Medicare Plans in
San Diego County, CA

53 Medicare Advantage Plans Found in San Diego County. See Plans

San Diego County, CA
Medicare Information

For San Diego County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 53 MA plans are available in San Diego County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

For San Diego County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 53 MA plans are available in San Diego County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about Medicare Advantage plans in San Diego County, California, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare Advantage
Plans in San Diego County

Average Cost of Medicare Advantage Plans in San Diego County, California
Average Monthly Premium $58.68
Average in-network out-of-pocket spending limit $3,862.71
Average drug deductible in 2023 (weighted) $423.82
Percentage of plans rated 4 stars or higher 45.3%
Average Cost of Medicare Advantage Plans in San Diego County, California
Average Monthly Premium
$58.68
Average in-network out-of-pocket spending limit
$3,862.71
Average drug deductible in 2021 (weighted)
$423.82
Percentage of plans rated 4 stars or higher
45.3%

Learn More About Medicare Advantage
Prescription Drug Plans

San Diego County Medicare beneficiaries who are interested in a Part C policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Eagle Plus Plan (PPO) H5521: 369 $0 N/A $6,700 No
3.5 out of 5
SilverScript Choice (PDP) S5601: 064 $30 $505 N/A Yes
3.5 out of 5
SilverScript Plus (PDP) S5601: 065 $69 $0 N/A Yes
3.5 out of 5
Aetna Medicare Choice Plan (PPO) H5521: 053 $87 $0 $5,500 Yes
3.5 out of 5

Alignment Health Plan

Alignment Health Plan Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Alignment Health Plan Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Alignment Health My Choice CalPlus (HMO) H3815: 007 $0 $0 $3,000 Yes
4 out of 5
Alignment Health smartHMO (HMO) H3815: 013 $0 $0 $2,499 Yes
4 out of 5
Alignment Health Platinum (HMO) H3815: 016 $0 $0 $998 Yes
4 out of 5
Alignment Health AVA (HMO-POS) H3815: 026 $0 $0 $1,999 Yes
4 out of 5
Alignment Health Harmony (HMO) H3815: 031 $0 $0 $2,900 Yes
4 out of 5
Alignment Health Select (HMO) H3815: 032 $0 $0 $3,400 Yes
4 out of 5
Alignment Health the ONE + Rite Aid (HMO) H3815: 034 $0 $0 $3,400 Yes
4 out of 5
Alignment Health CalPlus + Veterans (HMO) H3815: 036 $0 $0 $5,900 Yes
4 out of 5
Alignment Health AVA (PPO) H4961: 007 $0 $0 $3,900 Yes
3.5 out of 5
Anthem Blue Cross

Anthem Blue Cross Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Anthem Blue Cross Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Anthem MediBlue Plus (HMO) H0544: 065 $0 $0 $3,400 Yes
3 out of 5
Anthem MediBlue Select (HMO) H0544: 091 $0 $0 $2,500 Yes
3 out of 5
Anthem MediBlue Prime (HMO) H4161: 003 $0 $0 $2,000 Yes
Plan too new to be measured
Anthem MediBlue Extra (HMO) H0544: 081 $23 $505 $800 Yes
3 out of 5
Anthem Blue Cross MediBlue Rx Standard (PDP) S5596: 087 $91 $505 N/A Yes
3.5 out of 5
Anthem Blue Cross MediBlue Rx Plus (PDP) S5596: 088 $95 $0 N/A Yes
3.5 out of 5
Cigna

Cigna Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Extra Rx (PDP) S5617: 277 $68 $100 N/A Yes
3 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UC San Diego Health Humana (HMO) H5619: 131 $0 $0 $2,200 Yes
4 out of 5
Humana Honor (HMO) H5619: 120 $0 N/A $3,500 No
4 out of 5
Humana Gold Plus H5619-150 (HMO) H5619: 150 $0 $100 $5,000 Yes
4 out of 5
Humana USAA Honor with Rx (PPO) H5525: 057 $0 $350 $5,900 Yes
4 out of 5
Humana Gold Plus H5619-016 (HMO) H5619: 016 $0 $0 $3,200 Yes
4 out of 5
Humana Gold Plus H5619-148 (HMO) H5619: 148 $24 $0 $3,200 Yes
4 out of 5
Humana Walmart Value Rx Plan (PDP) S5884: 211 $45 $505 N/A Yes
3 out of 5
Humana Premier Rx Plan (PDP) S5884: 178 $94 $300 N/A Yes
3 out of 5

Kaiser Foundation Health Plan, Inc.

Kaiser Foundation Health Plan, Inc. Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Kaiser Foundation Health Plan, Inc. Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Kaiser Permanente Senior Advantage San Diego (HMO) H0524: 037 $0 $0 $1,999 Yes
5 out of 5
Kaiser Permanente Senior Advantage San Diego Value (HMO) H0524: 082 $0 $0 $2,900 Yes
5 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Molina Medicare Choice Care (HMO) H5810: 014 $0 $0 $8,300 Yes
3 out of 5
Molina Medicare Choice Care Select (HMO) H5810: 015 $0 $450 $8,300 Yes
3 out of 5
Molina Medicare Complete Care Plus (HMO D-SNP) H5810: 016 $39 $505 $8,300 Yes
3 out of 5

Mutual of Omaha

Mutual of Omaha Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Mutual of Omaha Rx Essential (PDP) S7126: 134 $21 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Premier (PDP) S7126: 101 $82 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Plus (PDP) S7126: 031 $105 $505 N/A Yes
2 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Sharp SecureHorizons Plan by UnitedHealthcare (HMO-POS) H0543: 145 $0 $0 $3,400 Yes
4 out of 5
AARP Medicare Advantage SecureHorizons Plan 4 (HMO-POS) H0543: 152 $0 $0 $3,400 Yes
4 out of 5
Sharp Walgreens by UnitedHealthcare (HMO-POS) H0543: 204 $0 $0 $2,900 Yes
4 out of 5
UnitedHealthcare Chronic Complete Focus (HMO-POS C-SNP) H0543: 214 $0 $0 $3,400 Yes
4 out of 5
AARP Medicare Advantage Freedom Plus (HMO-POS) H0543: 225 $0 $0 $2,900 Yes
4 out of 5
AARP Medicare Advantage Patriot (HMO-POS) H0543: 121 $0 N/A $4,900 No
4 out of 5
AARP Medicare Advantage SecureHorizons Value (HMO-POS) H0543: 013 $25 $0 $5,300 Yes
4 out of 5
AARP MedicareRx Walgreens (PDP) S5921: 413 $35 $350 N/A Yes
3 out of 5
AARP MedicareRx Saver Plus (PDP) S5921: 376 $51 $505 N/A Yes
3 out of 5
AARP Medicare Advantage SecureHorizons Premier (HMO-POS) H0543: 060 $67 $0 $4,300 Yes
4 out of 5
AARP MedicareRx Preferred (PDP) S5820: 031 $123 $0 N/A Yes
3.5 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in San Diego County, CA

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in California in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Dual Align 129 (HMO D-SNP) H0562: 129 $0 $0 $0 Yes
3 out of 5
Wellcare No Premium (HMO) H0562: 012 $0 $0 $3,000 Yes
3 out of 5
Wellcare Value Script (PDP) S4802: 163 $8 $505 N/A Yes
3 out of 5
Wellcare Classic (PDP) S4802: 094 $29 $505 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 235 $71 $0 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 237 $71 $0 N/A Yes
3 out of 5