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ផែនការ Medicare Advantage នៅ San Diego County, CA សម្រាប់ឆ្នាំ 2027
មានផែនការ Medicare Advantage ចំនួន 85 ពីក្រុមហ៊ុន 15 ដែលអាចប្រើបាននៅ San Diego County សម្រាប់ឆ្នាំ 2027។ ផែនការដែលមានប្រាក់ឈ្នួលប្រចាំខែ $0 (មិនរាប់បញ្ចូលផែនការតម្រូវការពិសេស)៖ 37។ ដែនកំណត់ចំណាយផ្ទាល់ខ្លួនទាបបំផុតនៅក្នុងបណ្តាញ៖ $295។
ការចុះឈ្មោះបើកចំហសម្រាប់ 2027 ដំណើរការពីថ្ងៃទី 15 តុលា ដល់ថ្ងៃទី 7 ធ្នូ 2026; ការគ្របដណ្តប់ចាប់ផ្តើមនៅថ្ងៃទី 1 មករា 2027។
ផែនការដែលមានការគ្របដណ្តប់ថ្នាំ (41)
| ផែនការ | ប្រភេទ | ប្រាក់ឈ្នួលប្រចាំខែ | ការកាត់បន្ថយថ្នាំ | ដែនកំណត់ចំណាយផ្ទាល់ខ្លួន (នៅក្នុងបណ្តាញ) | ការវាយតម្លៃផ្កាយឆ្នាំមុន |
|---|---|---|---|---|---|
| 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 | — |
ផែនការដែលគ្មានការគ្របដណ្តប់ថ្នាំ (5)
| ផែនការ | ប្រភេទ | ប្រាក់ឈ្នួលប្រចាំខែ | ដែនកំណត់ចំណាយផ្ទាល់ខ្លួន (នៅក្នុងបណ្តាញ) | ការវាយតម្លៃផ្កាយឆ្នាំមុន |
|---|---|---|---|---|
| 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 |
ផែនការតម្រូវការពិសេស (39)
ផែនការតម្រូវការពិសេសគឺសម្រាប់តែអ្នកដែលមាន Medicaid ផងដែរ (D-SNP) ជំងឺរ៉ាំរ៉ៃជាក់លាក់ (C-SNP) ឬអ្នកដែលរស់នៅក្នុងស្ថាប័នដូចជាផ្ទះសំណាក់ (I-SNP)។
| ផែនការ | ប្រភេទ | ប្រាក់ឈ្នួលប្រចាំខែ | ការកាត់បន្ថយថ្នាំ | ដែនកំណត់ចំណាយផ្ទាល់ខ្លួន (នៅក្នុងបណ្តាញ) | ការវាយតម្លៃផ្កាយឆ្នាំមុន |
|---|---|---|---|---|---|
| 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 |
ផែនការថ្នាំ Part D ដាច់ដោយឡែកនៅ California →
ការវាយតម្លៃផ្កាយសម្រាប់ឆ្នាំ 2027 ត្រូវបានបោះពុម្ពផ្សាយដោយ CMS នៅខែតុលា; ផ្កាយដែលបង្ហាញគឺជាការវាយតម្លៃសរុបនៃកិច្ចសន្យា 2026។ យើងមិនមានទំនាក់ទំនង ឬត្រូវបានគាំទ្រដោយរដ្ឋាភិបាលសហរដ្ឋអាមេរិក ឬកម្មវិធី Medicare របស់សហព័ន្ធ ហើយយើងមិនលក់ផែនការទេ។ យើងមិនបញ្ជីអត្ថប្រយោជន៍ផែនការពេញលេញទេ; សូមបញ្ជាក់ថ្លៃ និងការគ្របដណ្តប់ជាមួយផែនការ Medicare.gov ឬ 1-800-MEDICARE (TTY 1-877-486-2048) មុនពេលចុះឈ្មោះ។ ប្រភព៖ CMS Medicare Advantage និង Part D Landscape, 2027 (2026-10 ការបញ្ចេញ)។