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תוכניות Medicare Advantage ב-San Diego County, CA לשנת 2027
85 תוכניות Medicare Advantage מ-15 חברות זמינות ב-San Diego County לשנת 2027. תוכניות עם פרמיה חודשית של $0 (לא כולל תוכניות לצרכים מיוחדים): 37. מגבלת תשלום מכיס נמוכה ביותר ברשת: $295.
תקופת ההרשמה הפתוחה לשנת 2027 מתקיימת בין 15 באוקטובר ל-7 בדצמבר, 2026; הכיסוי מתחיל ב-1 בינואר, 2027.
תוכניות עם כיסוי תרופות (41)
| תוכנית | סוג | פרמיה חודשית | השתתפות עצמית בתרופות | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|---|
| Imperial Dynamic Plan (HMO) Imperial Health Plan of California, Inc. | HMO | $0 | $0 | $295 | 3.5 |
| Blue Shield Advantage (HMO) Blue Shield of California | HMO | $0 | $300 | $499 | 4 |
| Champion Ally (HMO) Champion Heath Plan | HMO | $0 | $0 | $499 | — |
| Clever Care Longevity (HMO) Clever Care Health Plan | HMO | $0 | $0 | $499 | 4 |
| Blue Shield Value Advantage Plan (HMO) Blue Shield of California | HMO | $0 | $300 | $500 | 4 |
| SCAN Alta (HMO) SCAN Health Plan | HMO | $0 | $370 | $900 | 4 |
| SCAN Costco Medicare Advantage (HMO) SCAN Health Plan | HMO | $0 | $370 | $900 | 4 |
| Alignment Health Platinum + Instacart 016 (HMO-POS) Alignment Health Plan | HMO-POS | $0 | $0 | $1,100 | 4 |
| Blue Shield 65 Plus (HMO) Blue Shield of California | HMO | $0 | $300 | $1,800 | 4 |
| Clever Care Value (HMO) Clever Care Health Plan | HMO | $0 | $0 | $1,999 | 4 |
| Anthem Prime (HMO-POS) Anthem Blue Cross Partnership Plan | HMO-POS | $0 | $270 | $2,000 | 3 |
| Alignment Health Smart 056 (HMO) Alignment Health Plan | HMO | $0 | $700 | $2,400 | 4 |
| Alignment Health Smart 013 (HMO) Alignment Health Plan | HMO | $0 | $0 | $2,499 | 4 |
| Alignment Health Smart 047 (HMO) Alignment Health Plan | HMO | $0 | $700 | $2,899 | 4 |
| Aetna Medicare Prime (HMO) Aetna Medicare | HMO | $0 | $400 | $3,000 | 3 |
| Anthem Select (HMO-POS) Anthem Blue Cross | HMO-POS | $0 | $200 | $3,000 | 3 |
| Humana Gold Plus H5619-016 (HMO) Humana | HMO | $0 | $200 | $3,000 | 3 |
| Humana Gold Plus H3767-001 (HMO) Humana | HMO | $0 | $200 | $3,300 | — |
| Anthem Medicare Advantage (HMO-POS) Anthem Blue Cross | HMO-POS | $0 | $0 | $3,400 | 3 |
| Kaiser Permanente Senior Advantage San Diego (HMO) Kaiser Permanente | HMO | $0 | $0 | $3,400 | 4.5 |
| Astiva Health Savings Plan (HMO) Astiva Health | HMO | $0 | $0 | $3,450 | 4 |
| Alignment Health My Choice 050 (HMO) Alignment Health Plan | HMO | $0 | $0 | $3,499 | 4 |
| AARP Medicare Advantage from UHC CA-0012 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $355 | $3,900 | 4 |
| SCAN Classic (HMO) SCAN Health Plan | HMO | $0 | $370 | $4,200 | 4 |
| Blue Shield AdvantageOptimum Plan 1 (HMO) Blue Shield of California | HMO | $0 | $475 | $4,400 | 3.5 |
| Kaiser Permanente Senior Advantage San Diego Value (HMO) Kaiser Permanente | HMO | $0 | $0 | $4,450 | 4.5 |
| UHC Sharp Medicare Advantage CA-001P (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $355 | $4,450 | 4 |
| UHC Sharp Medicare Advantage CA-026P (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $355 | $4,450 | 4 |
| UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $355 | $4,450 | 4 |
| Humana Gold Plus Giveback H5619-150 (HMO) Humana | HMO | $0 | $700 | $5,000 | 3 |
| Alignment Health ValorCare 053 (HMO) Alignment Health Plan | HMO | $0 | $0 | $6,000 | 4 |
| Humana USAA Honor Giveback with Rx (PPO) Humana | PPO | $0 | $700 | $6,400 | 3.5 |
| Alignment Health Balance Plus 004 (PPO) Alignment Health Plan | PPO | $7.3 | $700 | $9,850 | — |
| Alignment Health Honor Plus 060 (HMO) Alignment Health Plan | HMO | $7.3 | $700 | $9,850 | 4 |
| Aetna Medicare Signature Legacy (HMO) Aetna Medicare | HMO | $10 | $700 | $2,000 | 3 |
| Wellcare Low Premium Focus (HMO) Wellcare | HMO | $27 | $700 | $4,150 | 3.5 |
| AARP Medicare Advantage from UHC CA-0001 (HMO-POS) UnitedHealthcare | HMO-POS | $29 | $355 | $5,300 | 4 |
| Wellcare Low Premium (HMO) Wellcare | HMO | $47 | $700 | $4,500 | 3.5 |
| AARP Medicare Advantage from UHC CA-0007 (HMO-POS) UnitedHealthcare | HMO-POS | $52 | $355 | $3,800 | 4 |
| SCAN Select (HMO) SCAN Health Plan | HMO | $80 | $700 | $4,450 | 4 |
| Alignment Health Advantage 005 (PPO) Alignment Health Plan | PPO | $160 | $700 | $4,451 | — |
תוכניות ללא כיסוי תרופות (5)
| תוכנית | סוג | פרמיה חודשית | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|
| Imperial Courage Plan (HMO) Imperial Health Plan of California, Inc. | HMO | $0 | $2,999 | 3.5 |
| Aetna Medicare Eagle (HMO) Aetna Medicare | HMO | $0 | $4,450 | 3 |
| Humana USAA Honor Giveback (HMO) Humana | HMO | $0 | $5,250 | 3 |
| AARP Medicare Advantage Patriot No Rx CA-MA2 (HMO-POS) UnitedHealthcare | HMO-POS | $0 | $5,900 | 4 |
| Humana USAA Honor Giveback (PPO) Humana | PPO | $0 | $6,750 | 3.5 |
תוכניות לצרכים מיוחדים (39)
תוכניות לצרכים מיוחדים מיועדות רק לאנשים שיש להם גם Medicaid (D-SNP), מצבים כרוניים מסוימים (C-SNP) או המתגוררים במוסד כגון בית אבות (I-SNP).
| תוכנית | סוג | פרמיה חודשית | השתתפות עצמית בתרופות | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|---|
| Imperial Senior Value (HMO C-SNP) Imperial Health Plan of California, Inc. | HMO C-SNP | $0 | $0 | $295 | 3.5 |
| Champion Care (HMO C-SNP) Champion Heath Plan | HMO C-SNP | $0 | $0 | $499 | — |
| Clever Care Breathe Select+ (HMO C-SNP) Clever Care Health Plan | HMO C-SNP | $0 | $0 | $499 | 4 |
| Clever Care Total Choice+ (HMO C-SNP) Clever Care Health Plan | HMO C-SNP | $0 | $0 | $499 | 4 |
| SCAN Balance (HMO C-SNP) SCAN Health Plan | HMO C-SNP | $0 | $370 | $900 | 4 |
| Alignment Health Heart & Diabetes 054 (HMO C-SNP) Alignment Health Plan | HMO C-SNP | $0 | $0 | $990 | 4 |
| Champion Advantage (HMO-POS C-SNP) Champion Heath Plan | HMO-POS C-SNP | $0 | $0 | $999 | — |
| Champion Compass (HMO C-SNP) Champion Heath Plan | HMO C-SNP | $0 | $0 | $999 | — |
| Wellcare Specialty Simple (HMO C-SNP) Wellcare | HMO C-SNP | $0 | $700 | $1,000 | 3.5 |
| Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare | HMO C-SNP | $0 | $700 | $1,500 | 3 |
| Community y Más (HMO C-SNP) Community Health Group | HMO C-SNP | $0 | $700 | $1,500 | — |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP) Alignment Health Plan | HMO C-SNP | $0 | $0 | $1,900 | 4 |
| Astiva Health C-SNP Bloom (HMO C-SNP) Astiva Health | HMO C-SNP | $0 | $0 | $2,000 | 4 |
| Astiva Health C-SNP Deluxe (HMO C-SNP) Astiva Health | HMO C-SNP | $0 | $0 | $2,000 | 4 |
| Astiva Health C-SNP Fountain (HMO C-SNP) Astiva Health | HMO C-SNP | $0 | $0 | $2,000 | 4 |
| UHC Sharp Complete Care CA-15P (HMO-POS C-SNP) UnitedHealthcare | HMO-POS C-SNP | $0 | $355 | $4,450 | 4 |
| Astiva Health C-SNP WOW (HMO C-SNP) Astiva Health | HMO C-SNP | $0 | $500 | $9,250 | 4 |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP) Alignment Health Plan | HMO C-SNP | $0 | $700 | $9,850 | 4 |
| Anthem Kidney Care (PPO C-SNP) Anthem Blue Cross and Blue Shield | PPO C-SNP | $0 | $0 | $9,850 | 3.5 |
| Blue Shield Medicare + Medi-Cal Plan (HMO D-SNP) Blue Shield of California | HMO D-SNP | $0 | $700 | $9,850 | 3.5 |
| Champion Connect (HMO-POS C-SNP) Champion Heath Plan | HMO-POS C-SNP | $0 | $700 | $9,850 | — |
| Champion Home (HMO C-SNP) Champion Heath Plan | HMO C-SNP | $0 | $700 | $9,850 | — |
| Champion Secure (HMO C-SNP) Champion Heath Plan | HMO C-SNP | $0 | $700 | $9,850 | — |
| Clever Care Breathe+ (HMO C-SNP) Clever Care Health Plan | HMO C-SNP | $0 | $700 | $9,850 | 4 |
| Clever Care Total+ (HMO C-SNP) Clever Care Health Plan | HMO C-SNP | $0 | $700 | $9,850 | 4 |
| Kaiser Permanente Dual Complete South P1 (HMO D-SNP) Kaiser Permanente | HMO D-SNP | $0 | $700 | $9,850 | 4 |
| SCAN Connections (HMO D-SNP) SCAN Health Plan | HMO D-SNP | $0 | $175 | $9,850 | 4 |
| SCAN Connections at Home (HMO D-SNP) SCAN Health Plan | HMO D-SNP | $0 | $175 | $9,850 | 4 |
| SCAN Strive (HMO C-SNP) SCAN Health Plan | HMO C-SNP | $0 | $450 | $9,850 | 4 |
| UHC Sharp Complete Care Support CA-6AP (HMO C-SNP) UnitedHealthcare | HMO C-SNP | $0 | $700 | $9,850 | 4 |
| Wellcare Health Net Dual Liberty (HMO D-SNP) Wellcare | HMO D-SNP | $0 | $700 | $9,850 | 3.5 |
| Alignment Health Heart & Diabetes 051 (HMO C-SNP) Alignment Health Plan | HMO C-SNP | $0.1 | $700 | $9,850 | 4 |
| Champion Choice (HMO C-SNP) Champion Heath Plan | HMO C-SNP | $2.6 | $700 | $9,850 | — |
| Imperial Flex (HMO C-SNP) Imperial Health Plan of California, Inc. | HMO C-SNP | $2.7 | $450 | $9,850 | 3.5 |
| Alignment Health Clarity Plus 042 (HMO C-SNP) Alignment Health Plan | HMO C-SNP | $7.3 | $700 | $9,850 | 4 |
| Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) Alignment Health Plan | HMO C-SNP | $7.3 | $700 | $9,850 | 4 |
| Champion Plus (HMO C-SNP) Champion Heath Plan | HMO C-SNP | $7.3 | $700 | $9,850 | — |
| CommuniCare Advantage (HMO D-SNP) Community Health Group | HMO D-SNP | $7.3 | $700 | $9,850 | 3.5 |
| Molina Medicare Complete Care Plus (HMO D-SNP) Molina Healthcare of California | HMO D-SNP | $7.3 | $700 | $9,850 | 3 |
תוכניות תרופות חלק D עצמאיות ב-California →
דירוגי הכוכבים לשנת 2027 מתפרסמים על ידי CMS באוקטובר; הכוכבים המוצגים הם הדירוג הכולל של החוזה לשנת 2026. אינו קשור או מומלץ על ידי ממשלת ארה"ב או תוכנית Medicare הפדרלית, ואיננו מוכרים תוכניות. איננו מפרטים את כל הטבות התוכנית; יש לאשר עלויות וכיסוי מול התוכנית, Medicare.gov או 1-800-MEDICARE (TTY 1-877-486-2048) לפני ההרשמה. מקור: תמונת המצב של Medicare Advantage וחלק D של CMS, 2027 (מהדורת 2026-10).