2022 San Luis Obispo County California
Medicare Advantage Plans

There are 8 Medicare Advantage Plans available in San Luis Obispo County CA from 4 different health insurance providers. 6 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 $6700. San Luis Obispo County California residents can also pick from 7 Medicare Special Needs Plans. The best Medicare Advantage plan in San Luis Obispo County California received a 4 overall star rating from CMS and the lowest rated plan is 4 stars.



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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





2022 Medicare Special Needs Plans in San Luis Obispo 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
CalPlusDuals (HMO D-SNP)     $0 $480.0  No Gap Coverage Dual-Eligible
Connected Care Select (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)     $9.90 $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

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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