2016 Medicare Advantage Plans in Riverside County California


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2016 Medicare Advantage Plans in Riverside County California

There are 34 Medicare Advantage Plans available in Riverside County CA from 16 health insurance providers and 18 Special Needs Plans available. 20 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 Riverside 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 Monthly
Premium
C+D
Part D
Deductible
Type  Gap  Max Out
of
Pocket
Overall Rating Formulary
Return to Counties In California
AARP MedicareComplete SecureHorizons Essential (HMO)
(H0543-121)
$0.00 Local HMO * $4,900
AARP MedicareComplete SecureHorizons Plan 1 (HMO)
(H0543-007)
$0.00 $0.00 Local HMO No $4,900 Browse
Formulary
AARP MedicareComplete SecureHorizons Plan 2 (HMO)
(H0543-144)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
AARP MedicareComplete SecureHorizons Plan 3 (HMO)
(H0543-153)
$27.40 $360.00 Local HMO No $6,700 Browse
Formulary
Aetna Medicare Select Plan (HMO)
(H0523-022)
$0.00 $0.00 Local HMO No $3,400 Browse
Formulary
Anthem MediBlue Access (PPO)
(H8552-021)
$157.00 $75.00 Local PPO No $6,700 Browse
Formulary
Anthem MediBlue Coordination Plus (HMO)
(H0564-079)
$31.00 $360.00 Local HMO Yes $6,700 Browse
Formulary
Anthem MediBlue Plus (HMO)
(H0564-067)
$0.00 $0.00 Local HMO Yes $6,700 Browse
Formulary
Anthem MediBlue Select (HMO)
(H0564-077)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Blue Shield 65 Plus (HMO)
(H0504-026)
$0.00 $0.00 Local HMO Yes $3,200 Browse
Formulary
CalPlus Plan (HMO)
(H3815-009)
$31.00 $360.00 Local HMO No $3,400 Browse
Formulary
Care1st AdvantageOptimum Plan (HMO)
(H5928-012)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Classic Care (HMO)
(H0838-025)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Classic Choice for Medi-Medi (HMO)
(H0838-033)
$31.00 $360.00 Local HMO No $6,700 Browse
Formulary
Coordinated Choice Plan (HMO)
(H5928-037)
$31.00 $360.00 Local HMO Yes $6,700 Browse
Formulary
Easy Choice Best Plan (HMO)
(H5087-016)
$0.00 $0.00 Local HMO Yes $6,700 Browse
Formulary
Easy Choice Plus Plan (HMO)
(H5087-002)
$12.00 $360.00 Local HMO No $6,700 Browse
Formulary
Golden State Medicare Health Plan, Golden (HMO)
(H2241-006)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Health Net Gold Select (HMO)
(H0562-101)
$0.00 $0.00 Local HMO Yes $2,200 Browse
Formulary
Health Net Healthy Heart (HMO)
(H0562-100)
$30.00 $0.00 Local HMO Yes $3,000 Browse
Formulary
Health Net Seniority Plus Green (HMO)
(H0562-044)
$0.00 Local HMO * $3,400
Health Net Seniority Plus Sapphire (HMO)
(H0562-111)
$31.00 $290.00 Local HMO No $6,700 Browse
Formulary
Heritage Preferred Choice (HMO)
(H3815-012)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Humana Gold Plus H5619-018 (HMO)
(H5619-018)
$0.00 Local HMO * $6,700
Humana Gold Plus H5619-019 (HMO)
(H5619-019)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Humana Gold Plus H5619-020 (HMO)
(H5619-020)
$48.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Humana Gold Plus H5619-037 (HMO)
(H5619-037)
$23.40 $360.00 Local HMO No $6,700 Browse
Formulary
Inter Valley Health Plan Desert Preferred Choice (HMO)
(H0545-012)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Kaiser Permanente Senior Advantage Inland Empire (HMO)
(H0524-015)
$0.00 $0.00 Local HMO Yes $4,400 Browse
Formulary
Molina Medicare Options (HMO)
(H5810-011)
$28.60 $360.00 Local HMO No $6,700 Browse
Formulary
My Choice Plan (HMO)
(H3815-001)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
SCAN Classic (HMO)
(H5425-008)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
SCAN Classic II (HMO)
(H5425-061)
$0.00 $0.00 Local HMO Yes $5,000 Browse
Formulary
SCAN Plus (HMO)
(H5425-045)
$31.10 $360.00 Local HMO No $6,700 Browse
Formulary

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



Medicare Special Needs Plans in Riverside county California

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating Formulary
Bridges - Dual Access (HMO SNP)
(H0838- 029)
   $31.00 $360.00  No Chronic or Disabling ConditionBrowse
Formulary
Bridges Drug Savings (HMO SNP)
(H0838- 028)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Dual Coverage (HMO SNP)
(H0838- 024)
   $31.00 $360.00  No Dual-EligibleBrowse
Formulary
Harmony - Dual Access (HMO SNP)
(H0838- 020)
   $31.00 $360.00  No Chronic or Disabling ConditionBrowse
Formulary
Health Net Seniority Plus Amber I (HMO SNP)
(H0562- 055)
   $31.00 $270.00  No Dual-EligibleBrowse
Formulary
Health Net Seniority Plus Amber II (HMO SNP)
(H0562- 110)
   $31.00 $280.00  No Dual-EligibleBrowse
Formulary
Healthy Heart - Dual Access (HMO SNP)
(H0838- 031)
   $31.00 $360.00  No Chronic or Disabling ConditionBrowse
Formulary
Healthy Heart Drug Savings (HMO SNP)
(H0838- 030)
   $0.00 $0.00  Yes 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
In Control - Dual Access (HMO SNP)
(H0838- 027)
   $31.00 $360.00  No Chronic or Disabling ConditionBrowse
Formulary
In Control Drug Savings (HMO SNP)
(H0838- 026)
   $0.00 $0.00  No Chronic or Disabling ConditionBrowse
Formulary
Molina Medicare Options Plus (HMO SNP)
(H5810- 001)
   $18.00 $360.00  No Dual-EligibleBrowse
Formulary
SCAN Connections (HMO SNP)
(H5425- 010)
   $31.10 $360.00  No Dual-EligibleBrowse
Formulary
SCAN Connections at Home (HMO SNP)
(H5425- 030)
   $31.10 $360.00  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)
   $25.20 $0.00  No Dual-EligibleBrowse
Formulary
VillageHealth (HMO-POS SNP)
(H5943- 001)
   $31.10 $310.00  No Chronic or Disabling ConditionBrowse
Formulary


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
  • (EA) 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.

  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

  • GAP

    In 2016 once you and your plan provider have spent $3310 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 plans cost for covered brand-name prescription drugs and 58% on generic drugs unless your plan offers additional coverage.

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



    Source: CMS.

    Plans as of September 9, 2015.

    Plans are subject to change as contracts are finalized.

    Includes 2016 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2016, 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.

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    Call For A licensed Sales Agent

    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 9:00am-3:00pm (ET)

  • Call to Enroll!