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The 2023 Medicare Advantage Plans in San Mateo County CA.
2022 San Mateo County California
Medicare Advantage Plans
There are 20 Medicare Advantage Plans available in San Mateo County CA from 11 different health insurance providers. 16 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 Mateo County California residents can also pick from 15 Medicare Special Needs Plans. The best Medicare Advantage plan in San Mateo County California received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars.
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Return to 2022 Medicare Advantage Plans in California
Santa Barbara County Medicare Advantage
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|
2022 Medicare Special Needs Plans in San Mateo county California
|Plan Name ⇅||Monthly
|Align Connect (HMO C-SNP)||$0||$480.0||No Gap Coverage||Chronic or Disabling Condition||Too New|
|Align Premier (HMO I-SNP)||$26.70||$480.0||No Gap Coverage||Institutional||Too New|
|Align Thrive (HMO I-SNP)||$0||$480.0||No Gap Coverage||Institutional||Too New|
|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|
|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|
|SCAN Balance (HMO C-SNP)||$0||$0||Some Generics||Chronic or Disabling Condition|
|SCAN Heart First (HMO C-SNP)||$0||$0||Some Generics||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
- 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.