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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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Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage SecureHorizons Plan 1 (HMO)

Anthem MediBlue Coordination Plus (HMO)

Anthem MediBlue Plus (HMO)

Blue Shield Inspire (HMO)

Brand New Day Classic Care II Plan (HMO)

Brand New Day Classic Choice Plan (HMO)

CCHP Senior Program (HMO)

CCHP Senior Value Program (HMO)

Central Health San Mateo Medicare Plan (HMO)

Essence Advantage Gold (HMO)

Essence Advantage Platinum (HMO)

Imperial Strong (HMO)

Imperial Traditional (HMO)

Imperial Traditional Plus (HMO)

Kaiser Permanente Senior Advantage Basic San Mateo (HMO)

Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)

My Choice (PPO)

SCAN Classic (HMO)

Sutter Advantage (HMO)


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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)

$0Local HMO *$4,500

2022 Medicare Special Needs Plans in San Mateo county California

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
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
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 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
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
SCAN Balance (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
SCAN Heart First (HMO C-SNP) $0$0Some GenericsChronic 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

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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MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

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.