2019 Medicare Advantage Plans in
Riverside County California

There are 37 Medicare Advantage Plans available in Riverside County CA from 15 different health insurance providers. 24 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $999 and the highest out of pocket is $6700. Riverside County California residents can also pick from 17 Medicare Special Needs Plans. 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)
(⇅ Click the Header to Sort)
Name ⇅ Premium Deductible MOOP Gap Click
for
Formulary
Plan
Rating
Sign
Up
Aetna Medicare Choice Plan (PPO)
$81.00 $0 $6,700 YesBrowse
Formulary
Enroll
Aetna Medicare Select Plan (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Enroll
Alignment Health Plan CalPlus (HMO)
$30.50 $415.00 $6,700 NoBrowse
Formulary
Enroll
Alignment Health Plan My Choice (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Enroll
Alignment Health Plan Platinum (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Blue Shield 65 Plus (HMO)
$0 $0 $2,799 YesBrowse
Formulary
Enroll
Blue Shield 65 Plus Choice Plan (HMO)
$0 $0 $999 YesBrowse
Formulary
Blue Shield Promise Coordinated Choice Plan (HMO)
$34.80 $415.00 $6,700 YesBrowse
Formulary
Enroll
Brand New Day Classic Care I Plan (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Brand New Day Classic Care II Plan (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Brand New Day Classic Choice Medi-Medi Plan (HMO)
$34.80 $415.00 $6,700 NoBrowse
Formulary
Central Health Medicare Plan (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Enroll
Central Health Premier Plan (HMO)
$34.80 $415.00 $6,700 YesBrowse
Formulary
Enroll
Easy Choice Best Plan (HMO)
$0 $0 $2,500 YesBrowse
Formulary
Easy Choice Plus Plan (HMO)
$25.00 $415.00 $2,500 NoBrowse
Formulary
Enroll
Golden State (HMO)
$0 $0 $1,499 YesBrowse
Formulary
Health Net Gold Select (HMO)
$0 $0 $2,900 YesBrowse
Formulary
Enroll
Health Net Healthy Heart (HMO)
$16.00 $0 $2,400 YesBrowse
Formulary
Enroll
Health Net Seniority Plus Sapphire (HMO)
$34.80 $340.00 $6,700 NoBrowse
Formulary
Enroll
Health Net Seniority Plus Sapphire Premier (HMO)
$34.80 $200.00 $6,700 NoBrowse
Formulary
Enroll
Health Net Seniority Plus Sapphire Premier II (HMO)
$34.80 $250.00 $6,700 NoBrowse
Formulary
Humana Community (HMO)
$0 $0 $2,200 YesBrowse
Formulary
Too New
Humana Gold Plus H5619-039 (HMO)
$0 $0 $3,400 NoBrowse
Formulary
Enroll
Humana Value Plus H5619-037 (HMO)
$33.30 $415.00 $6,700 NoBrowse
Formulary
Enroll
Inter Valley Health Plan Desert Preferred Choice (HMO)
$0 $0 $3,400 YesBrowse
Formulary
Inter Valley Health Plan Service To Seniors (HMO)
$0 $0 $2,000 NoBrowse
Formulary
Enroll
Kaiser Permanente Senior Advantage Inland Empire (HMO)
$0 $0 $4,900 YesBrowse
Formulary
SCAN Classic (HMO)
$0 $0 $2,400 YesBrowse
Formulary
Enroll
SCAN Classic II (HMO)
$0 $0 $5,000 YesBrowse
Formulary
Enroll
SCAN Plus (HMO)
$34.80 $415.00 $6,700 NoBrowse
Formulary
Enroll
SCAN Prime (HMO)
$23.00 $0 $2,400 YesBrowse
Formulary


Return to 2019 Medicare Advantage Plans in California





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Sign Up
Health Net Seniority Plus Green (HMO)
$0 Local HMO * $3,400 Enroll





2019 Medicare Special Needs Plans in Riverside county California

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Click
for
Formulary
Brand New Day Bridges Care Plan (HMO SNP)
(H0838- 028)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Brand New Day Bridges Choice Medi-Medi Plan (HMO SNP)
(H0838- 029)
    $34.80 $415.0  No Chronic or Disabling ConditionBrowse
Formulary
Brand New Day Dual Access Plan (HMO SNP)
(H0838- 024)
    $34.80 $415.0  No Dual-EligibleBrowse
Formulary
Brand New Day Embrace Care Plan (HMO SNP)
(H0838- 039)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Brand New Day Embrace Choice Medi-Medi Plan (HMO SNP)
(H0838- 040)
    $34.80 $415.0  No Chronic or Disabling ConditionBrowse
Formulary
Brand New Day Harmony Care Plan (HMO SNP)
(H0838- 032)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Brand New Day Harmony Choice Plan (HMO SNP)
(H0838- 020)
    $34.80 $415.0  No Chronic or Disabling ConditionBrowse
Formulary
Brand New Day Select Care Plan (HMO SNP)
(H0838- 041)
    $34.80 $415.0  No InstitutionalBrowse
Formulary
Health Net Seniority Plus Amber I (HMO SNP)
(H0562- 055)
    $34.80 $320.0  No Dual-EligibleBrowse
Formulary
Health Net Seniority Plus Amber II (HMO SNP)
(H0562- 110)
    $34.80 $300.0  No Dual-EligibleBrowse
Formulary
Heart First (HMO SNP)
(H5425- 033)
    $0 $0  Yes Chronic or Disabling ConditionBrowse
Formulary
Molina Medicare Options Plus (HMO SNP)
(H5810- 001)
    $15.20 $415.0  No Dual-EligibleBrowse
Formulary
SCAN Connections (HMO SNP)
(H5425- 010)
    $33.40 $415.0  Yes Dual-EligibleBrowse
Formulary
SCAN Connections at Home (HMO SNP)
(H5425- 030)
    $34.80 $415.0  Yes Dual-EligibleBrowse
Formulary
SCAN Healthy at Home (HMO SNP)
(H9104- 006)
    $0 $0  Yes InstitutionalNABrowse
Formulary
Senior Advantage Medicare Medi-Cal Plan South (HMO SNP)
(H0524- 029)
    $34.80 $0  No Dual-EligibleBrowse
Formulary
VillageHealth (HMO-POS SNP)
(H5943- 001)
    $34.80 $370.0  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 2019 once you and your plan provider have spent $3820 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 25% of the plans cost for covered brand-name prescription drugs and 37% 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 5, 2018.
Star Rating as of October 10, 2018.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2019 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2019, 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


Call to Enroll!