2017 Medicare Advantage Plans in Orange County California


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The 2018 Medicare Advantage Plans in Orange County CA.



2017 Medicare Advantage Plans in Orange County California

There are 34 Medicare Advantage Plans available in Orange County CA from 16 health insurance providers and 26 Special Needs Plans available. 22 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $1900 and the highest out of pocket is $6700. The highest rated plan available in Orange County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.

(Click the Plan Name for More Details)

Name Monthly
Premium
C+D
Part D
Deductible
Type  Gap  Max Out
of
Pocket
Overall Rating Formulary
Aetna Medicare Choice Plan (PPO)
(H5521-056)
$107.00 $0.00 Local PPO Yes $6,700 Browse
Formulary
Aetna Medicare Prime Plan (HMO)
(H0523-060)
$0.00 $0.00 Local HMO Yes $1,950 Browse
Formulary
Aetna Medicare Select Plan (HMO)
(H0523-002)
$27.00 $0.00 Local HMO Yes $5,400 Browse
Formulary
Alignment Health Plan CalPlus (HMO)
(H3815-009)
$36.30 $400.00 Local HMO No $3,400 Browse
Formulary
Alignment Health Plan My Choice (HMO)
(H3815-001)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Alignment Health Plan Platinum (HMO)
(H3815-008)
$0.00 $0.00 Local HMO Yes $2,200 Browse
Formulary
Alignment Health Plan smartHMO (HMO)
(H3815-013)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Anthem MediBlue Access (PPO)
(H8552-020)
$150.00 $230.00 Local PPO No $6,700 Browse
Formulary
Blue Shield 65 Plus (HMO)
(H0504-015)
$0.00 $0.00 Local HMO Yes $2,800 Browse
Formulary
Blue Shield 65 Plus Choice Plan (HMO)
(H0504-021)
$0.00 $0.00 Local HMO Yes $2,000 Browse
Formulary
Care1st AdvantageOptimum Plan (HMO)
(H5928-004)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
CareMore Connect Plus (HMO)
(H0544-049)
$36.00 $400.00 Local HMO No $6,700 Browse
Formulary
CareMore StartSmart Plus (HMO)
(H0544-007)
$0.00 $0.00 Local HMO No $5,000 Browse
Formulary
CareMore Value Plus (HMO)
(H0544-002)
$0.00 $0.00 Local HMO Yes $1,900 Browse
Formulary
Central Health Medicare Plan (HMO)
(H5649-001)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Central Health Premier Plan (HMO)
(H5649-004)
$36.20 $400.00 Local HMO Yes $6,700 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)
$36.30 $400.00 Local HMO No $6,700 Browse
Formulary
Coordinated Choice Plan (HMO)
(H5928-037)
$36.20 $400.00 Local HMO Yes $6,700 Browse
Formulary
Easy Choice Best Plan (HMO)
(H5087-005)
$0.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
Easy Choice Plus Plan (HMO)
(H5087-002)
$27.00 $400.00 Local HMO No $6,700 Browse
Formulary
Golden State Medicare Health Plan, Golden (HMO)
(H2241-006)
$4.40 $0.00 Local HMO Yes $3,400 Browse
Formulary
Health Net Gold Select (HMO)
(H0562-101)
$0.00 $0.00 Local HMO Yes $2,800 Browse
Formulary
Health Net Healthy Heart (HMO)
(H0562-100)
$20.00 $0.00 Local HMO Yes $2,400 Browse
Formulary
Health Net Seniority Plus Sapphire (HMO)
(H0562-111)
$36.20 $140.00 Local HMO No $6,700 Browse
Formulary
Health Net Seniority Plus Sapphire Premier (HMO)
(H3561-002)
$36.20 $170.00 Local HMO No $6,700 Too NewBrowse
Formulary
Humana Gold Plus H5619-021 (HMO)
(H5619-021)
$0.00 $0.00 Local HMO Yes $2,200 Browse
Formulary
Humana Gold Plus H5619-037 (HMO)
(H5619-037)
$16.50 $400.00 Local HMO No $6,700 Browse
Formulary
Inter Valley Health Plan OC Preferred (HMO)
(H0545-013)
$0.00 $0.00 Local HMO Yes $2,000 Browse
Formulary
Inter Valley Health Plan Service To Seniors (HMO)
(H0545-001)
$0.00 $0.00 Local HMO No $2,000 Browse
Formulary
Inter Valley Health Plan Value Preferred Choice (HMO)
(H0545-014)
$36.20 $400.00 Local HMO No $5,900 Browse
Formulary
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
(H0524-003)
$0.00 $0.00 Local HMO Yes $4,400 Browse
Formulary
SCAN Classic (HMO)
(H5425-007)
$0.00 $0.00 Local HMO Yes $2,900 Browse
Formulary
SCAN Plus (HMO)
(H5425-037)
$36.30 $400.00 Local HMO No $4,500 Browse
Formulary
Return to 2017 Medicare Advantage Plans in California

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



Medicare Special Needs Plans in Orange county California

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
Alignment Health Plan Heart & Diabetes (HMO SNP)
(H3815- 010)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Bridges - Dual Access (HMO SNP)
(H0838- 029)
   $36.30 $400.00  No Chronic or Disabling ConditionBrowse
Formulary
Bridges Drug Savings (HMO SNP)
(H0838- 028)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Care1st TotalDual Plan (HMO SNP)
(H5928- 005)
   $36.20 $400.00  No Dual-EligibleBrowse
Formulary
CareMore Breathe (HMO SNP)
(H0544- 014)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
CareMore ESRD (HMO SNP)
(H0544- 015)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
CareMore Heart (HMO SNP)
(H0544- 013)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
CareMore Reliance (HMO SNP)
(H0544- 004)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
CareMore Touch (HMO SNP)
(H0544- 005)
   $0.00 $0.00  Yes InstitutionalBrowse
Formulary
Central Health Focus Plan (HMO SNP)
(H5649- 006)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Dual Coverage (HMO SNP)
(H0838- 024)
   $36.30 $400.00  No Dual-EligibleBrowse
Formulary
Harmony - Dual Access (HMO SNP)
(H0838- 020)
   $36.30 $400.00  No Chronic or Disabling ConditionBrowse
Formulary
Health Net Jade (HMO SNP)
(H0562- 092)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Health Net Seniority Plus Amber I (HMO SNP)
(H0562- 055)
   $36.20 $175.00  No Dual-EligibleBrowse
Formulary
Health Net Seniority Plus Amber II (HMO SNP)
(H0562- 110)
   $36.20 $155.00  No Dual-EligibleBrowse
Formulary
Healthy Heart - Dual Access (HMO SNP)
(H0838- 031)
   $36.30 $400.00  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- 028)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
Hope Drug Savings (HMO SNP)
(H0838- 032)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
In Control - Dual Access (HMO SNP)
(H0838- 027)
   $36.30 $400.00  No Chronic or Disabling ConditionBrowse
Formulary
In Control Drug Savings (HMO SNP)
(H0838- 026)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
OneCare (HMO SNP)
(H5433- 001)
   $33.50 $0.00  Yes Dual-EligibleBrowse
Formulary
SCAN Balance (HMO SNP)
(H5425- 034)
   $0.00 $0.00  Yes Chronic or Disabling ConditionBrowse
Formulary
SCAN Healthy at Home (HMO SNP)
(H9104- 006)
   $0.00 $0.00  Yes InstitutionalNABrowse
Formulary
Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)
(H0524- 029)
   $32.00 $0.00  No Dual-EligibleBrowse
Formulary
VillageHealth (HMO-POS SNP)
(H5943- 002)
   $36.30 $400.00  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 provider for details.

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

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

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

  • GAP

    In 2017 once you and your plan provider have spent $3700 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 40% of the plans cost for covered brand-name prescription drugs and 51% 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.

    Data as of September 6, 2016.

    Plans are subject to change as contracts are finalized.

    Includes 2017 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2017, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.

    Call For A licensed Sales Agent

    1-855-492-4169

  • Mon-Fri 8:30am-8:00pm
  • Sat 10:00am-2:00pm (ET)

  • Call to Enroll!

    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!