2020 Santa Clara County California
Medicare Advantage Plans

There are 26 Medicare Advantage Plans available in Santa Clara County CA from 12 different health insurance providers. 15 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. Santa Clara County California residents can also pick from 14 Medicare Special Needs Plans. The highest rated plan available in Santa Clara County received a 5 overall star rating from CMS and the lowest rated plan is 3.5 stars



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Sign
Up
AARP Medicare Advantage SecureHorizons (HMO)
More details...
$101.00 $355.00 $5,900 NoEnroll
AARP Medicare Advantage SecureHorizons Focus (HMO)
More details...
$19.00 $150.00 $4,000 NoEnroll
Aetna Medicare Plus Plan (HMO)
More details...
$0 $0 $3,400 YesToo NewEnroll
Alignment Health Plan CalPlus (HMO)
More details...
$27.30 $435.00 $6,700 NoEnroll
Alignment Health Plan My Choice (HMO)
More details...
$0 $0 $3,400 YesEnroll
Anthem MediBlue Connect Plus (HMO)
More details...
$20.20 $435.00 $6,700 YesEnroll
Anthem MediBlue StartSmart Plus (HMO)
More details...
$0 $0 $3,400 NoEnroll
Anthem MediBlue Value Plus (HMO)
More details...
$54.00 $0 $3,000 YesEnroll
Blue Shield Promise AdvantageOptimum Plan (HMO)
More details...
$49.00 $0 $3,400 YesEnroll
Blue Shield Promise Coordinated Choice Plan (HMO)
More details...
$32.00 $435.00 $6,700 YesEnroll
Brand New Day Classic Care II Plan (HMO)
More details...
$0 $125.00 $999 YesEnroll
Brand New Day Classic Choice Plan (HMO)
More details...
$32.00 $435.00 $6,700 NoEnroll
Choice (HMO)
More details...
$0 $0 $3,200 YesToo NewEnroll
Health Net Healthy Heart (HMO)
More details...
$0 $0 $3,400 NoEnroll
Health Net Seniority Plus Sapphire (HMO)
More details...
$0 $370.00 $4,500 NoEnroll
Imperial Traditional (HMO) (HMO)
More details...
$0 $0 $4,000 YesNAEnroll
Imperial Traditional Plus (HMO) (HMO)
More details...
$32.00 $435.00 $4,000 YesNAEnroll
Kaiser Permanente Senior Advantage Santa Clara (HMO)
More details...
$79.00 $0 $4,900 YesEnroll
Plus (HMO)
More details...
$32.00 $435.00 $6,700 YesToo NewEnroll
SCAN Classic (HMO)
More details...
$54.00 $0 $3,000 NoEnroll
SCAN Options (HMO)
More details...
$0 $0 $3,400 NoEnroll
SCAN Plus (HMO)
More details...
$32.00 $435.00 $6,700 NoEnroll
Stanford Health Care Advantage - Gold (HMO)
More details...
$69.00 $250.00 $5,900 YesEnroll
Stanford Health Care Advantage - Platinum (HMO)
More details...
$99.00 $0 $4,900 YesEnroll
Sutter Advantage (HMO)
More details...
$49.00 $0 $4,900 YesEnroll
UnitedHealthcare Medicare Advantage Assure (HMO)
More details...
$22.50 $435.00 $6,700 NoEnroll


Return to 2020 Medicare Advantage Plans in California









2020 Medicare Special Needs Plans in Santa Clara county California

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Anthem MediBlue Breathe (HMO C-SNP)     $55.00 $0  Yes Chronic or Disabling Condition
Anthem MediBlue Care On Site (HMO I-SNP)     $0 $0  Yes Institutional
Anthem MediBlue Connect (HMO D-SNP)     $0 $435.0  Yes Dual-Eligible
Anthem MediBlue Diabetes (HMO C-SNP)     $55.00 $0  Yes Chronic or Disabling Condition
Anthem MediBlue Heart (HMO C-SNP)     $55.00 $0  Yes Chronic or Disabling Condition
Brand New Day Bridges Care Plan (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Brand New Day Bridges Choice Plan (HMO C-SNP)     $32.00 $435.0  No Chronic or Disabling Condition
Brand New Day Embrace Care Plan (HMO C-SNP)     $0 $0  Yes Chronic or Disabling Condition
Brand New Day Embrace Choice Plan (HMO C-SNP)     $32.00 $435.0  No Chronic or Disabling Condition
Brand New Day Harmony Care Plan (HMO C-SNP)     $0 $100.0  Yes Chronic or Disabling Condition
Brand New Day Harmony Choice Plan (HMO C-SNP)     $32.00 $435.0  No Chronic or Disabling Condition
Brand New Day Select Care Plan (HMO I-SNP)     $32.00 $435.0  No Institutional
Imperial Senior Value (HMO C-SNP)     $0 $0  Yes Chronic or Disabling ConditionNA
Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP)     $31.10 $435.0  No Dual-Eligible



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 2020 once you and your plan provider have spent $4020 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 25% 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 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, 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


Or Enroll Online Here

Call to Enroll!