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The 2021 Medicare Advantage Plans in San Bernardino County CA.
2014 Medicare Advantage Plans in San Bernardino County California
There are 29 Medicare Advantage Plans available in San Bernardino County CA from 15 health insurance providers and 24 Special Needs Plans available. 20 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2200 and the highest out of pocket is $6700. The highest rated plan available in San Bernardino County received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.
(Click the Plan Name for More Details)
* Plan Type Indicates plan does not offer Part D drug coverage.
Medicare Special Needs Plans in San Bernardino county California
| Plan Name | Type | Consolidated Premium C+D | Part D Deductible |
Gap | Special Needs Type | Overall Rating |
| Brand New Day Dementia with Enhanced Drug Benefits (HMO SNP) (H0838- 028) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| Brand New Day Dementia with Extra Care (HMO SNP) (H0838- 029) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Chronic or Disabling Condition | |
| Brand New Day Diabetes with Enhanced Drug Benefits (HMO SNP) (H0838- 026) |
Local HMO | $0 | $0 | Many Generics | Chronic or Disabling Condition | |
| Brand New Day Diabetes with Extra Care (HMO SNP) (H0838- 027) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Chronic or Disabling Condition | |
| Brand New Day Dual Coverage (HMO SNP) (H0838- 024) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Brand New Day for Mental Illness (HMO SNP) (H0838- 020) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Chronic or Disabling Condition | |
| Care1st TotalDual Plan (HMO SNP) (H5928- 005) |
Local HMO | $21.90 | $310.00 | Few Generics | Dual-Eligible | |
| CareMore Breathe (HMO SNP) (H0544- 019) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| CareMore ESRD (HMO SNP) (H0544- 020) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| CareMore Heart (HMO SNP) (H0544- 038) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| CareMore Reliance (HMO SNP) (H0544- 010) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| Central Health Medi-Medi Plan (HMO SNP) (H5649- 002) |
Local HMO | $28.10 | $310.00 | Many Generics | Dual-Eligible | |
| Health Net Jade (HMO SNP) (H0562- 092) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| Health Net Seniority Plus Amber I (HMO SNP) (H0562- 055) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Health Net Seniority Plus Amber II (HMO SNP) (H0562- 070) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Heart First (HMO SNP) (H5425- 033) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| IEHP Medicare DualChoice (HMO SNP) (H5640- 001) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Dual-Eligible | |
| Molina Medicare Options Plus (HMO SNP) (H5810- 001) |
Local HMO | $21.60 | $310.00 | No Gap Coverage | Dual-Eligible | |
| SCAN Balance (HMO SNP) (H5425- 035) |
Local HMO | $0 | $0 | Many Generics, Few Brands | Chronic or Disabling Condition | |
| SCAN Connections (HMO SNP) (H5425- 012) |
Local HMO | $23.90 | $310.00 | No Gap Coverage | Dual-Eligible | |
| SCAN Connections at Home (HMO SNP) (H5425- 031) |
Local HMO | $27.40 | $310.00 | No Gap Coverage | Dual-Eligible | |
| SCAN Healthy at Home (HMO SNP) (H9104- 006) |
Local HMO | $0 | $0 | Many Generics | Institutional | |
| Senior Advantage Medicare Medi-Cal Plan South (HMO SNP) (H0524- 029) |
Local HMO | $14.40 | $0 | No Gap Coverage | Dual-Eligible | |
| VillageHealth (HMO-POS SNP) (H5943- 001) |
Local HMO | $28.10 | $310.00 | No Gap Coverage | Chronic or Disabling Condition | NA |
Source: CMS.
Plans as of September 3, 2013.
Plans are subject to change as contracts are finalized.
Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.
Plan Type Is the type of organization offering the Medicare Plans.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescrition 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 plan 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 plans; 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 TypeEnhanced Alternative plans 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.
GAPCoverage gap ("donut hole"). This means there's a temporary limit on what the drug plan will cover for drugs. (Unless you get the low-income subsidy) Once you reach the coverage gap in 2014, you will pay 47.5% of the plan's cost for covered brand-name prescription drugs. You get these savings if you buy your prescriptions at a pharmacy or order them through the mail.
Additional gap coverage levels are determined separately for formulary generic and brand products and are described as follows:
- All: 100% of formulary drugs are covered through the gap
- Many: 65% to 100% of formulary drugs are covered through the gap
- Some: 10% to 65 % of formulary drugs are covered through the gap
- Few: 0% to 10% of formulary drugs are covered through the gap (and must also be >15 "brand" products covered through the gap)
- No Gap Coverage: 0% of formulary drugs are covered through the gap (or 15 "brand" products covered through the gap)
- All Formulary Drugs: cover 100% of “generic” and 100% of “brand” products (either by covering all formulary drug products in the gap or by having no initial coverage limit)
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
