2022 San Diego County California
Medicare Advantage Plans

There are 59 Medicare Advantage Plans available in San Diego County CA from 15 different health insurance providers. 39 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $845 and the highest out of pocket is $7550. San Diego County California residents can also pick from 21 Medicare Special Needs Plans. The best Medicare Advantage plan in San Diego 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
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AARP Medicare Advantage SecureHorizons Plan 4 (HMO)
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$0 $0 $3,400 YesEnroll
AARP Medicare Advantage SecureHorizons Premier (HMO)
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$69.00 $0 $4,300 YesEnroll
AARP Medicare Advantage SecureHorizons Value (HMO)
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$25.00 $0 $5,300 YesEnroll
Aetna Medicare Choice Plan (PPO)
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$90.00 $0 $6,700 YesEnroll
Aetna Medicare Plus Plan (HMO)
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$0 $0 $2,000 YesEnroll
Aetna Medicare Plus Plan 2 (HMO)
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$19.30 $220.00 $7,550 NoEnroll
Aetna Medicare Select Plan (HMO)
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$0 $0 $3,400 YesEnroll
Anthem MediBlue Coordination Plus (HMO)
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$3.70 $480.00 $7,550 YesEnroll
Anthem MediBlue Extra (HMO)
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$25.70 $480.00 $900 YesEnroll
Anthem MediBlue Plus (HMO)
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$0 $0 $3,400 YesEnroll
Anthem MediBlue Select (HMO)
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$0 $0 $2,500 YesEnroll
Astiva Health Advantage (HMO)
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$0 $0 $845 YesToo NewEnroll
Astiva Health Value (HMO)
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$33.20 $480.00 $7,550 YesToo NewEnroll
AVA (HMO)
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$0 $0 $999 YesEnroll
AVA (PPO)
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$22.50 $0 $3,900 YesNAEnroll
Blue Shield 65 Plus (HMO)
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$0 $0 $3,399 YesEnroll
Blue Shield AdvantageOptimum Plan 1 (HMO)
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$0 $0 $3,400 YesEnroll
Blue Shield AdvantageOptimum Plan 2 (HMO)
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$0 $0 $3,400 YesEnroll
Blue Shield Coordinated Choice Plan (HMO)
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$33.20 $480.00 $6,700 YesEnroll
Brand New Day Classic Care I Plan (HMO)
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$0 $0 $999 YesEnroll
Brand New Day Classic Care II Plan (HMO)
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$0 $50.00 $999 YesEnroll
Brand New Day Classic Choice Plan (HMO)
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$32.20 $480.00 $7,550 YesEnroll
Brand New Day Part B Savings Plan (HMO)
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$0 $0 $2,900 YesEnroll
CalPlus (HMO)
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$0 $480.00 $4,900 NoEnroll
Clever Care Balance Medicare Advantage (HMO)
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$33.20 $480.00 $5,999 YesToo NewEnroll
Clever Care Fortune Medicare Advantage Plan (HMO)
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$0 $0 $888 YesToo NewEnroll
Clever Care Longevity Medicare Advantage (HMO)
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$0 $0 $1,700 YesToo NewEnroll
Clever Care Value Medicare Advantage Plan (HMO)
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$0 $0 $3,000 YesToo NewEnroll
Harmony (HMO)
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$0 $0 $2,900 YesEnroll
Humana Gold Plus H5619-016 (HMO)
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$0 $0 $3,200 NoEnroll
Humana Value Plus H5619-037 (HMO)
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$22.60 $480.00 $7,550 NoEnroll
Imperial Dynamic Plan (HMO)
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$0 $0 $899 YesEnroll
Imperial Strong (HMO)
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$0 $480.00 $7,550 NoEnroll
Imperial Traditional (HMO)
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$0 $0 $2,999 YesEnroll
Imperial Traditional Plus (HMO)
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$33.20 $480.00 $2,999 YesEnroll
Kaiser Permanente Senior Advantage San Diego (HMO)
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$0 $0 $3,400 YesEnroll
Molina Medicare Choice Care (HMO)
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$0 $125.00 $7,550 NoEnroll
Molina Medicare Choice Care Select (HMO)
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$0 $480.00 $7,550 NoEnroll
Platinum (HMO)
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$0 $0 $998 YesEnroll
SCAN Alta (HMO)
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$0 $0 $900 YesEnroll
Scripps Classic offered by SCAN Health Plan (HMO)
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$0 $0 $3,400 YesEnroll
Scripps Plus offered by SCAN Health Plan (HMO)
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$33.20 $480.00 $7,550 NoEnroll
Scripps Signature offered by SCAN Health Plan (HMO)
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$74.00 $0 $2,500 YesEnroll
Select (HMO)
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$0 $0 $3,400 YesEnroll
Sharp Direct Advantage Gold Card (HMO)
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$0 $0 $2,900 NoEnroll
Sharp Direct Advantage Platinum Card (HMO)
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$58.00 $0 $2,900 NoEnroll
Sharp Direct Advantage VIP Plan (HMO)
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$0 $0 $2,900 NoEnroll
Sharp SecureHorizons Plan by UnitedHealthcare (HMO)
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$0 $0 $3,400 YesEnroll
Sharp Walgreens by UnitedHealthcare (HMO)
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$0 $0 $2,900 YesEnroll
the ONE + Rite Aid (HMO)
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$0 $0 $3,400 YesEnroll
UC San Diego Health Humana (HMO)
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$0 $0 $2,800 NoEnroll
UnitedHealthcare Medicare Advantage Assure (HMO)
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$24.00 $480.00 $7,550 NoEnroll
Wellcare No Premium (HMO)
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$0 $0 $3,000 NoEnroll
Wellcare Plus Sapphire I (HMO)
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$33.20 $480.00 $3,450 NoEnroll
Wellcare Plus Sapphire II (HMO)
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$33.20 $480.00 $3,450 NoEnroll


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Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
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AARP Medicare Advantage Patriot (HMO)
$0 Local HMO * $4,900 Enroll
Aetna Medicare Eagle Plan (HMO)
$0 Local HMO * $4,200 Enroll
Brand New Day Valor Care Plan (HMO)
$0 Local HMO * $4,500 Enroll
Humana Honor (HMO)
$0 Local HMO * $6,700 Enroll





2022 Medicare Special Needs Plans in San Diego 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 ESRD Care (PPO C-SNP)     $33.20 $130.0  Few Generics 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 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 II Plan (HMO I-SNP)     $0 $0  Some Generics Institutional
Brand New Day Select Choice II Plan (HMO I-SNP)     $33.20 $480.0  Some Generics Institutional
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
Molina Medicare Complete Care (HMO D-SNP)     $33.20 $480.0  No Gap Coverage Dual-Eligible
Scripps Heart First offered by SCAN Health Plan (HMO C-SN     $26.00 $0  Some Generics Chronic or Disabling Condition
UnitedHealthcare Chronic Complete Focus (HMO C-SNP)     $0 $0  Some Generics 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 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
  • 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.


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