente Senior Advantage Basic SF (HMO) H0524-060 San Francisco Local HMO $24.00
Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) H0524-039 Santa Clara Local HMO $75.00
Kaiser Permanente Sr Adv Basic Santa Clara (HMO) H0524-062 Santa Clara Local HMO $15.00

Imperial Health Plan of California Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Imperial Senior Value (HMO C-SNP) H5496-005 Contra Costa, Riverside, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, Placer, San Mateo, Stanislaus, San Diego, San Joaquin, Santa Barbara, San Francisco, Yolo, Merced, Santa Clara, Orange Local HMO $0.00
Imperial Dual Plan (HMO D-SNP) H5496-011 Sacramento, San Francisco Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Imperial Health Plan of California, Inc Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Imperial Traditional Plus (HMO) H5496-009 Contra Costa, Riverside, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, Placer, San Mateo, Stanislaus, San Diego, San Joaquin, Santa Barbara, San Francisco, Yolo, Merced, Santa Clara, Orange Local HMO $31.50
Imperial Traditional (HMO) H5496-007 Contra Costa, Riverside, Sacramento, Ventura, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, Placer, San Mateo, Stanislaus, San Diego, San Joaquin, Santa Barbara, San Francisco, Yolo, Merced, Santa Clara, Orange Local HMO $0.00
Imperial Dynamic Plan (HMO) H5496-012 Riverside, Sacramento, Ventura, Kern, San Bernardino, Los Angeles, San Diego, Orange Local HMO $0.00

Humana Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Humana Gold Plus H5619-029 (HMO) H5619-029 Contra Costa Local HMO $70.00
Humana Community (HMO) H7621-002 Riverside, San Joaquin Local HMO $0.00
Humana Gold Plus H5619-039 (HMO) H5619-039 Riverside, San Bernardino Local HMO $0.00
Humana Value Plus H5619-037 (HMO) H5619-037 Riverside, San Bernardino, Los Angeles, San Diego, Orange Local HMO $20.40
Humana Honor (HMO) H5619-121 Riverside, Ventura, Kern, San Bernardino, Los Angeles, San Diego, Orange Local HMO * $0.00
Humana Gold Plus H5619-130 (HMO) H5619-130 Ventura, Santa Barbara Local HMO $0.00
Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) H5619-038 Ventura, Kern, Kings, San Luis Obispo, Madera, Fresno, Tulare, Stanislaus, San Joaquin Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Humana Gold Plus H5619-116 (HMO) H5619-116 Kern Local HMO $0.00
Humana Gold Plus H5619-015 (HMO) H5619-015 Kings, Tulare Local HMO $0.00
Humana Gold Plus H5619-119 (HMO) H5619-119 San Luis Obispo Local HMO $0.00
Humana Gold Plus H5619-013 (HMO) H5619-013 Madera Local HMO $0.00
Humana Gold Plus H5619-012 (HMO) H5619-012 Fresno Local HMO $0.00
Humana Gold Plus H5619-021 (HMO) H5619-021 Los Angeles, Orange Local HMO $0.00
Humana Gold Plus H5619-032 (HMO) H5619-032 Stanislaus Local HMO $0.00
UC San Diego Health Humana (HMO) H5619-131 San Diego Local HMO $0.00
Humana Gold Plus H5619-016 (HMO) H5619-016 San Diego Local HMO $0.00
Humana Gold Plus H5619-026 (HMO) H5619-026 San Joaquin Local HMO $91.00

Alignment Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Platinum (HMO) H3815-015 Riverside, San Bernardino, Los Angeles, San Diego, San Joaquin, Marin, Orange Local HMO $0.00
CalPlus (HMO) H3815-009 Riverside, Ventura, San Luis Obispo, San Bernardino, Los Angeles, Stanislaus, San Diego, San Joaquin, San Francisco, Marin, Santa Clara, Orange Local HMO $20.10
My Choice (HMO) H3815-001 Riverside, Ventura, San Luis Obispo, San Bernardino, Los Angeles, Stanislaus, San Joaquin, San Francisco, Santa Clara, Orange Local HMO $0.00
AVA (HMO) H3815-027 Ventura, San Luis Obispo, Los Angeles, San Diego, Santa Clara, Orange Local HMO $0.00
smartHMO (HMO) H3815-013 Los Angeles Local HMO $0.00
Heart & Diabetes (HMO C-SNP) H3815-010 Los Angeles, Orange Local HMO $0.00
Balance (PPO) H4961-006 Stanislaus, San Joaquin Local PPO $0.00
CalPlusDuals (HMO D-SNP) H3815-030 Stanislaus, San Joaquin, Marin Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AllCare Preferred Plan (HMO) H3815-011 Stanislaus Local HMO $0.00
Select (HMO) H3815-032 San Diego Local HMO $0.00
Harmony (HMO) H3815-031 San Diego, Santa Clara Local HMO $0.00

SCAN Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
SCAN Connections at Home (HMO D-SNP) H5425-030 Riverside, San Bernardino, Los Angeles Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
SCAN Healthy at Home (HMO I-SNP) H9104-006 Riverside, San Bernardino, Los Angeles, Orange Local HMO $0.00
SCAN Heart First (HMO C-SNP) H5425-033 Riverside, San Bernardino, Sonoma, Napa, Orange Local HMO $0.00
SCAN Classic (HMO) H5425-008 Riverside, Ventura, San Bernardino, Los Angeles, Stanislaus, Sonoma, San Francisco, Napa, Santa Clara, Orange Local HMO $0.00
SCAN Connections (HMO D-SNP) H5425-010 Riverside, San Bernardino, Los Angeles Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
SCAN Plus (HMO) H5425-045 Riverside, Ventura, San Bernardino, Los Angeles, Stanislaus, San Francisco, Santa Clara, Orange Local HMO $31.50
SCAN Prime (HMO) H5425-067 Riverside, San Bernardino, Los Angeles, Orange Local HMO $23.00
SCAN Balance (HMO C-SNP) H5425-034 Los Angeles, Stanislaus, Sonoma, Napa, Orange Local HMO $0.00
SCAN Classic II (HMO) H5425-064 Los Angeles Local HMO $59.00
Scripps Classic offered by SCAN Health Plan (HMO) H5425-005 San Diego Local HMO $0.00
Scripps Signature offered by SCAN Health Plan (HMO) H5425-004 San Diego Local HMO $74.00
Scripps Heart First offered by SCAN Health Plan (HMO C-SNP) H5425-055 San Diego Local HMO $26.00
Scripps Plus offered by SCAN Health Plan (HMO) H5425-040 San Diego Local HMO $31.50
SCAN Compass (HMO) H5425-074 Sonoma, Napa Local HMO $25.00
SCAN Options (HMO) H5425-073 Santa Clara Local HMO $0.00

Health Net Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Health Net Amber I (HMO D-SNP) H0562-055 Riverside, Kern, Fresno, Tulare, San Bernardino, Los Angeles, San Diego, San Francisco, Orange Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Health Net Gold Select (HMO) H0562-126 Riverside, San Bernardino, Los Angeles, Orange Local HMO $0.00
Health Net Amber II (HMO D-SNP) H0562-121 Riverside, Kern, Fresno, Tulare, San Bernardino, Los Angeles, San Diego, San Francisco, Orange Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Health Net Sapphire Premier (HMO) H3561-004 Riverside, Kern, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, San Diego, San Francisco, Imperial, Orange Local HMO $22.90
Health Net Sapphire Premier II (HMO) H3561-006 Riverside, Kern, Fresno, Tulare, San Bernardino, Los Angeles, Alameda, San Diego, San Francisco, Imperial, Orange Local HMO $23.90
Health Net Ruby Select (HMO) H0562-124 Sacramento, Fresno, Alameda, Placer, San Francisco, Yolo Local HMO $0.00
Health Net Amber II Premier (HMO D-SNP) H3561-001 Sacramento, Fresno Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Health Net Jade (HMO C-SNP) H0562-092 Kern, Fresno, Los Angeles, San Diego, San Francisco, Orange Local HMO $0.00

Health Net of California Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Health Net Healthy Heart (HMO) H0562-123 Riverside, Sacramento, Fresno, San Bernardino, Los Angeles, Alameda, Placer, Stanislaus, San Diego, San Francisco, Yolo, Imperial, Orange Local HMO $17.00
Health Net Green (HMO) H0562-044 Riverside, Sacramento, San Bernardino, Los Angeles, Alameda, Placer, Stanislaus Local HMO * $0.00
Health Net Sapphire (HMO) H0562-122 Riverside, Kern, San Bernardino, Los Angeles, Stanislaus, San Diego, Santa Clara, Orange Local HMO $28.50
Health Net Ruby (HMO) H0562-079 Kern, Stanislaus, Santa Clara Local HMO $0.00

Brand New Day Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Brand New Day Embrace Choice Plan (HMO C-SNP) H0838-040 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $31.50
Brand New Day Classic Care I Plan (HMO) H0838-025 Riverside, Kern, San Bernardino, Los Angeles, San Diego, Orange Local HMO $0.00
Brand New Day Embrace Care Plan (HMO C-SNP) H0838-039 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $0.00
Brand New Day Select Choice I Plan (HMO I-SNP) H0838-044 Riverside, San Bernardino, Los Angeles, Orange Local HMO $31.50
Brand New Day Harmony Care Plan (HMO C-SNP) H0838-032 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $0.00
Brand New Day Select Care I Plan (HMO I-SNP) H0838-042 Riverside, San Bernardino, Los Angeles, Orange Local HMO $0.00
Brand New Day Classic Choice Plan (HMO) H0838-033 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $31.50
Brand New Day Classic Care II Plan (HMO) H0838-037 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $0.00
Brand New Day Bridges Choice Plan (HMO C-SNP) H0838-029 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $31.50
Brand New Day Bridges Care Plan (HMO C-SNP) H0838-028 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $0.00
Brand New Day Dual Access Plan (HMO D-SNP) H0838-024 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Joaquin, San Francisco, Imperial, Orange Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Brand New Day Harmony Choice Plan (HMO C-SNP) H0838-020 Riverside, Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Bernardino, Los Angeles, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara, Orange Local HMO $31.50
Brand New Day Select Care II Plan (HMO I-SNP) H0838-043 Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara Local HMO $0.00
Brand New Day Select Choice II Plan (HMO I-SNP) H0838-045 Sacramento, Kern, Kings, Madera, Fresno, Tulare, San Mateo, San Diego, San Joaquin, San Francisco, Imperial, Santa Clara Local HMO $31.50

Inter Valley Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Inter Valley Health Plan Desert Preferred Choice (HMO) H0545-012 Riverside Local HMO $0.00
Inter Valley Health Plan Vitality Plus (HMO) H0545-015 Riverside, San Bernardino, Los Angeles, Orange Local HMO $31.50
Inter Valley Health Plan Service To Seniors (HMO) H0545-001 Riverside, San Bernardino, Los Angeles, Orange Local HMO $0.00

BlueShield of California Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Blue Shield 65 Plus (HMO) H0504-026 Riverside, Ventura, Kern, San Luis Obispo, San Bernardino, Los Angeles, San Diego, Santa Barbara, Orange Local HMO $0.00
Blue Shield Vital (HMO) H0504-045 Riverside, San Bernardino, Los Angeles, Orange Local HMO $0.00
Blue Shield Inspire (HMO) H0504-037 Sacramento, Madera, Fresno, Los Angeles, Alameda, San Mateo, Stanislaus, San Joaquin, Merced, Santa Clara, Orange Local HMO $39.00
Blue Shield AdvantageOptimum Plan (HMO) H5928-044 Fresno, Los Angeles, Stanislaus, San Joaquin, Merced, Santa Clara, Orange Local HMO $0.00

Molina Healthcare Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Molina Medicare Complete Care (HMO D-SNP) H5810-001 Riverside, San Bernardino, Los Angeles, San Diego, Imperial Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Aetna Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Plus Plan (HMO) H4982-002 Riverside, Ventura, Kern, Fresno, San Bernardino, Los Angeles, Alameda, San Diego, San Francisco, Marin, Santa Clara, Orange Local HMO $0.00
Aetna Medicare Select Plan (HMO) H0523-022 Riverside, Kern, San Bernardino, Los Angeles, San Diego, Orange Local HMO $0.00
Aetna Medicare Preferred Plan (HMO D-SNP) H4982-009 Ventura, Kern, Fresno, Alameda, San Francisco, Marin Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Aetna Medicare Choice Plan (PPO) H5521-292 Ventura, Kern, Fresno, Los Angeles, San Diego, Orange Local PPO $99.00

WellCare Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
WellCare Dividend (HMO) H5087-025 Riverside, Ventura, San Bernardino, Los Angeles, Orange Local HMO $0.00
WellCare Best (HMO) H5087-016 Riverside, Ventura, San Bernardino, Los Angeles, San Joaquin, Orange Local HMO $0.00
WellCare Plus (HMO) H5087-002 Riverside, Ventura, San Bernardino, Los Angeles, San Joaquin, Orange Local HMO $4.60
WellCare Freedom (HMO D-SNP) H5087-001 Los Angeles Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Blue Shield of California Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Blue Shield 65 Plus Choice Plan (HMO) H0504-040 Riverside, San Bernardino Local HMO $0.00
Blue Shield Coordinated Choice Plan (HMO) H5928-037 Riverside, Fresno, San Bernardino, Los Angeles, Stanislaus, San Diego, San Joaquin, Merced, Santa Clara, Orange Local HMO $31.50
Blue Shield Inspire (HMO D-SNP) H5928-054 Fresno, Stanislaus, San Joaquin Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Blue Shield TotalDual Plan (HMO D-SNP) H5928-005 San Bernardino, Los Angeles, San Diego, Orange Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Blue Shield 65 Plus Plan 2 (HMO) H0504-021 Los Angeles, Orange Local HMO $0.00
Blue Shield Inspire (PPO) H4937-001 Alameda Local PPO $98.00
Blue Shield AdvantageOptimum Plan 1 (HMO) H5928-010 San Diego Local HMO $0.00
Blue Shield AdvantageOptimum Plan 2 (HMO) H5928-053 San Diego Local HMO $0.00

Golden State Medicare Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Connected Care Select (HMO C-SNP) H2241-019 Riverside, San Luis Obispo, Los Angeles, Stanislaus, Orange Local HMO $0.00

Golden State Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Connected Care (HMO) H2241-013 Riverside, San Luis Obispo, San Bernardino, Los Angeles, Stanislaus, San Diego, San Joaquin, Orange Local HMO $0.00
Golden State Senior Health Plan (HMO) H2241-014 San Francisco Local HMO $0.00

Aetna Medicare Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Eagle Plan (HMO) H4982-013 Riverside, Ventura, Kern, Fresno, San Bernardino, Los Angeles, Alameda, San Diego, San Francisco, Marin, Santa Clara, Orange Local HMO * $0.00
Aetna Medicare Elite Plan (PPO) H5521-293 Sacramento, Alameda, Placer, Stanislaus, San Joaquin, San Francisco, Marin, Yolo, Santa Clara Local PPO $0.00
Aetna Medicare Prime Plan (HMO) H0523-061 San Bernardino, Los Angeles, Orange Local HMO $0.00
Aetna Medicare Plus Plan 2 (HMO) H4982-015 San Diego Local HMO $21.00

Anthem Blue Cross Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Anthem MediBlue Extra (HMO) H0544-081 Riverside, San Bernardino, Los Angeles, San Diego, Orange Local HMO $31.50
Anthem MediBlue Connect Plus (HMO) H0544-122 San Benito, San Bernardino, Los Angeles, Stanislaus, Santa Clara, Orange Local HMO $23.50
Anthem MediBlue Value (HMO) H0544-107 Stanislaus Local HMO $0.00

Central Health Medicare Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Central Health Medicare Plan (HMO) H5649-001 Riverside, San Bernardino, Los Angeles, Orange Local HMO $0.00
Central Health Premier Plan (HMO) H5649-004 Riverside, San Bernardino, Los Angeles, Orange Local HMO $31.50
Central Health Ventura Medicare Plan (HMO) H5649-008 Ventura Local HMO $0.00

SCAN Health Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
VillageHealth (HMO-POS C-SNP) H5943-001 Riverside, San Bernardino, Los Angeles Local HMO $31.50

Western Health Advantage Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Western Health Advantage MyCare Plus (HMO) H2782-003 Sacramento, Solano, Sonoma, Marin, Yolo, Napa Local HMO $99.00
Western Health Advantage MyCare (HMO) H2782-002 Sacramento, Solano, Sonoma, Marin, Yolo, Napa Local HMO $0.00

Sutter Health Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Sutter Advantage (HMO) H3815-019 Sacramento, Santa Cruz, Placer, San Mateo, Sonoma, San Francisco, Yolo, Santa Clara Local HMO $19.00

My Choice Health Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
My Choice (PPO) H4961-001 Sacramento, Santa Cruz, Placer, San Mateo, Stanislaus, San Joaquin, Sonoma, Yolo Local PPO $75.00

Central Health Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Central Health Ventura Medi-Medi Plan (HMO D-SNP) H5649-009 Ventura Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Central Health Focus Plan (HMO C-SNP) H5649-006 San Bernardino, Los Angeles, Orange Local HMO $0.00
Central Health Medi-Medi Plan (HMO D-SNP) H5649-002 San Bernardino, Los Angeles Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Brandman Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Brandman Health Plan (Aspire-D) (HMO C-SNP) H7594-004 Los Angeles Local HMO $31.50
Brandman Health Plan (Arise-D) (HMO C-SNP) H7594-002 Los Angeles Local HMO $31.50
Brandman Health Plan (Aspire) (HMO C-SNP) H7594-003 Los Angeles Local HMO $0.00
Brandman Health Plan (Arise) (HMO C-SNP) H7594-001 Los Angeles Local HMO $0.00

Clever Care Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Clever Care Balance Medicare Advantage (HMO) H7607-003 Los Angeles, San Diego, Orange Local HMO $31.50
Clever Care Longevity Medicare Advantage (HMO) H7607-002 Los Angeles, San Diego, Orange Local HMO $0.00

AHF Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
PHP (HMO C-SNP) H5852-001 Los Angeles Local HMO $0.00

Stanford Health Care Advantage Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Stanford Health Care Advantage – Platinum (HMO) H2986-004 Alameda, San Mateo, Santa Clara Local HMO $99.00
Stanford Health Care Advantage – Gold (HMO) H2986-007 Alameda, San Mateo, Santa Clara Local HMO $69.00

Chinese Community Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
CCHP Senior Program (HMO) H0571-001 San Mateo, San Francisco Local HMO $42.00
CCHP Senior Value Program (HMO) H0571-007 San Mateo, San Francisco Local HMO $0.00

Astiva Health Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Astiva Health Advantage (HMO) H1993-003 San Diego, Orange Local HMO $0.00
Astiva Health Value (HMO) H1993-004 San Diego, Orange Local HMO $31.50

Sharp Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Sharp Direct Advantage Gold Card (HMO) H5386-003 San Diego Local HMO $0.00
Sharp Direct Advantage Platinum Card (HMO) H5386-004 San Diego Local HMO $58.00

Vitality Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Plus (HMO) H1426-003 San Joaquin, Santa Clara Local HMO $31.50

Aspire Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aspire Health Advantage (HMO) H8764-001 Monterey Local HMO $139.00
Aspire Health Value (HMO) H8764-003 Monterey Local HMO $52.00
Aspire Health Plus (HMO-POS) H8764-002 Monterey Local HMO $269.00

CCHP Health Plan Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
CCHP Senior Select Program (HMO D-SNP) H0571-005 San Francisco Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

OneCare Medicare Plans in California

Plan Name Base Plan ID Counties Plan Type Monthly Premium
OneCare (HMO D-SNP) H5433-001 Orange Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

California Medicare Advantage Plans With No Additional Cost

If you choose to buy Medicare Advantage in California, you will still have to pay your original Medicare Part B premium. Several CA Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.

California Medicare Advantage Plans With No Additional Cost

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
AARP Medicare Advantage Patriot (HMO) – H0543-121-0 San Benito This Plan does NOT include Prescription Drug coverage. $4,900
AARP Medicare Advantage SecureHorizons Plan 4 (HMO) – H0543-152-0 San Benito Preferred Generic: $5.00, Generic: $11.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 32% $3,400
AARP Medicare Advantage Walgreens (HMO) – H0543-204-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $2,900
Aetna Medicare Eagle Plan (HMO) – H4982-013-0 Alameda This Plan does NOT include Prescription Drug coverage. $4,200
Aetna Medicare Plus Plan (HMO) – H4982-004-0 San Benito Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $2,000
Aetna Medicare Select Plan (HMO) – H0523-052-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400
Anthem MediBlue Plus (HMO) – H0544-065-0 Stanislaus Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,400
Anthem MediBlue Select (HMO) – H0544-091-0 Contra Costa Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $2,500
Astiva Health Advantage (HMO) – H1993-003-0 Stanislaus Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $32.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,000
AVA (HMO) – H3815-027-0 Alameda Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $999
Blue Shield 65 Plus (HMO) – H0504-028-0 Stanislaus Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,399
Blue Shield AdvantageOptimum Plan 1 (HMO) – H5928-010-0 Fresno Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Blue Shield AdvantageOptimum Plan 2 (HMO) – H5928-053-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan) – H0148-001-0 Stanislaus Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% n/a
Brand New Day Bridges Care Plan (HMO C-SNP) – H0838-028-0 Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Brand New Day Classic Care I Plan (HMO) – H0838-025-0 Yolo Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $999
Brand New Day Classic Care II Plan (HMO) – H0838-037-0 Stanislaus Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30%, Select Care Drugs: $0.00 $999
Brand New Day Embrace Care Plan (HMO C-SNP) – H0838-039-1 Alameda Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Brand New Day Harmony Care Plan (HMO C-SNP) – H0838-032-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $90.00, Specialty Tier: 30%, Select Care Drugs: $0.00 n/a
Brand New Day Select Care II Plan (HMO I-SNP) – H0838-043-0 Orange, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Clever Care Longevity Medicare Advantage (HMO) – H7607-002-3 Alameda Preferred Generic: 0%, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Brand: $75.00, Specialty Tier: 33%, Supplemental Drugs: $10.00 $2,999
CommuniCare Advantage Cal MediConnect Plan (Medicare-Medicaid Plan) – H5172-002-0 Stanislaus Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% n/a
Connected Care (HMO) – H2241-017-0 Alameda Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,000
Harmony (HMO) – H3815-031-0 Alameda Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $2,900
Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) – H3237-002-0 Stanislaus Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
Health Net Healthy Heart (HMO) – H0562-012-0 Santa Clara Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,000
Health Net Jade (HMO C-SNP) – H0562-114-0 Santa Clara Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Humana Gold Plus H5619-016 (HMO) – H5619-016-0 Santa Clara Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,200
Humana Honor (HMO) – H5619-120-0 Stanislaus This Plan does NOT include Prescription Drug coverage. $6,700
Imperial Dynamic Plan (HMO) – H5496-012-0 Ventura Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33% $899
Imperial Senior Value (HMO C-SNP) – H5496-005-0 Riverside Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $3.00 n/a
Imperial Traditional (HMO) – H5496-007-0 Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% $2,999
Kaiser Permanente Senior Advantage San Diego (HMO) – H0524-037-0 Orange Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $4,000
Molina Dual Options (Medicare-Medicaid Plan) – H8677-001-0 Orange, Riverside Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
Platinum (HMO) – H3815-016-0 Orange, Riverside Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $5.00 $2,900
Scripps Classic offered by SCAN Health Plan (HMO) – H5425-005-0 Stanislaus Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Select (HMO) – H3815-032-0 Stanislaus Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $3,400
Sharp Direct Advantage Gold Card (HMO) – H5386-003-0 Stanislaus Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $2,900
Sharp SecureHorizons Plan by UnitedHealthcare (HMO) – H0543-145-0 Stanislaus Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400
UC San Diego Health Humana (HMO) – H5619-131-0 Stanislaus Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,200
UnitedHealthcare Chronic Complete Focus (HMO C-SNP) – H0543-214-0 Stanislaus Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% n/a
Health Net Amber II (HMO D-SNP) – H0562-121-0 Santa Clara Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25% n/a
Health Net Amber I (HMO D-SNP) – H0562-055-0 Santa Clara Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 41%, Specialty Tier: 25% n/a
Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP) – H0524-029-0 Santa Clara Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% n/a
Blue Shield TotalDual Plan (HMO D-SNP) – H5928-005-0 San Diego, San Bernardino, Orange, Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% n/a
Molina Medicare Complete Care (HMO D-SNP) – H5810-001-0 Orange Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $40.00, Non-Preferred Drug: 29%, Specialty Tier: 25% n/a
Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) – H0524-030-0 San Benito Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% n/a
Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-087-0 San Benito Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% n/a
Anthem MediBlue Plus (HMO) – H0544-056-0 San Benito Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
Brand New Day Embrace Care Plan (HMO C-SNP) – H0838-039-2 San Benito Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Humana Gold Plus H5619-015 (HMO) – H5619-015-0 Contra Costa Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $5,900
Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-052-0 Stanislaus Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% n/a
Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) – H5619-038-0 Fresno Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% n/a
Brand New Day Dual Access Plan (HMO D-SNP) – H0838-024-0 Alameda Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% n/a
Blue Shield Inspire (HMO) – H0504-031-0 Alameda Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $5,500
Humana Gold Plus H5619-013 (HMO) – H5619-013-0 Stanislaus Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $5,900
UnitedHealthcare Dual Complete (HMO D-SNP) – H1375-002-0 Stanislaus Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Aetna Medicare Elite Plan (PPO) – H5521-293-0 San Benito Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Anthem MediBlue Care To You (HMO I-SNP) – H0544-093-0 San Benito Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Diabetes Care Plus (HMO C-SNP) – H0544-094-0 Alameda Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Plus (HMO) – H0544-064-0 Alameda Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $7,550
Health Net Green (HMO) – H0562-044-0 Alameda This Plan does NOT include Prescription Drug coverage. $3,400
Health Net Ruby Select (HMO) – H0562-124-0 Stanislaus Preferred Generic: $5.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
Western Health Advantage MyCare (HMO) – H2782-002-0 Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,000
Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-089-0 Yolo Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% n/a
Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-054-0 Alameda Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Health Net Amber II Premier (HMO D-SNP) – H3561-001-0 Alameda Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 49%, Specialty Tier: 25% n/a
Imperial Dual Plan (HMO D-SNP) – H5496-011-0 Ventura Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% n/a
Aetna Medicare Plus Plan (HMO) – H4982-007-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $4,200
Anthem MediBlue Select (HMO) – H0544-069-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $7,550
CCHP Senior Value Program (HMO) – H0571-007-0 Alameda Preferred Generic: $5.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 31% $7,550
Golden State Senior Health Plan (HMO) – H2241-014-0 Stanislaus Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,000
Health Net Jade (HMO C-SNP) – H0562-118-0 Fresno Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $10.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Health Net Ruby Select (HMO) – H0562-097-0 Stanislaus Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $4,400
My Choice (HMO) – H3815-007-0 Yolo Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 $3,000
Aetna Medicare Preferred Plan (HMO D-SNP) – H4982-008-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% n/a
CCHP Senior Select Program (HMO D-SNP) – H0571-005-0 Orange, Riverside Tier 1: 15% n/a
AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-216-0 San Benito Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-170-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
AARP Medicare Advantage SecureHorizons Plan 2 (HMO) – H0543-144-0 Alameda Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,900
Aetna Medicare Plus Plan (HMO) – H4982-002-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $999
Aetna Medicare Prime Plan (HMO) – H0523-061-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $2,200
Aetna Medicare Select Plan (HMO) – H0523-022-0 Contra Costa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400
Anthem MediBlue Care On Site (HMO I-SNP) – H0544-005-0 Stanislaus Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-010-0 Alameda Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue ESRD Care (HMO C-SNP) – H0544-020-0 Stanislaus Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Heart Care (HMO C-SNP) – H0544-038-0 Fresno Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Lung Care (HMO C-SNP) – H0544-019-0 Stanislaus Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Plus (HMO) – H0544-060-3 Stanislaus Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $5,000
Anthem MediBlue Select (HMO) – H0544-066-0 Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,800
Anthem MediBlue StartSmart Plus (HMO) – H0544-007-0 Yolo Preferred Generic: $5.00, Generic: $14.50, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $10.00 $3,000
Anthem MediBlue Value Plus (HMO) – H0544-008-0 Stanislaus Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $1,900
Blue Shield 65 Plus (HMO) – H0504-017-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $2,799
Blue Shield 65 Plus Choice Plan (HMO) – H0504-040-0 Alameda Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $999
Blue Shield Vital (HMO) – H0504-045-0 Orange, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Brand New Day Select Care I Plan (HMO I-SNP) – H0838-042-0 Santa Clara Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Central Health Focus Plan (HMO C-SNP) – H5649-006-0 Santa Clara Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Central Health Medicare Plan (HMO) – H5649-001-0 Santa Clara Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $10.00 $1,800
Connected Care (HMO) – H2241-016-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $2,000
Health Net Gold Select (HMO) – H0562-126-0 Ventura Preferred Generic: $0.00, Generic: $1.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $850
Humana Gold Plus H5619-039 (HMO) – H5619-039-2 Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,499
Humana Honor (HMO) – H5619-121-0 Orange This Plan does NOT include Prescription Drug coverage. $6,700
IEHP DualChoice (Medicare-Medicaid Plan) – H5355-001-0 Orange, Riverside Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
Inter Valley Health Plan Service To Seniors (HMO) – H0545-001-0 Stanislaus Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: 25%, Specialty Tier: 33%, Select Diabetic Drugs: $11.00 $1,000
Kaiser Permanente Senior Advantage Inland Empire (HMO) – H0524-015-0 Stanislaus Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $3,400
My Choice (HMO) – H3815-001-0 Stanislaus Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $2,400
Platinum (HMO) – H3815-015-0 Fresno Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $2,400
SCAN Classic (HMO) – H5425-009-0 Stanislaus Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $999
SCAN Healthy at Home (HMO I-SNP) – H9104-006-0 Stanislaus, Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% n/a
SCAN Heart First (HMO C-SNP) – H5425-033-0 Santa Clara Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% n/a
WellCare Best (HMO) – H5087-016-0 Santa Clara Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $1,000
WellCare Dividend (HMO) – H5087-025-0 Santa Clara Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $2,900
Central Health Medi-Medi Plan (HMO D-SNP) – H5649-002-0 Los Angeles, Los Angeles Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 n/a
SCAN Connections (HMO D-SNP) – H5425-010-0 San Bernardino, Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Riverside Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% n/a
SCAN Connections at Home (HMO D-SNP) – H5425-030-0 San Bernardino, Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Riverside Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% n/a
Aetna Medicare Plus Plan (HMO) – H4982-011-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $4,900
CalPlusDuals (HMO D-SNP) – H3815-030-0 Alameda Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: 23%, Non-Preferred Drug: 23%, Specialty Tier: 25%, Select Care Drugs: $5.00 n/a
Anthem MediBlue Dual Access (PPO D-SNP) – H8552-030-0 Alameda Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $36.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Blue Shield AdvantageOptimum Plan (HMO) – H5928-050-0 San Benito Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% $3,400
Blue Shield Inspire (HMO) – H0504-047-0 San Benito Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Anthem MediBlue Plus (HMO) – H0544-095-0 San Benito Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,450
Balance (PPO) – H4961-006-0 Alameda Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $2,850
Blue Shield AdvantageOptimum Plan (HMO) – H5928-052-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Choice (HMO) – H1426-001-0 Stanislaus Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Humana Community (HMO) – H7621-003-0 Fresno Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,450
My Choice (HMO) – H3815-006-0 Alameda Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $5.00 $4,900
WellCare Best (HMO) – H5087-026-0 Yolo Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $25.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $2,500
Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-100-0 Alameda Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Blue Shield Inspire (HMO D-SNP) – H5928-054-0 Santa Clara Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% n/a
Blue Shield 65 Plus (HMO) – H0504-039-0 San Benito Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,000
AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-215-0 San Benito Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-169-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
AARP Medicare Advantage SecureHorizons Plan 2 (HMO) – H0543-138-0 Alameda Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,900
Aetna Medicare Plus Plan (HMO) – H4982-001-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $999
Aetna Medicare Select Plan (HMO) – H0523-002-0 Contra Costa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $2,000
Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-004-0 Alameda Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue ESRD Care (HMO C-SNP) – H0544-015-0 Stanislaus Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Heart Care (HMO C-SNP) – H0544-013-0 Fresno Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Lung Care (HMO C-SNP) – H0544-014-0 Stanislaus Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Plus (HMO) – H0544-061-0 Stanislaus Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $7,550
Anthem MediBlue Select (HMO) – H0544-059-0 Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $900
Anthem MediBlue Value Plus (HMO) – H0544-002-0 Stanislaus Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $37.50, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $900
Astiva Health Advantage (HMO) – H1993-001-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $32.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,899
Blue Shield 65 Plus (HMO) – H0504-015-0 Orange, Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $38.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $999
Blue Shield 65 Plus Plan 2 (HMO) – H0504-021-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,899
Blue Shield AdvantageOptimum Plan (HMO) – H5928-004-0 Stanislaus Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $999
Blue Shield Inspire (HMO) – H0504-043-0 Alameda Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $999
Blue Shield Vital (HMO) – H0504-044-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Clever Care Longevity Medicare Advantage (HMO) – H7607-002-2 Orange Preferred Generic: 0%, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Brand: $75.00, Specialty Tier: 33%, Supplemental Drugs: $10.00 $2,999
Connected Care (HMO) – H2241-013-0 Orange, Riverside Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,499
Connected Care Select (HMO C-SNP) – H2241-019-0 Orange, Riverside Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Health Net Gold Select (HMO) – H0562-125-0 Stanislaus Preferred Generic: $0.00, Generic: $1.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $850
Health Net Jade (HMO C-SNP) – H0562-092-0 Stanislaus Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Heart & Diabetes (HMO C-SNP) – H3815-010-0 Stanislaus Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $5.00 n/a
Humana Gold Plus H5619-021 (HMO) – H5619-021-0 Stanislaus Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) – H0524-003-0 Santa Clara Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $3,400
OneCare Connect (Medicare-Medicaid Plan) – H8016-001-0 Santa Clara Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
Platinum (HMO) – H3815-008-0 Santa Clara Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $5.00 $800
SCAN Balance (HMO C-SNP) – H5425-034-0 Riverside Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $30.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% n/a
SCAN Classic (HMO) – H5425-007-0 Santa Clara Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $799
SCAN Heart First (HMO C-SNP) – H5425-028-0 Santa Clara Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% n/a
WellCare Best (HMO) – H5087-005-0 Santa Clara Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $25.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $1,000
OneCare (HMO D-SNP) – H5433-001-0 Orange Generic: $0.00 n/a
AARP Medicare Advantage SecureHorizons (HMO) – H0543-019-0 San Benito Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $2,900
Aetna Medicare Plus Plan (HMO) – H4982-003-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $2,100
Aetna Medicare Select Plan (HMO) – H0523-031-0 San Benito Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,200
Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-088-0 Alameda Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% n/a
Anthem MediBlue Plus (HMO) – H0544-062-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $2,800
Blue Shield 65 Plus (HMO) – H0504-038-0 Contra Costa Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Health Net Ruby (HMO) – H0562-079-0 Yolo Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $2,200
Humana Gold Plus H5619-116 (HMO) – H5619-116-0 Stanislaus Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $2,800
Kaiser Permanente Senior Advantage Basic Kern (HMO) – H0524-036-0 Stanislaus Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $4,000
Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-053-0 Alameda Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% n/a
Aetna Medicare Preferred Plan (HMO D-SNP) – H4982-009-0 Santa Clara Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% n/a
Anthem MediBlue Plus (HMO) – H0544-096-0 San Benito Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $4,900
CareAdvantage Cal MediConnect Plan (Medicare-Medicaid Plan) – H7885-001-0 Stanislaus Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-210-0 San Benito Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-168-0 San Benito Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
AARP Medicare Advantage SecureHorizons Plan 1 (HMO) – H0543-001-0 Stanislaus Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400
AARP Medicare Advantage SecureHorizons Plan 2 (HMO) – H0543-151-0 Stanislaus Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,000
Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan) – H6229-005-0 Alameda Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% n/a
Anthem MediBlue Select (HMO) – H0544-058-0 Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $900
Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan) – H0148-002-0 Santa Clara Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% n/a
Brandman Health Plan (Arise) (HMO C-SNP) – H7594-001-0 Los Angeles, Los Angeles Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Brandman Health Plan (Aspire) (HMO C-SNP) – H7594-003-0 Los Angeles, Los Angeles Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Clever Care Longevity Medicare Advantage (HMO) – H7607-002-1 Los Angeles, Los Angeles Preferred Generic: 0%, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Brand: $75.00, Specialty Tier: 33%, Supplemental Drugs: $10.00 $2,999
Connected Care (HMO) – H2241-012-0 Los Angeles, Los Angeles Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,499
Connected Care Select (HMO C-SNP) – H2241-018-0 Los Angeles, Los Angeles Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) – H3237-001-0 Los Angeles, Los Angeles Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
L.A. Care Cal MediConnect Plan (Medicare-Medicaid Plan) – H8258-001-0 Los Angeles, Los Angeles Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% n/a
Molina Dual Options (Medicare-Medicaid Plan) – H8677-002-0 Los Angeles, Los Angeles Tier 1: 0%, Tier 2: 0%, Tier 3: 0% n/a
PHP (HMO C-SNP) – H5852-001-0 Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) Generic: 15%, Preferred Brand: 15%, Non-Preferred Brand: 25%, Specialty Tier: 25%, Select Care Drugs: 0% n/a
SCAN Classic (HMO) – H5425-006-0 Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $799
smartHMO (HMO) – H3815-013-0 Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $30.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 $3,400
WellCare Freedom (HMO D-SNP) – H5087-001-0 Los Angeles, Los Angeles (Partial), Los Angeles, Los Angeles (Partial) Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% n/a
Anthem MediBlue Connect (HMO D-SNP) – H0544-003-0 Los Angeles (Partial), Los Angeles, Los Angeles (Partial), Los Angeles, Santa Clara Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
AARP Medicare Advantage SecureHorizons (HMO) – H0543-022-0 San Benito Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $4,900
Aetna Medicare Plus Plan (HMO) – H4982-012-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $2,900
Anthem MediBlue Plus (HMO) – H0544-063-0 San Benito Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $6,700
Blue Shield 65 Plus (HMO) – H0504-029-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $5,500
Central Health Ventura Medicare Plan (HMO) – H5649-008-0 Contra Costa Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 $5,000
Humana Gold Plus H5619-130 (HMO) – H5619-130-2 Stanislaus Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $5,900
Kaiser Permanente Senior Advantage Ventura (HMO) – H0524-034-0 Stanislaus Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $5,000
My Choice (HMO) – H3815-029-0 Alameda Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $2,900
WellCare Best (HMO) – H5087-024-0 Yolo Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $2,500
Anthem MediBlue Dual Advantage (HMO D-SNP) – H0544-055-0 Alameda Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% n/a
Anthem MediBlue Dual Plus (HMO D-SNP) – H0544-090-0 Alameda Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% n/a
Central Health Ventura Medi-Medi Plan (HMO D-SNP) – H5649-009-0 Santa Clara Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 n/a
AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-193-0 San Benito Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $4,000
Aetna Medicare Plus Plan (HMO) – H4982-006-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $3,400
Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan) – H6229-006-0 San Benito Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% n/a
Anthem MediBlue Care On Site (HMO I-SNP) – H0544-050-0 Alameda Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-102-0 Stanislaus Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Heart Care (HMO C-SNP) – H0544-106-0 Contra Costa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Lung Care (HMO C-SNP) – H0544-101-0 Stanislaus Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Plus (HMO) – H0544-108-0 Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,450
Anthem MediBlue StartSmart Plus (HMO) – H0544-121-2 Stanislaus Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 $3,400
AVA (HMO) – H3815-026-0 Fresno Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $1,999
Blue Shield Inspire (HMO) – H0504-046-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Choice (HMO) – H1426-002-0 Alameda Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Health Net Ruby (HMO) – H0562-120-0 Alameda Preferred Generic: $5.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,450
Santa Clara Family Health Plan (Medicare-Medicaid Plan) – H7890-001-0 Stanislaus Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% n/a
SCAN Options (HMO) – H5425-073-0 Santa Clara Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% $3,400
Anthem MediBlue Plus (HMO) – H0544-074-0 San Benito Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $7,550
Health Net Ruby Select (HMO) – H0562-103-0 Alameda Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $4,500
Connected Care (HMO) – H2241-007-2 Alameda Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,499
Connected Care Select (HMO C-SNP) – H2241-020-0 San Benito Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Humana Gold Plus H5619-119 (HMO) – H5619-119-0 Alameda Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,000
My Choice (HMO) – H3815-028-0 Stanislaus Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 $1,400
Anthem MediBlue Plus (HMO) – H0544-060-4 Contra Costa Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $6,700
Anthem MediBlue Select (HMO) – H0544-067-0 Stanislaus Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,800
Blue Shield 65 Plus (HMO) – H0504-026-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $2,799
Humana Community (HMO) – H7621-002-0 Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $1,500
Humana Gold Plus H5619-039 (HMO) – H5619-039-1 Stanislaus Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,450
Inter Valley Health Plan Desert Preferred Choice (HMO) – H0545-012-0 Riverside Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 30%, Specialty Tier: 33%, Select Diabetic Drugs: $11.00 $1,500
SCAN Classic (HMO) – H5425-008-0 Stanislaus Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $999
Molina Medicare Complete Care (HMO D-SNP) – H5810-013-0 Alameda Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $40.00, Non-Preferred Drug: 30%, Specialty Tier: 25% n/a
Aetna Medicare Plus Plan (HMO) – H4982-010-0 San Benito Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $2,900
Blue Shield AdvantageOptimum Plan (HMO) – H5928-044-0 San Benito Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Health Net Healthy Heart (HMO) – H0562-090-0 Fresno Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $4,700
Health Net Ruby Select (HMO) – H0562-112-0 Stanislaus Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $75.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $2,750
Humana Gold Plus H5619-012 (HMO) – H5619-012-0 Alameda Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,100
AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-196-0 San Benito Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400
AllCare Preferred Plan (HMO) – H3815-011-0 Alameda Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $5.00 $2,900
Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-104-0 San Benito Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Heart Care (HMO C-SNP) – H0544-105-0 Alameda Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Lung Care (HMO C-SNP) – H0544-103-0 Stanislaus Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Value (HMO) – H0544-107-0 Stanislaus Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,400
Blue Shield AdvantageOptimum Plan (HMO) – H5928-051-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
Connected Care (HMO) – H2241-007-1 Stanislaus Preferred Generic: $5.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $1,499
Connected Care Select (HMO C-SNP) – H2241-021-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Humana Gold Plus H5619-032 (HMO) – H5619-032-0 Stanislaus Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,450
SCAN Balance (HMO C-SNP) – H5425-070-0 Alameda Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $30.00, Non-Preferred Drug: $85.00, Specialty Tier: 33% n/a
SCAN Classic (HMO) – H5425-069-0 Stanislaus Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% $3,400
Anthem MediBlue StartSmart Plus (HMO) – H0544-121-1 San Benito Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 $3,450
Aetna Medicare Plus Plan (HMO) – H4982-005-0 Alameda Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% $4,200
Anthem MediBlue Select (HMO) – H0544-098-0 Alameda Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $7,550
Health Net Ruby Select (HMO) – H0562-113-0 Alameda Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,700
UnitedHealthcare Dual Complete (HMO D-SNP) – H1375-001-0 Alameda Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a

Standalone Medicare Part D Plans in California

If you need to purchase Part D Medicare coverage in California as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your CA Medicare Advantage plan doesn’t already include Part D prescription drug coverage.

Standalone Medicare Part D Plans in California

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 207 – 0
by Aetna Medicare
Monthly Premium: $7.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $19.00
Tier 3: $46.00
Tier 4: 48%
Tier 5: 25%
Clear Spring Health Premier Rx (PDP)
S6946 – 056 – 0
by Clear Spring Health
Monthly Premium: $13.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $40.00
Tier 4: 45%
Tier 5: 25%
Elixir RxPlus (PDP)
S7694 – 137 – 0
by Elixir Insurance
Monthly Premium: $15.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 201 – 0
by WellCare
Monthly Premium: $15.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5884 – 211 – 0
by Humana
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: 17%
Tier 4: 35%
Tier 5: 25%
WellCare Value Script (PDP)
S4802 – 163 – 0
by WellCare
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $7.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
Cigna Secure-Essential Rx (PDP)
S5617 – 311 – 0
by Cigna
Monthly Premium: $24.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 43%
Tier 5: 25%
Mutual of Omaha Rx Premier (PDP)
S7126 – 101 – 0
by Mutual of Omaha Rx
Monthly Premium: $24.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 23%
Tier 4: 44%
Tier 5: 25%
Anthem Blue Cross MediBlue Rx Enhanced (PDP)
S5596 – 076 – 0
by Anthem Blue Cross MediBlue Rx (PDP)
Monthly Premium: $26.10
Annual Deductable: $300
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 20%
Tier 4: 39%
Tier 5: 26%
Express Scripts Medicare – Saver (PDP)
S5660 – 248 – 0
by Express Scripts Medicare
Monthly Premium: $26.50
Annual Deductable: $285
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $35.00
Tier 4: 50%
Tier 5: 28%
Cigna Secure Rx (PDP)
S5617 – 158 – 0
by Cigna
Monthly Premium: $27.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $30.00
Tier 4: 50%
Tier 5: 25%
WellCare Medicare Rx Select (PDP)
S5810 – 295 – 0
by WellCare
Monthly Premium: $28.30
Annual Deductable: $385
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $47.00
Tier 4: 42%
Tier 5: 26%
AARP MedicareRx Saver Plus (PDP)
S5921 – 376 – 0
by UnitedHealthcare
Monthly Premium: $29.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $5.00
Tier 3: $25.00
Tier 4: 40%
Tier 5: 25%
Clear Spring Health Value Rx (PDP)
S6946 – 027 – 0
by Clear Spring Health
Monthly Premium: $29.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $42.00
Tier 4: 35%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 064 – 0
by Aetna Medicare
Monthly Premium: $29.50
Annual Deductable: $250
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 39%
Tier 5: 28%
WellCare Classic (PDP)
S4802 – 094 – 0
by WellCare
Monthly Premium: $30.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $30.00
Tier 4: 35%
Tier 5: 25%
Cigna Secure-Extra Rx (PDP)
S5617 – 277 – 0
by Cigna
Monthly Premium: $30.30
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $4.00
Tier 2: $10.00
Tier 3: $42.00
Tier 4: 49%
Tier 5: 31%
Humana Basic Rx Plan (PDP)
S5884 – 114 – 0
by Humana
Monthly Premium: $30.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: 20%
Tier 4: 32%
Tier 5: 25%
Elixir RxSecure (PDP)
S7694 – 032 – 0
by Elixir Insurance
Monthly Premium: $30.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: 15%
Tier 4: 29%
Tier 5: 25%
WellCare Medicare Rx Saver (PDP)
S5810 – 066 – 0
by WellCare
Monthly Premium: $37.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $36.00
Tier 4: 39%
Tier 5: 25%
AARP MedicareRx Walgreens (PDP)
S5921 – 413 – 0
by UnitedHealthcare
Monthly Premium: $41.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Blue Shield Rx Plus (PDP)
S2468 – 003 – 0
by Blue Shield of California
Monthly Premium: $59.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $6.00
Tier 3: $39.00
Tier 4: 41%
Tier 5: 25%
Express Scripts Medicare – Value (PDP)
S5660 – 134 – 0
by Express Scripts Medicare
Monthly Premium: $61.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $30.00
Tier 4: 50%
Tier 5: 25%
Humana Premier Rx Plan (PDP)
S5884 – 178 – 0
by Humana
Monthly Premium: $72.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $45.00
Tier 4: 49%
Tier 5: 25%
Anthem Blue Cross MediBlue Rx Plus (PDP)
S5596 – 034 – 0
by Anthem Blue Cross MediBlue Rx (PDP)
Monthly Premium: $79.90
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 33%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 155 – 0
by WellCare
Monthly Premium: $81.00
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $47.00
Tier 4: 44%
Tier 5: 33%
SilverScript Plus (PDP)
S5601 – 065 – 0
by Aetna Medicare
Monthly Premium: $81.60
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $47.00
Tier 4: 45%
Tier 5: 33%
Anthem Blue Cross MediBlue Rx Standard (PDP)
S5596 – 033 – 0
by Anthem Blue Cross MediBlue Rx (PDP)
Monthly Premium: $84.20
Annual Deductable: $390
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $32.00
Tier 4: 27%
Tier 5: 25%
Express Scripts Medicare – Choice (PDP)
S5660 – 202 – 0
by Express Scripts Medicare
Monthly Premium: $84.90
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $42.00
Tier 4: 49%
Tier 5: 31%
AARP MedicareRx Preferred (PDP)
S5820 – 031 – 0
by UnitedHealthcare
Monthly Premium: $99.30
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $5.00
Tier 2: $10.00
Tier 3: $45.00
Tier 4: 40%
Tier 5: 33%
Mutual of Omaha Rx Plus (PDP)
S7126 – 031 – 0
by Mutual of Omaha Rx
Monthly Premium: $100.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
Blue Shield Rx Enhanced (PDP)
S2468 – 004 – 0
by Blue Shield of California
Monthly Premium: $130.40
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $43.00
Tier 4: 33%
Tier 5: 33%

Your one-stop online insurance guide. Get free quotes now!

 Secured with SHA-256 Encryption

Compare Medicare Advantage Quotes in California

Now that you’re armed with all of the details of Medicare Advantage and Part D plans in CA, it’s time to compare rates. Enter your ZIP code for fast, free California Medicare quotes right now.

Are you looking for free insurance quotes?

Your one-stop online insurance guide. Get free quotes now!

 Secured with SHA-256 Encryption

Medicare Advantage in California
Medicare Advantage in California