Medicare Advantage Plans for California

5,448,447 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? California Enrollees
Astiva Health Astiva Health Savings Plan (HMO)
H1993-001-0 		HMO $0 per Month No $0 No 388
SCAN Health Plan SCAN Classic (HMO)
H5425-069-0 		HMO $120 per Quarter Yes $480 Yes No No Yes No No 387
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H0523-805-0 		HMO No $0 No 385
Sutter SeniorCare PACE Sutter SeniorCare (PACE)
H5406-001-0 		National PACE No $0 No 373
SCAN Health Plan SCAN Prime (HMO)
H5425-066-0 		HMO $100 per Quarter Yes $400 Yes $3,000 No No Yes No No 372
Alignment Health Plan Alignment Health Select (HMO)
H3815-032-0 		HMO $75 per Quarter No $300 Yes $1,000 No No No Yes Yes 365
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-292-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 364
Central Health Medicare Plan Central Health Ventura Medi-Medi Plan (HMO D-SNP)
H5649-009-0 		HMO $47 per Month No $0 Yes $3,000 No No No Yes Yes 362
Wellcare Wellcare Giveback Focus (HMO)
H5087-028-0 		HMO $56 per Quarter No $224 Yes $2,000 No No Yes Yes Yes 359
Humana Humana USAA Honor with Rx (PPO)
H5525-057-0 		Local PPO No $0 Yes No No Yes No No 358
Alignment Health Plan Alignment Health My Choice (PPO)
H4961-003-0 		Local PPO $60 per Quarter No $240 No 356
Alignment Health Plan Alignment Health CalPlus + Veterans (HMO)
H3815-036-0 		HMO No $0 Yes $600 No No No No No 355
UnitedHealthcare UnitedHealthcare Chronic Complete (HMO-POS C-SNP)
H0543-218-0 		HMOPOS $80 per Quarter No $320 Yes Yes No Yes Yes No 352
SCAN Health Plan SCAN Affirm partnered with Included LGBTQ+ Health (HMO)
H5425-093-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 351
Alignment Health Plan Alignment Health Balance (PPO)
H4961-006-0 		Local PPO $65 per Quarter No $260 No 349
Alignment Health Plan Alignment Health My Choice (HMO)
H3815-029-0 		HMO $95 per Quarter No $380 Yes $1,000 No No No Yes Yes 333
SCAN Health Plan SCAN Prime (HMO)
H5425-068-0 		HMO $100 per Quarter Yes $400 Yes $3,000 No No Yes No No 326
VillageHealth VillageHealth (HMO-POS C-SNP)
H5943-002-0 		HMOPOS $200 per Quarter No $800 No 325
Aetna Medicare Aetna Medicare Plus Plan (HMO)
H4982-012-0 		HMO $75 per Quarter No $300 Yes $2,500 No No Yes No No 314
Humana HumanaChoice H5525-056 (PPO)
H5525-056-0 		Local PPO No $0 Yes No No Yes No No 306
Clever Care Health Plan Clever Care Jasmine Medicare Advantage (HMO C-SNP)
H7607-011-5 		HMO $275 per Quarter No $1,100 Yes $1,200 Yes No No Yes No 295
WelbeHealth WelbeHealth Sequoia PACE (PACE)
H2384-001-0 		National PACE No $0 No 287
Aspire Health Aspire Health Group Plus (HMO-POS)
H8764-801-0 		HMOPOS No $0 No 284
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 282
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-866-0 		Local PPO No $0 No 280
Wellcare by Health Net Wellcare Specialty No Premium (HMO C-SNP)
H0562-114-0 		HMO $56 per Quarter No $224 Yes $1,500 No No Yes Yes Yes 278
Blue Shield of California Blue Shield 65 Plus (HMO)
H0504-804-0 		HMO No $0 No 272
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 265
Anthem Blue Cross Anthem MediBlue Diabetes (HMO C-SNP)
H0544-032-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 262
Alignment Health Plan Alignment Health AVA (HMO-POS)
H3815-026-0 		HMOPOS $215 per Quarter No $860 Yes $1,000 No No No No No 257
Kaiser Permanente Kaiser Permanente Senior Advantage Ventura Value (HMO)
H0524-083-0 		HMO $120 per Quarter No $480 Yes $2,000 No No No No No 249
SCAN Health Plan SCAN Options (HMO)
H5425-073-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 248
UnitedHealthcare UnitedHealthcare Chronic Complete Focus (HMO-POS C-SNP)
H0543-214-0 		HMOPOS $50 per Quarter No $200 Yes Yes No Yes Yes No 247
CCA Health California CCA Medicare Excel (HMO)
H1426-002-0 		HMO $120 per Quarter No $480 Yes $1,000 Yes No No Yes No 243
Western Health Advantage Western Health Advantage MyCare EGWP (HMO)
H2782-801-0 		HMO No $0 No 243
Gary and Mary West PACE Gary and Mary West Senior Services, Inc (PACE)
H3563-001-0 		National PACE No $0 No 240
SCAN Health Plan SCAN Classic (HMO)
H5425-078-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 239
Redwood Coast PACE Redwood Coast PACE-Dual (PACE)
H3517-001-0 		National PACE No $0 No 226
Aetna Medicare Aetna Medicare Plus Plan (HMO)
H4982-011-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 225
Anthem Blue Cross Anthem MediBlue Lung Care (HMO C-SNP)
H0544-019-0 		HMO $125 per Quarter Yes $500 Yes $3,000 Yes No Yes Yes No 224
CalOptima PACE CalOptima PACE (PACE)
H7501-001-0 		National PACE No $0 No 220
WelbeHealth WelbeHealth Pacific PACE (PACE)
H0934-001-0 		National PACE No $0 No 220
WelbeHealth WelbeHealth Coastline PACE (PACE)
H1544-001-0 		National PACE No $0 No 219
Brandman Centers for Senior Care Brandman Centers for Senior Care-Dual (PACE)
H7855-001-0 		National PACE No $0 No 218
Anthem Blue Cross Partnership Plan Anthem MediBlue Prime (HMO)
H4161-005-0 		HMO $50 per Quarter Yes $200 Yes $3,000 Yes No Yes Yes No 210
Astiva Health Astiva Health C-SNP Savings (HMO C-SNP)
H1993-007-0 		HMO $25 per Month Yes $0 Yes $1,500 Yes No No Yes Yes 208
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0 		HMO $200 per Quarter No $800 Yes $2,000 No No No No No 208
Brand New Day Brand New Day Bridges Care Plan (HMO C-SNP)
H0838-028-0 		HMO $135 per Quarter No $540 Yes No No Yes Yes No 208
Blue Shield of California Blue Shield Select (PPO)
H4937-002-0 		Local PPO $40 per Quarter No $160 Yes $1,000 No No No No No 207
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-872-0 		Local PPO No $0 No 205

Top 20 Medicare Advantage Insurance Companyes for California

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Kaiser Permanente 1,341,482 951,016 29,727
UnitedHealthcare 517,257 318,527 389,899
SCAN Health Plan 277,223 276,738 279,635
Anthem Blue Cross 127,597 117,983 117,139
Blue Shield of California 121,275 83,203 85,394
Humana 111,329 187,340 214,637
Wellcare by Health Net 86,719 107,711 111,553
Alignment Health Plan 80,388 106,003 81,566
Wellcare 78,487 37,066 68,803
Aetna Medicare 75,316 47,767 49,897
Brand New Day 70,233 71,594 72,412
Anthem Blue Cross and Blue Shield 59,320 0 0
Central Health Medicare Plan 33,166 50,117 50,117
IEHP DualChoice 31,869 34,632 0
Anthem Blue Cross Partnership Plan 23,687 43,694 43,694
Anthem Blue Cross Life and Health Insurance Co. 20,245 9,860 19,126
L.A. Care Health Plan 17,216 18,426 0
CalOptima Health OneCare 17,184 17,720 17,720
Molina Healthcare of California 11,767 19,236 19,164
Sharp Health Plan 11,224 10,972 10,972

Counties in California

County Medicare Advantage Enrolless
Alameda 213,372
Alpine 127
Amador 9,031
Butte 35,450
Calaveras 9,649
Colusa 2,922
Contra Costa 174,431
Del Norte 4,822
El Dorado 38,307
Fresno 118,459
Glenn 4,221
Humboldt 22,603
Imperial 25,680
Inyo 3,304
Kern 101,816
Kings 13,888
Lake 12,304
Lassen 3,542
Los Angeles 1,339,158
Madera 20,782
Marin 51,041
Mariposa 3,306
Mendocino 17,415
Merced 29,130
Modoc 1,682
Mono 1,471
Monterey 49,145
Napa 24,537
Nevada 22,646
Orange 465,053
Placer 76,618
Plumas 4,493
Riverside 339,739
Sacramento 231,886
San Benito 6,873
San Bernardino 264,628
San Diego 436,937
San Francisco 128,174
San Joaquin 98,980
San Luis Obispo 56,247
San Mateo 106,139
Santa Barbara 62,188
Santa Clara 226,515
Santa Cruz 43,479
Shasta 35,237
Sierra 509
Siskiyou 9,723
Solano 64,261
Sonoma 94,608
Stanislaus 77,864
Sutter 13,280
Tehama 11,176
Trinity 2,421
Tulare 54,002
Tuolumne 11,456
Ventura 133,576
Yolo 28,741
Yuba 9,403
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