H0523-095-000 HMO
Exact segment geography Aetna Medicare Chronic Care (HMO C-SNP)
Aetna Medicare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,600 in-network
- Drug coverage
- Reported
H0523-095-000 — Open exact plan page → H0523-099-000 HMO
Exact segment geography Aetna Medicare Eagle (HMO)
Aetna Medicare
- Premium
- $0 / month
- MOOP
- $4,450 in-network
- Drug coverage
- Not reported
H0523-099-000 — Open exact plan page → H4982-007-000 HMO
Exact segment geography Aetna Medicare Signature (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $10 / month
- MOOP
- $3,900 in-network
- Drug coverage
- Reported
H4982-007-000 — Open exact plan page → H0523-070-000 HMO
Exact segment geography Aetna Medicare Signature Extra (HMO)
Aetna Medicare
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,600 in-network
- Drug coverage
- Reported
H0523-070-000 — Open exact plan page → H3274-002-000 HMO
Exact segment geography Premier Care (HMO I-SNP)
Align Senior Care
InstitutionalPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $1,900 in-network
- Drug coverage
- Reported
H3274-002-000 — Open exact plan page → H3274-001-000 HMO
Exact segment geography Senior Care (HMO I-SNP)
Align Senior Care
InstitutionalPrescription-drug coverage reported
- Premium
- $7.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3274-001-000 — Open exact plan page → H3815-041-000 HMO
Exact segment geography Alignment Health BreathEasy Plus 041 (HMO C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3815-041-000 — Open exact plan page → H3815-042-000 HMO
Exact segment geography Alignment Health Clarity Plus 042 (HMO C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $7.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3815-042-000 — Open exact plan page → H3815-030-000 HMO
Exact segment geography Alignment Health Duals+ 030 (HMO D-SNP)
Alignment Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $7.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3815-030-000 — Open exact plan page → H3815-010-000 HMO
Exact segment geography Alignment Health Heart & Diabetes 010 (HMO C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $1,900 in-network
- Drug coverage
- Reported
H3815-010-000 — Open exact plan page → H3815-048-000 HMO
Exact segment geography Alignment Health Heart & Diabetes 048 (HMO C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $1,990 in-network
- Drug coverage
- Reported
H3815-048-000 — Open exact plan page → H3815-051-000 HMO
Exact segment geography Alignment Health Heart & Diabetes 051 (HMO C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0.10 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3815-051-000 — Open exact plan page → H3815-039-000 HMO
Exact segment geography Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)
Alignment Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $7.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3815-039-000 — Open exact plan page → H3815-060-000 HMO
Exact segment geography Alignment Health Honor Plus 060 (HMO)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $7.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3815-060-000 — Open exact plan page → H3815-050-000 HMO
Exact segment geography Alignment Health My Choice 050 (HMO)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,499 in-network
- Drug coverage
- Reported
H3815-050-000 — Open exact plan page → H3815-016-000 HMOPOS
Exact segment geography Alignment Health Platinum + Instacart 016 (HMO-POS)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $1,100 in-network
- Drug coverage
- Reported
H3815-016-000 — Open exact plan page → H3815-023-000 HMO
Exact segment geography Alignment Health Sutter Advantage +More (HMO)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $50 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H3815-023-000 — Open exact plan page → H3815-031-000 HMO
Exact segment geography Central Health Harmony 031 (HMO)
Alignment Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,400 in-network
- Drug coverage
- Reported
H3815-031-000 — Open exact plan page → H4471-010-002 HMO
Exact segment geography Anthem Full Dual Advantage Aligned (HMO D-SNP)
Anthem Blue Cross
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H4471-010-002 — Open exact plan page → H0544-069-000 HMOPOS
Exact segment geography Anthem Select (HMO-POS)
Anthem Blue Cross
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $7,550 in-network
- Drug coverage
- Reported
H0544-069-000 — Open exact plan page → H4161-004-000 HMOPOS
Exact segment geography Anthem Prime (HMO-POS)
Anthem Blue Cross Partnership Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $2,500 in-network
- Drug coverage
- Reported
H4161-004-000 — Open exact plan page → H0571-001-000 HMO
Exact segment geography CCHP Senior Program (HMO)
CCHP (Chinese Community Health Plan)
Prescription-drug coverage reported
- Premium
- $38 / month
- MOOP
- $3,000 in-network
- Drug coverage
- Reported
H0571-001-000 — Open exact plan page → H0571-005-000 HMO
Exact segment geography CCHP Senior Select Program (HMO D-SNP)
CCHP (Chinese Community Health Plan)
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0571-005-000 — Open exact plan page → H0571-007-000 HMO
Exact segment geography CCHP Senior Value Program (HMO)
CCHP (Chinese Community Health Plan)
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $3,500 in-network
- Drug coverage
- Reported
H0571-007-000 — Open exact plan page → H5525-079-000 Local PPO
Exact segment geography Humana USAA Honor Giveback (PPO)
Humana
- Premium
- $0 / month
- MOOP
- $6,500 in-network
- Drug coverage
- Not reported
H5525-079-000 — Open exact plan page → H5525-087-000 Local PPO
Exact segment geography HumanaChoice H5525-087 (PPO)
Humana
Prescription-drug coverage reported
- Premium
- $96 / month
- MOOP
- $7,150 in-network
- Drug coverage
- Reported
H5525-087-000 — Open exact plan page → H5496-016-000 HMO
Exact segment geography Imperial Courage Plan (HMO)
Imperial Health Plan of California, Inc.
- Premium
- $0 / month
- MOOP
- $2,999 in-network
- Drug coverage
- Not reported
H5496-016-000 — Open exact plan page → H5496-012-000 HMO
Exact segment geography Imperial Dynamic Plan (HMO)
Imperial Health Plan of California, Inc.
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $295 in-network
- Drug coverage
- Reported
H5496-012-000 — Open exact plan page → H5496-017-000 HMO
Exact segment geography Imperial Flex (HMO C-SNP)
Imperial Health Plan of California, Inc.
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $2.70 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5496-017-000 — Open exact plan page → H5496-005-000 HMO
Exact segment geography Imperial Senior Value (HMO C-SNP)
Imperial Health Plan of California, Inc.
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $295 in-network
- Drug coverage
- Reported
H5496-005-000 — Open exact plan page → H8794-019-000 HMO
Exact segment geography Kaiser Permanente Dual Complete North P19 (HMO D-SNP)
Kaiser Permanente
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8794-019-000 — Open exact plan page → H0524-032-000 HMO
Exact segment geography Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
Kaiser Permanente
Prescription-drug coverage reported
- Premium
- $105 / month
- MOOP
- $3,900 in-network
- Drug coverage
- Reported
H0524-032-000 — Open exact plan page → H0524-060-000 HMO
Exact segment geography Kaiser Permanente Senior Advantage Basic SF (HMO)
Kaiser Permanente
Prescription-drug coverage reported
- Premium
- $28 / month
- MOOP
- $6,000 in-network
- Drug coverage
- Reported
H0524-060-000 — Open exact plan page → H1622-003-000 National Pace
Exact segment geography NEMS PACE – Medicare Only (PACE)
North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H1622-003-000 — Open exact plan page → H1622-001-000 National Pace
Exact segment geography NEMS PACE (PACE)
North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE)
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H1622-001-000 — Open exact plan page → H5403-001-000 National Pace
Exact segment geography On Lok PACE (Dual Eligibles) (PACE)
On Lok PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H5403-001-000 — Open exact plan page → H5403-002-000 National Pace
Exact segment geography On Lok PACE (Medicare Only) (PACE)
On Lok PACE
Prescription-drug coverage reported
- Premium
- Not reported
- MOOP
- Not reported
- Drug coverage
- Reported
H5403-002-000 — Open exact plan page → H8051-001-000 HMO
Exact segment geography SFHP Care Plus (HMO D-SNP)
San Francisco Health Plan
Dual-EligiblePrescription-drug coverage reported
- Premium
- $7.30 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H8051-001-000 — Open exact plan page → H5425-118-000 HMO
Exact segment geography SCAN Allied (HMO)
SCAN Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $2,900 in-network
- Drug coverage
- Reported
H5425-118-000 — Open exact plan page → H5425-106-000 HMO
Exact segment geography SCAN Balance (HMO C-SNP)
SCAN Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $1,900 in-network
- Drug coverage
- Reported
H5425-106-000 — Open exact plan page → H5425-019-000 HMO
Exact segment geography SCAN Classic (HMO)
SCAN Health Plan
Prescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $2,500 in-network
- Drug coverage
- Reported
H5425-019-000 — Open exact plan page → H5425-140-000 HMO
Exact segment geography SCAN Costco Medicare Advantage (HMO)
SCAN Health Plan
Prescription-drug coverage reported
- Premium
- $2 / month
- MOOP
- $2,500 in-network
- Drug coverage
- Reported
H5425-140-000 — Open exact plan page → H5425-149-000 HMO
Exact segment geography SCAN Inclusive (HMO)
SCAN Health Plan
Prescription-drug coverage reported
- Premium
- $2 / month
- MOOP
- $2,500 in-network
- Drug coverage
- Reported
H5425-149-000 — Open exact plan page → H5425-098-000 HMO
Exact segment geography SCAN Strive (HMO C-SNP)
SCAN Health Plan
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H5425-098-000 — Open exact plan page → H5425-147-000 HMO
Exact segment geography Sutter Senior Advantage, a SCAN Medicare Plan (HMO)
SCAN Health Plan
Prescription-drug coverage reported
- Premium
- $49 / month
- MOOP
- $4,900 in-network
- Drug coverage
- Reported
H5425-147-000 — Open exact plan page → H0543-191-000 HMOPOS
Exact segment geography AARP Medicare Advantage from UHC CA-9 (HMO-POS)
UnitedHealthcare
Prescription-drug coverage reported
- Premium
- $71 / month
- MOOP
- $5,900 in-network
- Drug coverage
- Reported
H0543-191-000 — Open exact plan page → H0543-249-000 HMOPOS
Exact segment geography UHC Complete Care Support CA-8AP (HMO-POS C-SNP)
UnitedHealthcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H0543-249-000 — Open exact plan page → H3561-009-000 HMO
Exact segment geography Wellcare Health Net Dual Liberty (HMO D-SNP)
Wellcare
Dual-EligiblePrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,850 in-network
- Drug coverage
- Reported
H3561-009-000 — Open exact plan page → H0562-097-000 HMO
Exact segment geography Wellcare Low Premium Focus (HMO)
Wellcare
Prescription-drug coverage reported
- Premium
- $30.50 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H0562-097-000 — Open exact plan page → H0562-138-000 HMO
Exact segment geography Wellcare Specialty Simple Focus (HMO C-SNP)
Wellcare
Chronic or Disabling ConditionPrescription-drug coverage reported
- Premium
- $0 / month
- MOOP
- $9,250 in-network
- Drug coverage
- Reported
H0562-138-000 — Open exact plan page →