2022 San Joaquin County California
Medicare Advantage Plans
There are 26 Medicare Advantage Plans available in San Joaquin County CA from 10 different health insurance providers. 19 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 14 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 2.5 stars.
(Click the Plan Name for More Details)
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Medicare Advantage Health Plans Without Drug Coverage
|Plan Name ⇅||Premium||Type||MOOP||Overall
|Brand New Day Valor Care Plan (HMO)
||$0||Local HMO *||$4,500||Enroll|
2022 Medicare Special Needs Plans in San Joaquin county California
|Plan Name ⇅||Monthly
|Anthem MediBlue Dual Advantage (HMO D-SNP)||$18.80||$480.0||Some Generics||Dual-Eligible|
|Anthem MediBlue ESRD Care (PPO C-SNP)||$33.20||$130.0||Few Generics||Chronic or Disabling Condition|
|Blue Shield Inspire (HMO D-SNP)||$33.20||$480.0||Few Generics||Dual-Eligible|
|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 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|
|CalPlusDuals (HMO D-SNP)||$0||$480.0||No Gap Coverage||Dual-Eligible|
|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)||$9.90||$480.0||No Gap Coverage||Dual-Eligible|
|Imperial Dual Plan (HMO D-SNP)||$33.20||$480.0||Many||Dual-Eligible|
|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|
|Wellcare Dual Liberty (HMO D-SNP)||$7.30||$480.0||No Gap Coverage||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
- 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
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.