Medicare Plans in
San Joaquin County, CA

21 Medicare Advantage Plans Found in San Joaquin County. See Plans

San Joaquin County, CA
Medicare Information

For San Joaquin County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 21 MA plans are available in San Joaquin 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 Joaquin County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 21 MA plans are available in San Joaquin 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 Joaquin 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 Joaquin County

Average Cost of Medicare Advantage Plans in San Joaquin County, California
Average Monthly Premium $53.18
Average in-network out-of-pocket spending limit $4,314.24
Average drug deductible in 2022 (weighted) $349.29
Percentage of plans rated 4 stars or higher 61.9%
Average Cost of Medicare Advantage Plans in San Joaquin County, California
Average Monthly Premium
$53.18
Average in-network out-of-pocket spending limit
$4,314.24
Average drug deductible in 2021 (weighted)
$349.29
Percentage of plans rated 4 stars or higher
61.9%

Learn More About Medicare Advantage
Prescription Drug Plans

San Joaquin 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 Joaquin County, CA

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in California in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Elite Plan (PPO) H5521: 293 $0 $0 $6,700 Yes
4 out of 5

Alignment Health Plan

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

The following table includes cost information and other plan details for Alignment Health Plan Medicare Advantage plans available in California in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
My Choice (HMO) H3815: 006 $0 $0 $2,900 Yes
4 out of 5
CalPlus (HMO) H3815: 009 $0 $480 $4,900 Yes
4 out of 5
Balance (PPO) H4961: 006 $0 $0 $2,850 Yes
Plan too new to be measured
Platinum (HMO) H3815: 025 $15 $0 $2,850 Yes
4 out of 5
My Choice (PPO) H4961: 001 $79 $0 $4,200 Yes
Plan too new to be measured
Anthem Blue Cross

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

The following table includes cost information and other plan details for Anthem Blue Cross Medicare Advantage plans available in California in 2022.

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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: 095 $0 $0 $3,450 Yes
3.5 out of 5

California Physicians' Service

California Physicians' Service Medicare Advantage Plans in San Joaquin County, CA

The following table includes cost information and other plan details for California Physicians' Service Medicare Advantage plans available in California in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Blue Shield Inspire (HMO) H0504: 047 $0 $0 $3,400 Yes
4 out of 5
Humana Inc.

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

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in California in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Community (HMO) H7621: 003 $0 $0 $2,400 Yes
Plan too new to be measured
Humana Gold Plus H5619-026 (HMO) H5619: 026 $96 $250 $7,550 Yes
4 out of 5

Kaiser Foundation Health Plan, Inc.

Kaiser Foundation Health Plan, Inc. Medicare Advantage Plans in San Joaquin 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 2022.

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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 Basic SnJoaq (HMO) H0524: 043 $0 $0 $5,900 Yes
5 out of 5
Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) H0524: 042 $70 $0 $3,400 Yes
5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in San Joaquin County, CA

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in California in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage SecureHorizons Focus (HMO) H0543: 196 $0 $0 $3,400 Yes
4 out of 5
UnitedHealthcare Medicare Advantage Assure (HMO) H0543: 185 $30 $480 $7,550 Yes
4 out of 5
AARP Medicare Advantage Choice (PPO) H4829: 008 $45 $0 $6,700 Yes
Plan too new to be measured
AARP Medicare Advantage SecureHorizons (HMO) H0543: 177 $58 $225 $4,400 Yes
4 out of 5

UNIVERSAL CARE, INC.

UNIVERSAL CARE, INC. Medicare Advantage Plans in San Joaquin County, CA

The following table includes cost information and other plan details for UNIVERSAL CARE, INC. Medicare Advantage plans available in California in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Brand New Day Classic Care II Plan (HMO) H0838: 037 $0 $50 $999 Yes
3.5 out of 5
Brand New Day Valor Care Plan (HMO) H0838: 048 $0 N/A $4,500 No
3.5 out of 5
Brand New Day Classic Choice Plan (HMO) H0838: 033 $32 $480 $7,550 Yes
3.5 out of 5
WellCare Health Plans, Inc.

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

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in California in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare Plus (HMO) H5087: 002 $0 $480 $2,500 Yes
4.5 out of 5
Wellcare No Premium (HMO) H5087: 026 $0 $0 $2,500 Yes
4.5 out of 5