In Los Angeles, California, 1,359,299 beneficiaries receive Part A and Part B Medicare Plans. 566,247 beneficiaries receive these services via fee-for-service (FFS) programs, while 793,052 beneficiaries use a Medicare Advantage (MA) Plan. Below, we’ll determine the best Supplemental Medicare options for the latter demographic in Los Angeles, California.
Medicare Plans in Los Angeles, California
Traditional California Medicare plans leave beneficiaries paying up to 20% of all medical costs. Supplemental Medicare Plans assist with those extra costs by covering out-of-pocket fees. Here, we’ll discuss optimal supplemental plans, but remember, we’ve based our quotes below primarily on males aged 65 and older.
Medicare Advantage plans
Los Angeles has 71 Medicare Advantage plans and is one of only 51 counties with over 60 programs. Fortunately, 793,052 MA beneficiaries, or 58.34%, are taking advantage of Medigap. Medicare Advantage plans for California are also covered.
One of the top Medicare Advantage plans includes . It has an $800 maximum out-of-pocket (MOOP) cost and a zero-dollar premium. This HMO-POS plan also has a four-star rating.
Another low-cost plan includes Central Health, an HMO plan with a slightly higher MOOP of $990. It has a lower rating of three stars. However, it has a zero-dollar premium.
Wellcare, a five-star Medicare in Los Angeles, California, offers one of the highest MOOPs at $2,900. Also, beneficiaries pay a $120 copay for emergency services. However, they provide zero-dollar premiums.
The average cost of Medicare Advantage plans in Los Angeles, California
PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
$0 | $800 | HMO-POS | 4 | |
Central Health | $0 | $990 | HMO | 3 |
Aetna | $0 | $2,000 | HMO | 4 |
Kaiser Permanente | $0 | $2,900 | HMO | 5 |
Wellcare | $0 | $2,900 | HMO | 5 |
Medicare Supplement plans
California’s Medicare Supplement plans, or Medigap plans, are additional plans covering what traditional Medicare plans can’t. They cover out-of-pocket expenses with set benefits and only differ in monthly premiums between states.
Among these plans is Medigap Plan F. Plan F covers all costs, from Part A and Part B deductibles to Hospital Reserve Days. Its highest premiums, though, range from $179.35 to $372.30.
Medigap Plan HDF is a high deductible Plan F. It covers most of the exact costs but requires the beneficiary to pay out of pocket before the carrier provides funds. This plan has one of the lowest premiums ranging from $34 to $79.
Plan N covers most costs, except Part B Deductibles and Part B Excess Charges. It also requires copays for Part B Coinsurance, which costs $20 for office visits and $50 for emergency visits. Plan N premiums range from $98.26 to $220.38.
The average cost of Medicare Supplement plans in Los Angeles, California
LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
PLAN A | $97.07 | $289.50 |
PLAN B | $169.36 | $268.27 |
PLAN C | $177.57 | $331.49 |
PLAN D | $128.01 | $268.83 |
PLAN F | $179.35 | $372.30 |
PLAN HDF | $34.00 | $79.00 |
PLAN G | $128.18 | $245.57 |
PLAN HDG | $36.50 | $81.08 |
PLAN K | $62.48 | $123.00 |
PLAN L | $112.08 | $175.00 |
PLAN M | N/A | N/A |
PLAN N | $98.26 | $220.38 |
Medicare Part D prescription drug plans
For regular prescriptions, Medigap and most MA Plans won’t cover costs. Luckily, multiple individual Part D Plans can help. All of California’s Medicare Part D plans are covered for all locations.
For the cheapest alternative, turn to Aetna. Its Part D Plan has a low $7.70 premium and a $480 deductible. However, it also has a lower rating of three stars.
has a four-star rating. It also has a high monthly premium of $29.30. Still, it averages out with a lower deductible of $310.
Humana has another four-star rated Part D Plan. It has a lower premium of $24.20. It also has an average deductible of $480.
The average cost of Medicare Part D plans in Los Angeles, California
PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
SilverScript | $7.50 | $480 | 3 |
Wellcare | $10.90 | $480 | 3 |
Clear Spring Health | $16.00 | $480 | 2 |
Humana | $24.20 | $480 | 4 |
$30.50 | $310 | 4 |
Special Needs plans
Special Needs Plans aren’t commonly incorporated into traditional Medicare in Los Angeles, California. What’s more, SNPs aren’t available in all parts of each county. However, beneficiaries of the following plans receive special needs and chronic illness assistance.
Wellcare is an HMO plan for those with chronic or disabling illnesses. It has a MOOP of $1,500. It also has a zero-dollar premium.
Central Health catches the eyes of many beneficiaries with its unusual zero-dollar MOOP and premium costs. It also serves dual beneficiaries. It covers those who already have both Medicare and Medicaid benefits.
For beneficiaries requiring institutional care, trust Align Senior Care. This HMO plan type has a $3,500 MOOP. It also has a zero-dollar premium.
The average cost of Medicare Special Needs plans in Los Angeles, California
PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
Imperial Health | $0 | $2,999 | HMO | Chronic or Disabling |
Align Senior Care | $0 | $3,500 | HMO | Institutional |
Brand New Day | $0 | $7,550 | HMO | Dual |
Wellcare | $0 | $1,500 | HMO | Chronic or Disabling |
Central Health | $0 | $0 | HMO | Dual |
How to sign up for Medicare plans in Los Angeles
No matter what Supplemental Medicare in Los Angeles, California, you’re looking for, we at Medigap can help. Our company works with all carriers to find you the best deals and coverage; our services are free.
Call us at the number above, or fill out our form today!