2022 Orange County California
Medicare Advantage Plans

There are 68 Medicare Advantage Plans available in Orange County CA from 17 different health insurance providers. 53 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $399 and the highest out of pocket is $7550. Orange County California residents can also pick from 32 Medicare Special Needs Plans. The best Medicare Advantage plan in Orange County California received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars.



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

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage Freedom Plus (HMO-POS)
(H0543-215)
$0 $0 $800 YesBrowse
Formulary
AARP Medicare Advantage Harmony (HMO)
(H0543-220)
$0 $0 $800 YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Focus (HMO)
(H0543-169)
$0 $0 $800 YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Plan 2 (HMO)
(H0543-138)
$0 $0 $1,500 YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Premier (HMO)
(H0543-165)
$29.70 $0 $800 YesBrowse
Formulary
Aetna Medicare Choice Plan (PPO)
(H5521-056)
$90.00 $0 $6,700 YesBrowse
Formulary
Aetna Medicare Plus Plan (HMO)
(H4982-001)
$0 $0 $899 YesBrowse
Formulary
Aetna Medicare Prime Plan (HMO)
(H0523-061)
$0 $0 $2,200 YesBrowse
Formulary
Aetna Medicare Select Plan (HMO)
(H0523-002)
$0 $0 $2,000 YesBrowse
Formulary
Anthem MediBlue Access (PPO)
(H8552-020)
$172.00 $370.00 $6,700 NoBrowse
Formulary
Anthem MediBlue Connect Plus (HMO)
(H0544-128)
$21.50 $480.00 $7,550 YesBrowse
Formulary
Anthem MediBlue Coordination Plus (HMO)
(H0544-072)
$2.10 $480.00 $7,550 YesBrowse
Formulary
Anthem MediBlue Extra (HMO)
(H0544-081)
$25.70 $480.00 $900 YesBrowse
Formulary
Anthem MediBlue Plus (HMO)
(H0544-061)
$0 $0 $7,550 YesBrowse
Formulary
Anthem MediBlue Select (HMO)
(H0544-058)
$0 $0 $900 YesBrowse
Formulary
Anthem MediBlue StartSmart Plus (HMO)
(H0544-007)
$0 $0 $3,000 NoBrowse
Formulary
Anthem MediBlue Value Plus (HMO)
(H0544-002)
$0 $0 $900 YesBrowse
Formulary
Astiva Health Advantage (HMO)
(H1993-001)
$0 $0 $845 YesToo NewBrowse
Formulary
Astiva Health Value (HMO)
(H1993-002)
$33.20 $480.00 $7,550 YesToo NewBrowse
Formulary
AVA (HMO)
(H3815-027)
$0 $0 $999 YesBrowse
Formulary
AVA (PPO)
(H4961-007)
$22.50 $0 $3,900 YesNABrowse
Formulary
AVA (PPO)
(H4961-008)
$22.00 $0 $3,900 YesNABrowse
Formulary
Blue Shield 65 Plus (HMO)
(H0504-015)
$0 $0 $999 YesBrowse
Formulary
Blue Shield 65 Plus Plan 2 (HMO)
(H0504-021)
$0 $0 $1,899 YesBrowse
Formulary
Blue Shield AdvantageOptimum Plan (HMO)
(H5928-004)
$0 $0 $999 YesBrowse
Formulary
Blue Shield Coordinated Choice Plan (HMO)
(H5928-037)
$33.20 $480.00 $6,700 YesBrowse
Formulary
Blue Shield Inspire (HMO)
(H0504-043)
$0 $0 $799 YesBrowse
Formulary
Blue Shield Vital (HMO)
(H0504-045)
$0 $0 $3,400 YesBrowse
Formulary
Brand New Day Classic Care I Plan (HMO)
(H0838-025)
$0 $0 $999 YesBrowse
Formulary
Brand New Day Classic Care II Plan (HMO)
(H0838-037)
$0 $50.00 $999 YesBrowse
Formulary
Brand New Day Classic Choice Plan (HMO)
(H0838-033)
$32.20 $480.00 $7,550 YesBrowse
Formulary
Brand New Day Part B Savings Plan (HMO)
(H0838-049)
$0 $0 $2,900 YesBrowse
Formulary
CalPlus (HMO)
(H3815-009)
$0 $480.00 $4,900 NoBrowse
Formulary
Central Health Medicare Plan (HMO)
(H5649-001)
$0 $0 $990 YesBrowse
Formulary
Central Health Premier Plan (HMO)
(H5649-004)
$33.20 $480.00 $6,700 YesBrowse
Formulary
Central Health Savings Plan (HMO)
(H5649-019)
$0 $0 $2,900 YesBrowse
Formulary
Clever Care Balance Medicare Advantage (HMO)
(H7607-003)
$33.20 $480.00 $5,999 YesToo NewBrowse
Formulary
Clever Care Fortune Medicare Advantage Plan (HMO)
(H7607-007)
$0 $0 $888 YesToo NewBrowse
Formulary
Clever Care Longevity Medicare Advantage (HMO)
(H7607-002)
$0 $0 $1,700 YesToo NewBrowse
Formulary
Clever Care Value Medicare Advantage Plan (HMO)
(H7607-008)
$0 $0 $3,000 YesToo NewBrowse
Formulary
Humana Gold Plus H5619-021 (HMO)
(H5619-021)
$0 $0 $900 YesBrowse
Formulary
Humana Value Plus H5619-037 (HMO)
(H5619-037)
$22.60 $480.00 $7,550 NoBrowse
Formulary
Imperial Dynamic Plan (HMO)
(H5496-012)
$0 $0 $899 YesBrowse
Formulary
Imperial Strong (HMO)
(H5496-014)
$0 $480.00 $7,550 NoBrowse
Formulary
Imperial Traditional (HMO)
(H5496-007)
$0 $0 $2,999 YesBrowse
Formulary
Imperial Traditional Plus (HMO)
(H5496-009)
$33.20 $480.00 $2,999 YesBrowse
Formulary
Inter Valley Health Plan Service To Seniors (HMO)
(H0545-001)
$0 $0 $1,000 YesBrowse
Formulary
Inter Valley Health Plan Vitality Plus (HMO)
(H0545-015)
$33.20 $480.00 $5,900 NoBrowse
Formulary
Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
(H0524-003)
$0 $0 $2,900 YesBrowse
Formulary
My Choice (HMO)
(H3815-001)
$0 $0 $998 YesBrowse
Formulary
Platinum (HMO)
(H3815-008)
$0 $0 $698 YesBrowse
Formulary
SCAN Classic (HMO)
(H5425-007)
$0 $0 $499 YesBrowse
Formulary
SCAN Plus (HMO)
(H5425-045)
$33.20 $480.00 $7,550 NoBrowse
Formulary
SCAN Prime (HMO)
(H5425-066)
$26.00 $0 $399 YesBrowse
Formulary
SCAN Venture (HMO)
(H5425-084)
$0 $0 $1,000 YesBrowse
Formulary
the ONE + Rite Aid (HMO)
(H3815-034)
$0 $0 $3,400 YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Assure (HMO)
(H0543-153)
$32.70 $480.00 $7,550 NoBrowse
Formulary
Wellcare Giveback (HMO)
(H5087-025)
$0 $0 $2,900 YesBrowse
Formulary
Wellcare Low Premium (HMO)
(H0562-123)
$18.00 $0 $2,400 YesBrowse
Formulary
Wellcare No Premium (HMO)
(H0562-125)
$0 $0 $850 YesBrowse
Formulary
Wellcare No Premium Best (HMO)
(H5087-005)
$0 $0 $1,000 YesBrowse
Formulary
Wellcare Plus (HMO)
(H5087-002)
$0 $480.00 $2,500 NoBrowse
Formulary
Wellcare Plus Sapphire I (HMO)
(H0562-122)
$33.20 $480.00 $3,450 NoBrowse
Formulary
Wellcare Plus Sapphire II (HMO)
(H3561-002)
$33.20 $480.00 $3,450 NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in California





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (HMO)
(H0543-121)
$0 Local HMO * $4,900
Aetna Medicare Eagle Plan (HMO)
(H4982-013)
$0 Local HMO * $4,200
Brand New Day Valor Care Plan (HMO)
(H0838-048)
$0 Local HMO * $4,500
Humana Honor (HMO)
(H5619-120)
$0 Local HMO * $6,700





2022 Medicare Special Needs Plans in Orange county California

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Align Connect (HMO C-SNP)     $0 $480.0  No Gap Coverage Chronic or Disabling ConditionToo New
Align Premier (HMO I-SNP)     $26.70 $480.0  No Gap Coverage InstitutionalToo New
Align Thrive (HMO I-SNP)     $0 $480.0  No Gap Coverage InstitutionalToo New
Anthem MediBlue Care On Site (HMO I-SNP)     $0 $0  Many Institutional
Anthem MediBlue Diabetes Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Anthem MediBlue ESRD Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Anthem MediBlue Heart Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Anthem MediBlue Lung Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Blue Shield TotalDual Plan (HMO D-SNP)     $33.20 $480.0  Few Generics Dual-Eligible
Brand New Day Bridges Care Plan (HMO C-SNP)     $0 $0  Some Generics Chronic or Disabling Condition
Brand New Day Bridges Choice Plan (HMO C-SNP)     $33.20 $480.0  Some Generics Chronic or Disabling Condition
Brand New Day Dual Access Plan (HMO D-SNP)     $32.90 $480.0  Some Generics Dual-Eligible
Brand New Day Embrace Care Plan (HMO C-SNP)     $0 $0  Some Generics Chronic or Disabling Condition
Brand New Day Embrace Choice Plan (HMO C-SNP)     $33.20 $480.0  Some Generics Chronic or Disabling Condition
Brand New Day Harmony Care Plan (HMO C-SNP)     $0 $100.0  Some Generics Chronic or Disabling Condition
Brand New Day Harmony Choice Plan (HMO C-SNP)     $33.20 $480.0  Some Generics Chronic or Disabling Condition
Brand New Day Select Care I Plan (HMO I-SNP)     $0 $0  Some Generics Institutional
Brand New Day Select Choice I Plan (HMO I-SNP)     $33.20 $480.0  Some Generics Institutional
Central Health Focus Plan (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Connected Care Select (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
ESRD Balance (HMO C-SNP)     $0 $0  Few Generics Chronic or Disabling Condition
Heart and Diabetes (HMO C-SNP)     $0 $0  Some Generics Chronic or Disabling Condition
Imperial Senior Value (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)     $31.40 $480.0  No Gap Coverage Dual-Eligible
OneCare (HMO D-SNP)     $30.80 $0  Many Dual-Eligible
SCAN Balance (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
SCAN Embrace (HMO I-SNP)     $0 $0  Many Institutional
SCAN Healthy at Home (HMO I-SNP)     $0 $0  Some Generics InstitutionalNA
SCAN Heart First (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
UnitedHealthcare Chronic Complete (HMO C-SNP)     $0 $0  Some Chronic or Disabling Condition
Wellcare Dual Liberty (HMO D-SNP)     $33.20 $480.0  No Gap Coverage Dual-Eligible
Wellcare Specialty No Premium (HMO C-SNP)     $0 $0  No Gap Coverage Chronic or Disabling Condition



Plan Type Is the type of organization offering the Medicare Plan.

  • 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
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

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 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, 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.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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