2022 Stanislaus County California
Medicare Advantage Plans

There are 32 Medicare Advantage Plans available in Stanislaus County CA from 11 different health insurance providers. 21 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. Stanislaus County California residents can also pick from 25 Medicare Special Needs Plans. The best Medicare Advantage plan in Stanislaus 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
AARP Medicare Advantage Choice (PPO)
(H4829-008)
$45.00 $0 $6,700 YesToo NewBrowse
Formulary
AARP Medicare Advantage SecureHorizons Focus (HMO)
(H0543-196)
$0 $0 $3,400 YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Plan 1 (HMO)
(H0543-036)
$99.00 $100.00 $3,400 YesBrowse
Formulary
AARP Medicare Advantage SecureHorizons Plan 2 (HMO)
(H0543-147)
$9.00 $0 $4,900 YesBrowse
Formulary
Aetna Medicare Elite Plan (PPO)
(H5521-293)
$0 $0 $6,700 YesBrowse
Formulary
AllCare Preferred Plan (HMO)
(H3815-011)
$0 $0 $999 YesBrowse
Formulary
Anthem MediBlue StartSmart Plus (HMO)
(H0544-121)
$0 $0 $3,400 NoBrowse
Formulary
Anthem MediBlue Value (HMO)
(H0544-107)
$0 $0 $3,400 YesBrowse
Formulary
Anthem MediBlue Value Plus (HMO)
(H0544-027)
$49.00 $0 $3,400 YesBrowse
Formulary
AVA (HMO)
(H3815-026)
$0 $0 $1,999 YesBrowse
Formulary
Balance (PPO)
(H4961-006)
$0 $0 $2,850 YesNABrowse
Formulary
Blue Shield AdvantageOptimum Plan (HMO)
(H5928-051)
$0 $0 $3,400 YesBrowse
Formulary
Blue Shield Coordinated Choice Plan (HMO)
(H5928-037)
$33.20 $480.00 $6,700 YesBrowse
Formulary
Blue Shield Inspire (HMO)
(H0504-047)
$0 $0 $3,400 YesBrowse
Formulary
Brand New Day Classic Care II Plan (HMO)
(H0838-037)
$0 $50.00 $999 YesBrowse
Formulary
CalPlus (HMO)
(H3815-009)
$0 $480.00 $4,900 NoBrowse
Formulary
Humana Gold Plus H5619-032 (HMO)
(H5619-032)
$0 $0 $3,400 NoBrowse
Formulary
Imperial Strong (HMO)
(H5496-014)
$0 $480.00 $7,550 NoBrowse
Formulary
Imperial Traditional (HMO)
(H5496-007)
$0 $0 $2,999 YesBrowse
Formulary
Imperial Traditional Plus (HMO)
(H5496-009)
$33.20 $480.00 $2,999 YesBrowse
Formulary
Kaiser Permanente Senior Advantage Basic Stanis (HMO)
(H0524-041)
$0 $0 $5,900 YesBrowse
Formulary
Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
(H0524-040)
$70.00 $0 $3,400 YesBrowse
Formulary
My Choice (HMO)
(H3815-006)
$0 $0 $2,900 YesBrowse
Formulary
My Choice (PPO)
(H4961-001)
$79.00 $0 $4,200 YesNABrowse
Formulary
SCAN Classic (HMO)
(H5425-069)
$0 $0 $2,900 YesBrowse
Formulary
SCAN Plus (HMO)
(H5425-071)
$33.20 $480.00 $7,550 NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Assure (HMO)
(H0543-185)
$30.20 $480.00 $7,550 NoBrowse
Formulary
Wellcare No Premium (HMO)
(H0562-120)
$0 $0 $3,450 NoBrowse
Formulary
Wellcare Plus Sapphire I (HMO)
(H0562-122)
$33.20 $480.00 $3,450 NoBrowse
Formulary
Wellcare Premium Ultra (HMO)
(H0562-009)
$121.00 $0 $6,700 NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in California





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
Humana Honor (HMO)
(H5619-121)
$0 Local HMO * $6,700
Wellcare Patriot Giveback (HMO)
(H0562-044)
$0 Local HMO * $3,400





2022 Medicare Special Needs Plans in Stanislaus 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 Care On Site (HMO I-SNP)     $0 $0  Many Institutional
Anthem MediBlue Connect (HMO D-SNP)     $1.70 $480.0  Many Dual-Eligible
Anthem MediBlue Diabetes (HMO C-SNP)     $59.00 $0  Many Chronic or Disabling Condition
Anthem MediBlue Diabetes Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Anthem MediBlue ESRD Care (PPO C-SNP)     $33.20 $130.0  Few Generics Chronic or Disabling Condition
Anthem MediBlue Heart (HMO C-SNP)     $59.00 $0  Many Chronic or Disabling Condition
Anthem MediBlue Heart Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Anthem MediBlue Lung (HMO C-SNP)     $59.00 $0  Many Chronic or Disabling Condition
Anthem MediBlue Lung Care (HMO C-SNP)     $0 $0  Many 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
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
Heart and Diabetes (HMO C-SNP)     $0 $0  Some Generics Chronic or Disabling Condition
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
SCAN Balance (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Wellcare Dual Liberty Amber (HMO D-SNP)     $33.20 $480.0  No Gap Coverage Dual-Eligible



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.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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