Best Los Angeles, California Medicare Companies & Plans (2024)
Los Angeles, California Medicare plans include Advantage plans from private health insurance companies as well as standalone Part D prescription drug coverage. For those that prefer original Medicare, Los Angeles, CA supplemental plans are also available. Medicare plans in Los Angeles, California are sold by both large national companies and local insurers.
Read moreUPDATED: Mar 11, 2024Fact Checked
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Justin Wright
Licensed Insurance Agent
Justin Wright has been a licensed insurance broker for over 9 years. After graduating from Southeastern Seminary with a Masters in Philosophy, Justin started his career as a professor, teaching Philosophy and Ethics. Later, Justin obtained both his Property & Casualty license and his Life and Health license and began working for State Farm and Allstate. In 2020, Justin began working as an i...
Licensed Insurance Agent
UPDATED: Mar 11, 2024
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UPDATED: Mar 11, 2024
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.
On This Page
UPDATED: Mar 11, 2024Fact Checked
The Highlights
- Los Angeles, CA Medicare options include Advantage, standalone Part D, and Medicare supplement
- Medicare Advantage plans are available in Los Angeles with both PPO and HMO networks
- Medicare Advantage plans in Los Angeles, California may include prescription drug coverage, or you may need to buy Part D coverage separately
If you’re eligible for Medicare in Los Angeles, California, you have a lot of choices. Major health insurance companies provide Los Angeles, California Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Los Angeles, CA Part D coverage or buy prescription coverage as a standalone policy.
Los Angeles, California Medicare supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Los Angeles original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Los Angeles, California Medicare coverage? Enter your ZIP code to compare Los Angeles, CA Medicare options available to you right now.
Medicare Advantage Companies in Los Angeles, California
Medicare Advantage in Los Angeles, California is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Los Angeles, CA offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Read More: Best Medicare Companies
Medicare Advantage Companies in Los Angeles, California
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-210-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage Freedom Plus (HMO-POS) – H0543-210-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage Patriot (HMO) – H0543-121-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| AARP Medicare Advantage Patriot (HMO) – H0543-121-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-168-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | 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 1 (HMO) – H0543-001-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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) – H0543-151-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Premier (HMO) – H0543-164-0 | $19.10 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AARP Medicare Advantage SecureHorizons Premier (HMO) – H0543-164-0 | $19.10 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| AVA (HMO) – H3815-027-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| AVA (HMO) – H3815-027-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Aetna Medicare Choice Plan (PPO) – H5521-125-0 | $89.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Choice Plan (PPO) – H5521-125-0 | $89.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Eagle Plan (HMO) – H4982-013-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,200 |
| Aetna Medicare Eagle Plan (HMO) – H4982-013-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,200 |
| Aetna Medicare Plus Plan (HMO) – H4982-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $37.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $999 |
| Aetna Medicare Plus Plan (HMO) – H4982-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,200 |
| Aetna Medicare Prime Plan (HMO) – H0523-061-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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) – H0523-002-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,000 |
| Aetna Medicare Select Plan (HMO) – H0523-002-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $2,000 |
| Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan) – H6229-005-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | n/a |
| Anthem MediBlue Care On Site (HMO I-SNP) – H0544-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Care On Site (HMO I-SNP) – H0544-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Connect (HMO D-SNP) – H0544-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Connect (HMO D-SNP) – H0544-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Connect Plus (HMO) – H0544-122-1 | $23.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: 25%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Anthem MediBlue Connect Plus (HMO) – H0544-122-1 | $23.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: 25%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Anthem MediBlue Coordination Plus (HMO) – H0544-072-0 | $12.20 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | $7,550 |
| Anthem MediBlue Coordination Plus (HMO) – H0544-072-0 | $12.20 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | $7,550 |
| Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-004-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Diabetes Care (HMO C-SNP) – H0544-004-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Extra (HMO) – H0544-081-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | $900 |
| Anthem MediBlue Extra (HMO) – H0544-081-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | $900 |
| Anthem MediBlue Heart Care (HMO C-SNP) – H0544-013-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Anthem MediBlue Plus (HMO) – H0544-061-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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) – H0544-058-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $900 |
| Anthem MediBlue Select (HMO) – H0544-058-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $900 |
| Anthem MediBlue StartSmart Plus (HMO) – H0544-007-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | 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 StartSmart Plus (HMO) – H0544-007-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | 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) – H0544-002-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Anthem MediBlue Value Plus (HMO) – H0544-002-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Blue Shield 65 Plus (HMO) – H0504-015-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $38.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield 65 Plus (HMO) – H0504-015-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $1,899 |
| Blue Shield 65 Plus Plan 2 (HMO) – H0504-021-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield AdvantageOptimum Plan (HMO) – H5928-004-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield Coordinated Choice Plan (HMO) – H5928-037-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $6,700 |
| Blue Shield Coordinated Choice Plan (HMO) – H5928-037-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $6,700 |
| Blue Shield Inspire (HMO) – H0504-043-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield Inspire (HMO) – H0504-043-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $35.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $999 |
| Blue Shield Promise Cal MediConnect Plan (Medicare-Medicaid Plan) – H0148-002-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | n/a |
| Blue Shield TotalDual Plan (HMO D-SNP) – H5928-005-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | n/a |
| Blue Shield TotalDual Plan (HMO D-SNP) – H5928-005-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | n/a |
| Blue Shield Vital (HMO) – H0504-044-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Blue Shield Vital (HMO) – H0504-044-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Brand New Day Bridges Care Plan (HMO C-SNP) – H0838-028-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Bridges Care Plan (HMO C-SNP) – H0838-028-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Bridges Choice Plan (HMO C-SNP) – H0838-029-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Bridges Choice Plan (HMO C-SNP) – H0838-029-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Classic Care I Plan (HMO) – H0838-025-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 I Plan (HMO) – H0838-025-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $50 . Tier 1 exempt | Yes, some additional gap coverage. | 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 Classic Care II Plan (HMO) – H0838-037-0 | $0.00 | $50 . Tier 1 exempt | Yes, some additional gap coverage. | 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 Classic Choice Plan (HMO) – H0838-033-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | $7,550 |
| Brand New Day Classic Choice Plan (HMO) – H0838-033-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | $7,550 |
| Brand New Day Dual Access Plan (HMO D-SNP) – H0838-024-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Dual Access Plan (HMO D-SNP) – H0838-024-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Embrace Care Plan (HMO C-SNP) – H0838-039-1 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Embrace Care Plan (HMO C-SNP) – H0838-039-1 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Embrace Choice Plan (HMO C-SNP) – H0838-040-1 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Embrace Choice Plan (HMO C-SNP) – H0838-040-1 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Harmony Care Plan (HMO C-SNP) – H0838-032-0 | $0.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | 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 Harmony Care Plan (HMO C-SNP) – H0838-032-0 | $0.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | 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 Harmony Choice Plan (HMO C-SNP) – H0838-020-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Harmony Choice Plan (HMO C-SNP) – H0838-020-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Select Care I Plan (HMO I-SNP) – H0838-042-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Select Care I Plan (HMO I-SNP) – H0838-042-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Select Choice I Plan (HMO I-SNP) – H0838-044-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Select Choice I Plan (HMO I-SNP) – H0838-044-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brandman Health Plan (Arise) (HMO C-SNP) – H7594-001-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | 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 (Arise-D) (HMO C-SNP) – H7594-002-0 | $31.50 | $445 . Tier Yes exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brandman Health Plan (Aspire) (HMO C-SNP) – H7594-003-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | 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 |
| Brandman Health Plan (Aspire-D) (HMO C-SNP) – H7594-004-0 | $31.50 | $445 . Tier Yes exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| CalPlus (HMO) – H3815-009-0 | $20.10 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: 23%, Non-Preferred Drug: 23%, Specialty Tier: 25%, Select Care Drugs: $5.00 | $4,900 |
| CalPlus (HMO) – H3815-009-0 | $20.10 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: 23%, Non-Preferred Drug: 23%, Specialty Tier: 25%, Select Care Drugs: $5.00 | $4,900 |
| Central Health Focus Plan (HMO C-SNP) – H5649-006-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Focus Plan (HMO C-SNP) – H5649-006-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Medi-Medi Plan (HMO D-SNP) – H5649-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 | n/a |
| Central Health Medi-Medi Plan (HMO D-SNP) – H5649-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 | n/a |
| Central Health Medicare Plan (HMO) – H5649-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Central Health Medicare Plan (HMO) – H5649-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Central Health Premier Plan (HMO) – H5649-004-0 | $31.50 | $445 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 | $6,700 |
| Central Health Premier Plan (HMO) – H5649-004-0 | $31.50 | $445 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $10.00 | $6,700 |
| Clever Care Balance Medicare Advantage (HMO) – H7607-003-1 | $31.50 | $435 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Brand: 25%, Specialty Tier: 25%, Supplemental Drugs: $10.00 | $7,550 |
| Clever Care Longevity Medicare Advantage (HMO) – H7607-002-1 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Amber I (HMO D-SNP) – H0562-055-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 41%, Specialty Tier: 25% | n/a |
| Health Net Amber I (HMO D-SNP) – H0562-055-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 41%, Specialty Tier: 25% | n/a |
| Health Net Amber II (HMO D-SNP) – H0562-121-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25% | n/a |
| Health Net Amber II (HMO D-SNP) – H0562-121-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25% | n/a |
| Health Net Cal MediConnect Plan (Medicare-Medicaid Plan) – H3237-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | n/a |
| Health Net Gold Select (HMO) – H0562-125-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Gold Select (HMO) – H0562-125-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Green (HMO) – H0562-044-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
| Health Net Green (HMO) – H0562-044-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,400 |
| Health Net Healthy Heart (HMO) – H0562-123-0 | $17.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $2,400 |
| Health Net Healthy Heart (HMO) – H0562-123-0 | $17.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $2,400 |
| Health Net Jade (HMO C-SNP) – H0562-092-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Health Net Jade (HMO C-SNP) – H0562-092-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Health Net Sapphire (HMO) – H0562-122-0 | $28.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25%, Select Care Drugs: $0.00 | $3,450 |
| Health Net Sapphire (HMO) – H0562-122-0 | $28.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25%, Select Care Drugs: $0.00 | $3,450 |
| Health Net Sapphire Premier (HMO) – H3561-002-0 | $25.40 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | $3,450 |
| Health Net Sapphire Premier (HMO) – H3561-002-0 | $25.40 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | $3,450 |
| Health Net Sapphire Premier II (HMO) – H3561-005-0 | $26.70 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 47%, Specialty Tier: 25% | $3,450 |
| Health Net Sapphire Premier II (HMO) – H3561-005-0 | $26.70 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 47%, Specialty Tier: 25% | $3,450 |
| Heart & Diabetes (HMO C-SNP) – H3815-010-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Heart & Diabetes (HMO C-SNP) – H3815-010-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| Humana Gold Plus H5619-021 (HMO) – H5619-021-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $35.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $1,000 |
| Humana Honor (HMO) – H5619-120-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Humana Honor (HMO) – H5619-120-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Humana Value Plus H5619-037 (HMO) – H5619-037-0 | $20.40 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $7,550 |
| Humana Value Plus H5619-037 (HMO) – H5619-037-0 | $20.40 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $7,550 |
| Imperial Dynamic Plan (HMO) – H5496-012-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $30.00, Non-Preferred Drug: $75.00, Specialty Tier: 33% | $899 |
| Imperial Dynamic Plan (HMO) – H5496-012-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | 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 Senior Value (HMO C-SNP) – H5496-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $2,999 |
| Imperial Traditional (HMO) – H5496-007-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $2,999 |
| Imperial Traditional Plus (HMO) – H5496-009-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $2,999 |
| Imperial Traditional Plus (HMO) – H5496-009-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $2,999 |
| Inter Valley Health Plan Service To Seniors (HMO) – H0545-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Inter Valley Health Plan Vitality Plus (HMO) – H0545-015-0 | $31.50 | $445 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $5,900 |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) – H0524-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,400 |
| Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) – H0524-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,400 |
| L.A. Care Cal MediConnect Plan (Medicare-Medicaid Plan) – H8258-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | n/a |
| Molina Dual Options (Medicare-Medicaid Plan) – H8677-002-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | n/a |
| Molina Medicare Complete Care (HMO D-SNP) – H5810-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $40.00, Non-Preferred Drug: 29%, Specialty Tier: 25% | n/a |
| Molina Medicare Complete Care (HMO D-SNP) – H5810-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $40.00, Non-Preferred Drug: 29%, Specialty Tier: 25% | n/a |
| My Choice (HMO) – H3815-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| My Choice (HMO) – H3815-001-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| PHP (HMO C-SNP) – H5852-001-0 | $0.00 | $445 . Tier 5 exempt | Yes, some additional gap coverage. | Generic: 15%, Preferred Brand: 15%, Non-Preferred Brand: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| PHP (HMO C-SNP) – H5852-001-0 | $0.00 | $445 . Tier 5 exempt | Yes, some additional gap coverage. | Generic: 15%, Preferred Brand: 15%, Non-Preferred Brand: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Platinum (HMO) – H3815-008-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| Platinum (HMO) – H3815-008-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $30.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | n/a |
| SCAN Balance (HMO C-SNP) – H5425-034-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $2.00, Preferred Brand: $30.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | n/a |
| SCAN Classic (HMO) – H5425-006-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $799 |
| SCAN Classic (HMO) – H5425-006-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $799 |
| SCAN Classic II (HMO) – H5425-064-0 | $59.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,300 |
| SCAN Classic II (HMO) – H5425-064-0 | $59.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,300 |
| SCAN Connections (HMO D-SNP) – H5425-010-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | n/a |
| SCAN Connections (HMO D-SNP) – H5425-010-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | 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 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | 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 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | n/a |
| SCAN Healthy at Home (HMO I-SNP) – H9104-006-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | n/a |
| SCAN Healthy at Home (HMO I-SNP) – H9104-006-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | n/a |
| SCAN Plus (HMO) – H5425-045-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $7,550 |
| SCAN Plus (HMO) – H5425-045-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $7,550 |
| SCAN Prime (HMO) – H5425-065-0 | $25.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $699 |
| SCAN Prime (HMO) – H5425-065-0 | $25.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $699 |
| Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP) – H0524-029-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% | n/a |
| Senior Advantage Medicare Medi-Cal Plan South (HMO D-SNP) – H0524-029-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% | n/a |
| UnitedHealthcare Medicare Advantage Assure (HMO) – H0543-153-0 | $22.50 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | $7,550 |
| UnitedHealthcare Medicare Advantage Assure (HMO) – H0543-153-0 | $22.50 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | $7,550 |
| VillageHealth (HMO-POS C-SNP) – H5943-002-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | n/a |
| VillageHealth (HMO-POS C-SNP) – H5943-002-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | n/a |
| WellCare Best (HMO) – H5087-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $25.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $1,000 |
| WellCare Best (HMO) – H5087-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $25.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $1,000 |
| WellCare Dividend (HMO) – H5087-025-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,900 |
| WellCare Dividend (HMO) – H5087-025-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $2,900 |
| WellCare Freedom (HMO D-SNP) – H5087-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | n/a |
| WellCare Freedom (HMO D-SNP) – H5087-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | n/a |
| WellCare Plus (HMO) – H5087-017-0 | $6.70 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | $2,500 |
| WellCare Plus (HMO) – H5087-017-0 | $6.70 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | $2,500 |
| smartHMO (HMO) – H3815-013-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
| smartHMO (HMO) – H3815-013-0 | $0.00 | $0 | Yes, some additional gap coverage. | 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 |
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Medicare Supplement Companies in Los Angeles, California
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With a Los Angeles, California Medicare supplement plan, you can get coverage for some or all of those costs. Medicare supplement plans in California are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Los Angeles, California
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Anthem BlueCross – California | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Blue Shield of California Life & Health Insurance Company | Medigap Plan A, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company (w/ 11% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company (w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Combined Insurance Company of America | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Continental Life Insurance Company of Brentwood, Tennessee (Aetna) | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Everence Association Inc. | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Health Net Life Insurance Company (Not Los Angeles and San Diego) | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Humana (Humana Insurance Company) | Medigap Plan A, Medigap Plan A, Medigap Plan B, Medigap Plan B, Medigap Plan C, Medigap Plan C, Medigap Plan F, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan K, Medigap Plan L, Medigap Plan L, Medigap Plan N, Medigap Plan N |
| Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
| Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) (Household) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
| Independence American Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Guardian Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Oxford Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan N |
| State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| United World Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Anthem BlueCross – California (Innovative) | Medigap Plan F |
| Blue Shield of California Life & Health Insurance Company (Plan F Extra) | Medigap Plan F |
| Health Net Life Insurance Company (Innovative F/Not Los Angeles and San Diego) | Medigap Plan F |
| Blue Shield of California Life & Health Insurance Company (Plan G Extra) | Medigap Plan G |
| Blue Shield of California Life & Health Insurance Company (Plan G Inspire) | Medigap Plan G |
| Health Net Life Insurance Company (Innovative G/Not Los Angeles and San Diego) | Medigap Plan G |
Los Angeles, California Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard California Medicare supplement plans? Take a look at all of the Los Angeles, California Medicare supplement plans with coverage details.
Los Angeles, California Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $97-$902 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $151-$576 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $178-$735 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $128-$575 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $177-$1,104 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $40-$208 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $128-$961 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $37-$207 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $55-$307 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $100-$447 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $177-$514 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $98-$737 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Los Angeles, California
Prescription drug coverage for Medicare in Los Angeles, California is covered by a Part D plan. You can purchase Part D coverage in Los Angeles, California as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Los Angeles, 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% |
Compare Medicare Rates in Los Angeles, California
If you’re ready to buy Los Angeles, California Medicare coverage, we’re here to help. Enter your ZIP code to see Medicare rates in Los Angeles, CA and find the coverage that’s right for you.
Frequently Asked Questions
What are the best Medicare companies in Los Angeles, California?
While opinions may vary depending on individual needs and preferences, some reputable Medicare companies operating in Los Angeles, California include:
- Blue Shield of California
- Health Net
- SCAN Health Plan
- Aetna
- UnitedHealthcare
What factors should I consider when choosing a Medicare company in Los Angeles?
When selecting a Medicare company in Los Angeles, California, consider the following factors:
- Provider network: Ensure that the company has a robust network of healthcare providers and hospitals in the Los Angeles area.
- Plan options: Evaluate the variety of Medicare Advantage and Medigap plans offered by the company and choose one that aligns with your specific healthcare needs.
- Prescription drug coverage: If you require prescription medications, check if the company’s plans include comprehensive prescription drug coverage (Part D).
- Cost: Compare the premiums, deductibles, copayments, and out-of-pocket costs associated with the plans offered by different companies to find the most affordable option for your budget.
- Reputation and customer satisfaction: Research the company’s reputation, customer reviews, and ratings to assess their level of customer satisfaction and service quality.
What is the difference between Medicare Advantage and Medigap plans?
Medicare Advantage (Part C) and Medigap (Medicare Supplement) plans are two types of private insurance options available to Medicare beneficiaries. The key differences are as follows:
- Medicare Advantage plans: Offered by private insurance companies, Medicare Advantage plans replace Original Medicare (Part A and Part B) and often include prescription drug coverage (Part D). These plans may have provider networks and may require you to choose primary care physicians and specialists within that network. Medicare Advantage plans may offer additional benefits like dental, vision, and fitness programs.
- Medigap plans: Medigap plans work alongside Original Medicare, filling in the “gaps” in coverage. They help pay for out-of-pocket costs such as deductibles, copayments, and coinsurance. Medigap plans do not include prescription drug coverage, so beneficiaries need to purchase a separate Part D plan if they require prescription medications.
How can I compare Medicare plans in Los Angeles?
To compare Medicare plans in Los Angeles, California, you can follow these steps:
- Visit the official Medicare website (medicare.gov) and use the “Find a Medicare plan” tool. Enter your ZIP code and follow the prompts to get a list of available plans in your area.
- Review the plan options, including Medicare Advantage and Medigap plans, offered by different companies.
- Consider factors such as premiums, deductibles, copayments, out-of-pocket limits, and additional benefits provided by each plan.
- Pay attention to the provider networks and make sure your preferred doctors and healthcare facilities are included.
- Compare the prescription drug coverage (Part D) if you require medications.
- Evaluate any specific healthcare needs you have, such as chronic conditions or specialized care, and see if the plans meet those requirements.
- Consider the financial aspects, including your budget and the potential cost savings of each plan.
- Seek assistance from a licensed insurance agent or counselor who can provide personalized guidance and help you make an informed decision.
Can I switch Medicare plans in Los Angeles?
Yes, you can switch Medicare plans in Los Angeles, California, during the annual enrollment period (AEP) or during special enrollment periods (SEPs) if you qualify. The AEP generally takes place from October 15 to December 7 each year. During this period, you can switch from Original Medicare to a Medicare Advantage plan, switch between Medicare Advantage plans, or switch from a Medicare Advantage plan back to Original Medicare.
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Justin Wright
Licensed Insurance Agent
Justin Wright has been a licensed insurance broker for over 9 years. After graduating from Southeastern Seminary with a Masters in Philosophy, Justin started his career as a professor, teaching Philosophy and Ethics. Later, Justin obtained both his Property & Casualty license and his Life and Health license and began working for State Farm and Allstate. In 2020, Justin began working as an i...
Licensed Insurance Agent
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