2021 San Joaquin County California
Medicare Advantage Plans

There are 23 Medicare Advantage Plans available in San Joaquin County CA from 11 different health insurance providers. 16 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 $7550. San Joaquin County California residents can also pick from 16 Medicare Special Needs Plans. The best Medicare Advantage plan in San Joaquin County California 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 Plan
Rating
Sign
Up
AARP Medicare Advantage SecureHorizons (HMO)
More details...
$58.00 $225.00 $4,400 NoEnroll
Aetna Medicare Elite Plan (PPO)
More details...
$0 $0 $7,550 YesEnroll
Anthem MediBlue Plus (HMO)
More details...
$0 $0 $3,450 YesEnroll
Balance (PPO)
More details...
$0 $0 $2,850 YesToo NewEnroll
Blue Shield AdvantageOptimum Plan (HMO)
More details...
$0 $0 $3,400 YesEnroll
Blue Shield Coordinated Choice Plan (HMO)
More details...
$31.50 $445.00 $6,700 YesEnroll
Blue Shield Inspire (HMO)
More details...
$0 $0 $3,400 YesEnroll
Brand New Day Classic Care II Plan (HMO)
More details...
$0 $50.00 $999 YesEnroll
Brand New Day Classic Choice Plan (HMO)
More details...
$31.50 $445.00 $7,550 NoEnroll
CalPlus (HMO)
More details...
$20.10 $445.00 $4,900 NoEnroll
Connected Care (HMO)
More details...
$70.00 $0 $3,000 YesEnroll
Humana Community (HMO)
More details...
$0 $0 $3,450 NoToo NewEnroll
Humana Gold Plus H5619-026 (HMO)
More details...
$91.00 $250.00 $7,550 NoEnroll
Imperial Traditional (HMO)
More details...
$0 $0 $2,999 YesToo NewEnroll
Imperial Traditional Plus (HMO)
More details...
$31.50 $445.00 $2,999 YesToo NewEnroll
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)
More details...
$15.00 $0 $5,900 YesEnroll
Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
More details...
$75.00 $0 $4,400 YesEnroll
My Choice (HMO)
More details...
$0 $0 $4,900 YesEnroll
My Choice (PPO)
More details...
$79.00 $0 $4,200 YesToo NewEnroll
Platinum (HMO)
More details...
$15.00 $0 $2,850 YesEnroll
UnitedHealthcare Medicare Advantage Assure (HMO)
More details...
$21.20 $445.00 $7,550 NoEnroll
WellCare Best (HMO)
More details...
$0 $0 $2,500 YesEnroll
WellCare Plus (HMO)
More details...
$4.60 $445.00 $2,500 NoEnroll


Return to 2021 Medicare Advantage Plans in California









2021 Medicare Special Needs Plans in San Joaquin county California

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Anthem MediBlue Dual Advantage (HMO D-SNP)     $7.40 $445.0  Yes Dual-Eligible
Anthem MediBlue ESRD Care (PPO C-SNP)     $31.50 $130.0  Yes Chronic or Disabling Condition
Blue Shield Inspire (HMO D-SNP)     $31.50 $445.0  Yes Dual-Eligible
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)     $31.50 $445.0  No Chronic or Disabling Condition
Brand New Day Dual Access Plan (HMO D-SNP)     $31.50 $445.0  No Dual-Eligible
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)     $31.50 $445.0  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)     $31.50 $445.0  No Chronic or Disabling Condition
Brand New Day Select Care II Plan (HMO I-SNP)     $0 $0  Yes Institutional
Brand New Day Select Choice II Plan (HMO I-SNP)     $31.50 $445.0  No Institutional
CalPlusDuals (HMO D-SNP)     $20.80 $445.0  No Dual-Eligible
Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)     $8.90 $445.0  No Dual-Eligible
Imperial Senior Value (HMO C-SNP)     $0 $0  Yes Chronic or Disabling ConditionToo New
Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP)     $30.50 $445.0  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 2021 once you and your plan provider have spent $4130 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 8, 2020.
Plans are subject to change as contracts are finalized.
Includes 2021 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2021, 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


Or Enroll Online Here

Call to Enroll!