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The 2023 Medicare Advantage Plans in San Francisco County CA.



2022 San Francisco County California
Medicare Advantage Plans

There are 25 Medicare Advantage Plans available in San Francisco County CA from 11 different health insurance providers. 12 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 Francisco County California residents can also pick from 23 Medicare Special Needs Plans. The best Medicare Advantage plan in San Francisco 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
Aetna Medicare Elite Plan (PPO)
(H5521-293)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Plus Plan (HMO)
(H4982-007)

$0$0$3,400YesBrowse
Formulary
Anthem MediBlue Access (PPO)
(H8552-029)

$30.00$370.00$6,700NoBrowse
Formulary
Anthem MediBlue Select (HMO)
(H0544-069)

$0$0$7,550YesBrowse
Formulary
Brand New Day Classic Care II Plan (HMO)
(H0838-037)

$0$50.00$999YesBrowse
Formulary
Brand New Day Classic Choice Plan (HMO)
(H0838-033)

$32.20$480.00$7,550YesBrowse
Formulary
CalPlus (HMO)
(H3815-009)

$0$480.00$4,900NoBrowse
Formulary
CCHP Senior Program (HMO)
(H0571-001)

$42.00$0$6,700NoBrowse
Formulary
CCHP Senior Value Program (HMO)
(H0571-007)

$0$0$7,550NoBrowse
Formulary
Imperial Strong (HMO)
(H5496-014)

$0$480.00$7,550NoBrowse
Formulary
Imperial Traditional (HMO)
(H5496-007)

$0$0$2,999YesBrowse
Formulary
Imperial Traditional Plus (HMO)
(H5496-009)

$33.20$480.00$2,999YesBrowse
Formulary
Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
(H0524-032)

$79.00$0$4,900YesBrowse
Formulary
Kaiser Permanente Senior Advantage Basic SF (HMO)
(H0524-060)

$19.00$0$6,700YesBrowse
Formulary
My Choice (HMO)
(H3815-007)

$0$0$3,000YesBrowse
Formulary
SCAN Classic (HMO)
(H5425-019)

$35.00$0$5,000NoBrowse
Formulary
SCAN Plus (HMO)
(H5425-045)

$33.20$480.00$7,550NoBrowse
Formulary
Sutter Advantage (HMO)
(H3815-023)

$48.00$0$3,900YesBrowse
Formulary
UnitedHealthcare Canopy Health Medicare Advantage (HMO)
(H0543-191)

$39.00$0$3,500YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Assure (HMO)
(H0543-183)

$29.70$480.00$7,550NoBrowse
Formulary
Wellcare No Premium (HMO)
(H0562-097)

$0$0$4,400NoBrowse
Formulary
Wellcare Plus Sapphire II (HMO)
(H3561-002)

$33.20$480.00$3,450NoBrowse
Formulary
Wellcare Premium Ultra (HMO)
(H0562-009)

$121.00$0$6,700NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in California

San Joaquin County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Aetna Medicare Eagle Plan (HMO)
(H4982-013)

$0Local HMO *$4,200
Brand New Day Valor Care Plan (HMO)
(H0838-048)

$0Local HMO *$4,500





2022 Medicare Special Needs Plans in San Francisco county California

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Aetna Medicare Preferred Plan (HMO D-SNP) $22.20$425.0No Gap CoverageDual-Eligible
Align Connect (HMO C-SNP) $0$480.0No Gap CoverageChronic or Disabling ConditionToo New
Align Premier (HMO I-SNP) $26.70$480.0No Gap CoverageInstitutionalToo New
Align Thrive (HMO I-SNP) $0$480.0No Gap CoverageInstitutionalToo New
Anthem MediBlue Dual Advantage (HMO D-SNP) $31.10$480.0Some GenericsDual-Eligible
Anthem MediBlue Dual Plus (HMO D-SNP) $9.80$480.0Few GenericsDual-Eligible
Brand New Day Bridges Care Plan (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
Brand New Day Bridges Choice Plan (HMO C-SNP) $33.20$480.0Some GenericsChronic or Disabling Condition
Brand New Day Dual Access Plan (HMO D-SNP) $32.90$480.0Some GenericsDual-Eligible
Brand New Day Embrace Care Plan (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
Brand New Day Embrace Choice Plan (HMO C-SNP) $33.20$480.0Some GenericsChronic or Disabling Condition
Brand New Day Harmony Care Plan (HMO C-SNP) $0$100.0Some GenericsChronic or Disabling Condition
Brand New Day Harmony Choice Plan (HMO C-SNP) $33.20$480.0Some GenericsChronic or Disabling Condition
Brand New Day Select Care II Plan (HMO I-SNP) $0$0Some GenericsInstitutional
Brand New Day Select Choice II Plan (HMO I-SNP) $33.20$480.0Some GenericsInstitutional
CalPlusDuals (HMO D-SNP) $0$480.0No Gap CoverageDual-Eligible
CCHP Senior Select Program (HMO D-SNP) $33.20$480.0No Gap CoverageDual-Eligible
Heart and Diabetes (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
Imperial Dual Plan (HMO D-SNP) $33.20$480.0ManyDual-Eligible
Imperial Senior Value (HMO C-SNP) $0$0ManyChronic or Disabling Condition
Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP) $31.40$480.0No Gap CoverageDual-Eligible
Wellcare Dual Liberty (HMO D-SNP) $33.20$480.0No Gap CoverageDual-Eligible
Wellcare Specialty No Premium (HMO C-SNP) $0$0No Gap CoverageChronic 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.


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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.