2015 Medicare Advantage Plans in San Bernardino County California


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2015 Medicare Advantage Plans in San Bernardino County California

There are 31 Medicare Advantage Plans available in San Bernardino County CA from 15 health insurance providers and 26 Special Needs Plans available. 17 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2200 and the highest out of pocket is $6700. The highest rated plan available in San Bernardino County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.

(Click the Plan Name for More Details)

Plan Name Type Premium
C+D
Part D
Deductible
 Gap  Max Out of
Pocket
Overall Rating Formulary
Return to Counties In California
AARP MedicareComplete SecureHorizons Essential (HMO)
(H0543-121)
Local HMO * $0.00 $4,900
AARP MedicareComplete SecureHorizons Plan 1 (HMO)
(H0543-007)
Local HMO $0.00 $0.00 No $4,900 Browse
Formulary
AARP MedicareComplete SecureHorizons Plan 2 (HMO)
(H0543-144)
Local HMO $0.00 $0.00 Yes $3,400 Browse
Formulary
AARP MedicareComplete SecureHorizons Plan 3 (HMO)
(H0543-153)
Local HMO $28.80 $320.00 No $6,700 Browse
Formulary
Aetna Medicare Prime Plan (HMO)
(H0523-063)
Local HMO $0.00 $0.00 No $3,400 Browse
Formulary
Aetna Medicare Select Plan (HMO)
(H0523-022)
Local HMO $0.00 $0.00 No $3,400 Browse
Formulary
Blue Cross Senior Secure Plan I (HMO)
(H0564-067)
Local HMO $0.00 $0.00 No $6,700 Browse
Formulary
Blue Shield 65 Plus (HMO)
(H0504-017)
Local HMO $0.00 $0.00 Yes $3,200 Browse
Formulary
CalPlus Plan (HMO)
(H3815-009)
Local HMO $28.80 $320.00 No $3,400 Browse
Formulary
Care1st AdvantageOptimum Plan (HMO)
(H5928-012)
Local HMO $0.00 $0.00 Yes $3,400 Browse
Formulary
CareMore StartSmart Plus (HMO)
(H0544-007)
Local HMO $0.00 $0.00 No $5,000 Browse
Formulary
CareMore Value Plus (HMO)
(H0544-008)
Local HMO $0.00 $0.00 Yes $3,400 Browse
Formulary
Central Health Medicare Plan (HMO)
(H5649-001)
Local HMO $0.00 $0.00 Yes $3,400 Browse
Formulary
Central Health Premier Plan (HMO)
(H5649-004)
Local HMO $28.80 $320.00 Yes $6,700 Browse
Formulary
Citizens Choice Health Plan (HMO)
(H3815-001)
Local HMO $0.00 $0.00 No $3,400 Browse
Formulary
Classic Care (HMO)
(H0838-025)
Local HMO $0.00 $0.00 Yes $6,700 Browse
Formulary
Coordinated Choice Plan (HMO)
(H5928-037)
Local HMO $28.80 $320.00 Yes $6,700 Browse
Formulary
Easy Choice Best Plan (HMO)
(H5087-016)
Local HMO $0.00 $0.00 Yes $6,700 Browse
Formulary
Easy Choice Plus Plan (HMO)
(H5087-002)
Local HMO $28.80 $320.00 No $6,700 Browse
Formulary
Health Net Gold Select (HMO)
(H0562-101)
Local HMO $0.00 $0.00 Yes $2,200 Browse
Formulary
Health Net Healthy Heart (HMO)
(H0562-100)
Local HMO $0.00 $0.00 Yes $3,400 Browse
Formulary
Health Net Seniority Plus Complete (HMO)
(H0562-106)
Local HMO $176.00 $0.00 Yes $2,500 Browse
Formulary
Health Net Seniority Plus Green (HMO)
(H0562-044)
Local HMO * $0.00 $3,400
Health Net Seniority Plus Sapphire (HMO)
(H0562-104)
Local HMO $28.80 $320.00 No $5,900 Browse
Formulary
Humana Gold Plus H0108-005 (HMO)
(H0108-005)
Local HMO $0.00 $0.00 Yes $3,400 Browse
Formulary
Humana Gold Plus H0108-006 (HMO)
(H0108-006)
Local HMO $38.00 $0.00 Yes $3,400 Browse
Formulary
Humana Gold Plus H0108-050 (HMO)
(H0108-050)
Local HMO $22.90 $320.00 No $6,700 Browse
Formulary
Inter Valley Health Plan Service To Seniors (HMO)
(H0545-001)
Local HMO $0.00 $0.00 Yes $3,400 Browse
Formulary
Kaiser Permanente Senior Advantage Inland Empire (HMO)
(H0524-015)
Local HMO $0.00 $0.00 Yes $4,400 Browse
Formulary
SCAN Classic (HMO)
(H5425-009)
Local HMO $0.00 $0.00 Yes $3,000 Browse
Formulary
SCAN Plus (HMO)
(H5425-045)
Local HMO $28.80 $320.00 No $6,700 Browse
Formulary

* Plan Type Indicates plan does not offer Part D drug coverage.



Medicare Special Needs Plans in San Bernardino county California

Plan Name Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating Formulary
Bridges Drug Savings (HMO SNP)
(H0838- 028)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Bridges Extra Care (HMO SNP)
(H0838- 029)
   $28.80 $320.00  No Chronic or Disabling ConditionBrowse
Formulary
Care1st TotalDual Plan (HMO SNP)
(H5928- 005)
   $27.50 $320.00  Yes Dual-EligibleBrowse
Formulary
CareMore Breathe (HMO SNP)
(H0544- 019)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
CareMore ESRD (HMO SNP)
(H0544- 020)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
CareMore Heart (HMO SNP)
(H0544- 038)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
CareMore Reliance (HMO SNP)
(H0544- 010)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Central Health Focus Plan (HMO SNP)
(H5649- 005)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Central Health Medi-Medi Plan (HMO SNP)
(H5649- 002)
   $28.80 $320.00  Yes Dual-EligibleBrowse
Formulary
Dual Coverage (HMO SNP)
(H0838- 024)
   $28.80 $320.00  No Dual-EligibleBrowse
Formulary
Harmony (HMO SNP)
(H0838- 020)
   $28.80 $320.00  No Chronic or Disabling ConditionBrowse
Formulary
Health Net Seniority Plus Amber I (HMO SNP)
(H0562- 055)
   $28.80 $320.00  No Dual-EligibleBrowse
Formulary
Health Net Seniority Plus Amber II (HMO SNP)
(H0562- 070)
   $28.80 $320.00  No Dual-EligibleBrowse
Formulary
Healthy Heart Drug Savings (HMO SNP)
(H0838- 030)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Healthy Heart Extra Care (HMO SNP)
(H0838- 031)
   $28.80 $320.00  No Chronic or Disabling ConditionBrowse
Formulary
Heart First (HMO SNP)
(H5425- 033)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Hope Drug Savings (HMO SNP)
(H0838- 032)
   $0.00 $0.00  No Chronic or Disabling ConditionBrowse
Formulary
IEHP Medicare DualChoice (HMO SNP)
(H5640- 001)
   $28.80 $320.00  No Dual-EligibleBrowse
Formulary
In Control Drug Savings (HMO SNP)
(H0838- 026)
   $0.00 $0.00  No Chronic or Disabling ConditionBrowse
Formulary
In Control Extra Care (HMO SNP)
(H0838- 027)
   $28.80 $320.00  No Chronic or Disabling ConditionBrowse
Formulary
Molina Medicare Options Plus (HMO SNP)
(H5810- 001)
   $21.90 $320.00  No Dual-EligibleBrowse
Formulary
SCAN Connections (HMO SNP)
(H5425- 010)
   $28.80 $320.00  No Dual-EligibleBrowse
Formulary
SCAN Connections at Home (HMO SNP)
(H5425- 031)
   $28.80 $320.00  No Dual-EligibleBrowse
Formulary
SCAN Healthy at Home (HMO SNP)
(H9104- 006)
   $0.00 $0.00  Yes InstitutionalBrowse
Formulary
Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)
(H0524- 029)
   $15.30 $0.00  No Dual-EligibleBrowse
Formulary
VillageHealth (HMO-POS SNP)
(H5943- 001)
   $28.80 $310.00  No Chronic or Disabling ConditionNABrowse
Formulary


Source: CMS.

Plans as of September 2, 2014.

Plans are subject to change as contracts are finalized.

Includes 2015 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2015, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.



Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your plan for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type

Enhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.

GAP

In 2015 once you and your plan provider have spent $2,960 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 45% of the plan's cost for covered brand-name prescription drugs unless your plan offers additional coverage. You will still receive a 55% discount on brand-name drugs and a 35% discount on generic drugs.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

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    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
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