Best San Jose, California Medicare Companies & Plans (2024)
San Jose, California Medicare plans include Advantage plans from private health insurance companies as well as standalone Part D prescription drug coverage. For those that prefer original Medicare, San Jose, CA supplemental plans are also available. Medicare plans in San Jose, California are sold by both large national companies and local insurers.
Read moreUPDATED: Dec 4, 2023Fact Checked
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Kalyn Johnson
Insurance Claims Support & Sr. Adjuster
Kalyn grew up in an insurance family with a grandfather, aunt, and uncle leading successful careers as insurance agents. She soon found she has similar interests and followed in their footsteps. After spending about ten years working in the insurance industry as both an appraiser dispatcher and a senior property claims adjuster, she decided to combine her years of insurance experience with another...
Insurance Claims Support & Sr. Adjuster
UPDATED: Dec 4, 2023
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UPDATED: Dec 4, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
UPDATED: Dec 4, 2023Fact Checked
The Highlights
- You can buy Medicare supplement coverage in San Jose, California if you have original Medicare and want coverage for out-of-pocket costs
- Medicare Advantage plans are available in San Jose with both PPO and HMO networks
- Options for Medicare supplement in San Jose, California include Medigap Plan B and Medigap Plan C
If you’re eligible for Medicare in San Jose, California, you have a lot of choices. Major health insurance companies provide San Jose, California Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes San Jose, CA Part D coverage or buy prescription coverage as a standalone policy.
San Jose, California Medicare supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that San Jose original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy San Jose, California Medicare coverage? Enter your ZIP code to compare San Jose, CA Medicare options available to you right now.
Medicare Advantage Companies in San Jose, California
Medicare Advantage in San Jose, California is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in San Jose, CA offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Read More: Best Medicare Companies
Medicare Advantage Companies in San Jose, California
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage SecureHorizons (HMO) – H0543-029-0 | $101.00 | $355 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% | $5,900 |
| AARP Medicare Advantage SecureHorizons Focus (HMO) – H0543-193-0 | $0.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $4,000 |
| AVA (HMO) – H3815-026-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $1,999 |
| Aetna Medicare Eagle Plan (HMO) – H4982-013-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,200 |
| Aetna Medicare Elite Plan (PPO) – H5521-293-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Plus Plan (HMO) – H4982-006-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $42.00, Non-Preferred Drug: $99.00, Specialty Tier: 33% | $3,400 |
| Anthem Blue Cross Cal MediConnect (Medicare-Medicaid Plan) – H6229-006-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | n/a |
| Anthem MediBlue Care On Site (HMO I-SNP) – H0544-050-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Connect (HMO D-SNP) – H0544-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Connect Plus (HMO) – H0544-122-1 | $23.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: 25%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Anthem MediBlue Coordination Plus (HMO) – H0544-110-0 | $1.80 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% | $7,550 |
| Anthem MediBlue Diabetes (HMO C-SNP) – H0544-118-2 | $55.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Diabetes Care (HMO C-SNP) – H0544-102-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Heart (HMO C-SNP) – H0544-119-2 | $55.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Heart Care (HMO C-SNP) – H0544-106-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Lung (HMO C-SNP) – H0544-117-1 | $55.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Lung Care (HMO C-SNP) – H0544-101-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Anthem MediBlue Plus (HMO) – H0544-108-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,450 |
| Anthem MediBlue StartSmart Plus (HMO) – H0544-121-2 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 | $3,400 |
| Anthem MediBlue Value Plus (HMO) – H0544-120-2 | $54.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $9.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,000 |
| Blue Shield AdvantageOptimum Plan (HMO) – H5928-016-0 | $48.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Blue Shield Coordinated Choice Plan (HMO) – H5928-037-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $6,700 |
| Blue Shield Inspire (HMO) – H0504-046-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
| Brand New Day Bridges Care Plan (HMO C-SNP) – H0838-028-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Brand New Day Bridges Choice Plan (HMO C-SNP) – H0838-029-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Classic Care II Plan (HMO) – H0838-037-0 | $0.00 | $50 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | $999 |
| Brand New Day Classic Choice Plan (HMO) – H0838-033-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | $7,550 |
| Brand New Day Embrace Care Plan (HMO C-SNP) – H0838-039-2 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Brand New Day Embrace Choice Plan (HMO C-SNP) – H0838-040-2 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Harmony Care Plan (HMO C-SNP) – H0838-032-0 | $0.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Brand: $90.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | n/a |
| Brand New Day Harmony Choice Plan (HMO C-SNP) – H0838-020-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| Brand New Day Select Care II Plan (HMO I-SNP) – H0838-043-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | n/a |
| Brand New Day Select Choice II Plan (HMO I-SNP) – H0838-045-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: 0% | n/a |
| CalPlus (HMO) – H3815-009-0 | $20.10 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: 23%, Non-Preferred Drug: 23%, Specialty Tier: 25%, Select Care Drugs: $5.00 | $4,900 |
| Choice (HMO) – H1426-002-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Harmony (HMO) – H3815-031-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $93.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | $2,900 |
| Health Net Ruby (HMO) – H0562-120-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,450 |
| Health Net Sapphire (HMO) – H0562-122-0 | $28.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 46%, Specialty Tier: 25%, Select Care Drugs: $0.00 | $3,450 |
| Imperial Senior Value (HMO C-SNP) – H5496-005-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $3.00 | n/a |
| Imperial Traditional (HMO) – H5496-007-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $2,999 |
| Imperial Traditional Plus (HMO) – H5496-009-0 | $31.50 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: 0%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $2,999 |
| Kaiser Permanente Sr Adv Basic Santa Clara (HMO) – H0524-062-0 | $15.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $6.00, Generic: $18.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
| Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) – H0524-039-0 | $75.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $4,900 |
| My Choice (HMO) – H3815-007-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $3.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $3,000 |
| Plus (HMO) – H1426-003-0 | $31.50 | $445 . Tier Yes exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $7,550 |
| SCAN Classic (HMO) – H5425-020-0 | $54.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,000 |
| SCAN Options (HMO) – H5425-073-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $12.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $3,400 |
| SCAN Plus (HMO) – H5425-072-0 | $31.50 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $7,550 |
| Santa Clara Family Health Plan (Medicare-Medicaid Plan) – H7890-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | n/a |
| Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) – H0524-030-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% | n/a |
| Stanford Health Care Advantage – Gold (HMO) – H2986-002-0 | $69.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 28%, Select Care Drugs: $2.00 | $6,500 |
| Stanford Health Care Advantage – Platinum (HMO) – H2986-001-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Select Care Drugs: $2.00 | $5,250 |
| Sutter Advantage (HMO) – H3815-020-0 | $49.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $4,900 |
| UnitedHealthcare Medicare Advantage Assure (HMO) – H0543-183-0 | $26.60 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | $7,550 |
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Medicare Supplement Companies in San Jose, California
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With a San Jose, California Medicare supplement plan, you can get coverage for some or all of those costs. Medicare supplement plans in California are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in San Jose, California
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Anthem BlueCross – California | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Blue Shield of California Life & Health Insurance Company | Medigap Plan A, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company (w/ 11% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company (w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Combined Insurance Company of America | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Continental Life Insurance Company of Brentwood, Tennessee (Aetna) | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Everence Association Inc. | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Health Net Life Insurance Company (Not Los Angeles and San Diego) | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Humana (Humana Insurance Company) | Medigap Plan A, Medigap Plan A, Medigap Plan B, Medigap Plan B, Medigap Plan C, Medigap Plan C, Medigap Plan F, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan K, Medigap Plan L, Medigap Plan L, Medigap Plan N, Medigap Plan N |
| Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
| Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) (Household) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
| Independence American Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Guardian Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Oxford Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan N |
| State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| United World Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Anthem BlueCross – California (Innovative) | Medigap Plan F |
| Blue Shield of California Life & Health Insurance Company (Plan F Extra) | Medigap Plan F |
| Health Net Life Insurance Company (Innovative F/Not Los Angeles and San Diego) | Medigap Plan F |
| Blue Shield of California Life & Health Insurance Company (Plan G Extra) | Medigap Plan G |
| Blue Shield of California Life & Health Insurance Company (Plan G Inspire) | Medigap Plan G |
| Health Net Life Insurance Company (Innovative G/Not Los Angeles and San Diego) | Medigap Plan G |
San Jose, California Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard California Medicare supplement plans? Take a look at all of the San Jose, California Medicare supplement plans with coverage details.
San Jose, California Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $97-$902 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $151-$576 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $178-$735 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $128-$575 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $177-$1,104 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $40-$208 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $128-$961 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $37-$207 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $55-$307 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $100-$447 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $177-$514 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $98-$737 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in San Jose, California
Prescription drug coverage for Medicare in San Jose, California is covered by a Part D plan. You can purchase Part D coverage in San Jose, California as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in San Jose, California
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 207 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 48% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 056 – 0 by Clear Spring Health |
Monthly Premium: $13.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 137 – 0 by Elixir Insurance |
Monthly Premium: $15.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 201 – 0 by WellCare |
Monthly Premium: $15.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 211 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 17% Tier 4: 35% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 163 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 311 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 43% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 101 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 44% Tier 5: 25% |
| Anthem Blue Cross MediBlue Rx Enhanced (PDP) S5596 – 076 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $26.10 Annual Deductable: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 39% Tier 5: 26% |
| Express Scripts Medicare – Saver (PDP) S5660 – 248 – 0 by Express Scripts Medicare |
Monthly Premium: $26.50 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| Cigna Secure Rx (PDP) S5617 – 158 – 0 by Cigna |
Monthly Premium: $27.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 295 – 0 by WellCare |
Monthly Premium: $28.30 Annual Deductable: $385 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 26% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 376 – 0 by UnitedHealthcare |
Monthly Premium: $29.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $25.00 Tier 4: 40% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 027 – 0 by Clear Spring Health |
Monthly Premium: $29.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 35% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 064 – 0 by Aetna Medicare |
Monthly Premium: $29.50 Annual Deductable: $250 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 39% Tier 5: 28% |
| WellCare Classic (PDP) S4802 – 094 – 0 by WellCare |
Monthly Premium: $30.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 277 – 0 by Cigna |
Monthly Premium: $30.30 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
| Humana Basic Rx Plan (PDP) S5884 – 114 – 0 by Humana |
Monthly Premium: $30.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 32% Tier 5: 25% |
| Elixir RxSecure (PDP) S7694 – 032 – 0 by Elixir Insurance |
Monthly Premium: $30.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 29% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 066 – 0 by WellCare |
Monthly Premium: $37.10 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 39% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 413 – 0 by UnitedHealthcare |
Monthly Premium: $41.60 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Blue Shield Rx Plus (PDP) S2468 – 003 – 0 by Blue Shield of California |
Monthly Premium: $59.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $6.00 Tier 3: $39.00 Tier 4: 41% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 134 – 0 by Express Scripts Medicare |
Monthly Premium: $61.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 178 – 0 by Humana |
Monthly Premium: $72.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| Anthem Blue Cross MediBlue Rx Plus (PDP) S5596 – 034 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $79.90 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 155 – 0 by WellCare |
Monthly Premium: $81.00 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 44% Tier 5: 33% |
| SilverScript Plus (PDP) S5601 – 065 – 0 by Aetna Medicare |
Monthly Premium: $81.60 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
| Anthem Blue Cross MediBlue Rx Standard (PDP) S5596 – 033 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $84.20 Annual Deductable: $390 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $32.00 Tier 4: 27% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 202 – 0 by Express Scripts Medicare |
Monthly Premium: $84.90 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
| AARP MedicareRx Preferred (PDP) S5820 – 031 – 0 by UnitedHealthcare |
Monthly Premium: $99.30 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 031 – 0 by Mutual of Omaha Rx |
Monthly Premium: $100.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| Blue Shield Rx Enhanced (PDP) S2468 – 004 – 0 by Blue Shield of California |
Monthly Premium: $130.40 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 33% Tier 5: 33% |
Compare Medicare Rates in San Jose, California
If you’re ready to buy San Jose, California Medicare coverage, we’re here to help. Enter your ZIP code to see Medicare rates in San Jose, CA and find the coverage that’s right for you.
Frequently Asked Questions
How can I compare Medicare rates in San Jose, California?
To compare Medicare rates in San Jose, California, you can enter your ZIP code to access the available Medicare options in your area. This allows you to compare plans and choose the one that best suits your needs.
Can I get Medicare supplement coverage in San Jose, California?
Yes, if you have original Medicare and want coverage for out-of-pocket costs, you can buy Medicare supplement (Medigap) coverage in San Jose, California. Options for Medicare supplement plans in San Jose include Medigap Plan B and Medigap Plan C.
What are the coverage options and costs for specific Medicare Advantage plans in San Jose, California?
The coverage options, deductibles, additional gap coverage, preferred pharmacy copay/coinsurance for a 30-day supply, and maximum out-of-pocket (MOOP) limits vary for each Medicare Advantage plan. It’s best to compare the specific details of the plans available in your area.
What are the average monthly premiums for Medicare Advantage plans in San Jose, California?
The average monthly premiums for Medicare Advantage plans in San Jose, California range from $0 to $84, depending on the plan and the insurance company.
Which companies offer Medicare Advantage plans in San Jose, California
Some of the companies that offer Medicare Advantage plans in San Jose, California include:
- Stanford Health
- UnitedHealthcare
- Sutter Health
- Vitality Health Plan
- Blue Shield of California
- Kaiser Permanente
- Health Net of California
- SCAN Health Plan
- Anthem Blue Cross
- Brand New Day
- Alignment Health Plan
- Aetna
What types of Medicare plans are available in San Jose, California?
San Jose, California offers Medicare Advantage plans from private health insurance companies, standalone Part D prescription drug coverage, and Medicare supplement plans for those with original Medicare.
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Kalyn Johnson
Insurance Claims Support & Sr. Adjuster
Kalyn grew up in an insurance family with a grandfather, aunt, and uncle leading successful careers as insurance agents. She soon found she has similar interests and followed in their footsteps. After spending about ten years working in the insurance industry as both an appraiser dispatcher and a senior property claims adjuster, she decided to combine her years of insurance experience with another...
Insurance Claims Support & Sr. Adjuster
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