San Diego Area Comparisons
Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D - Drug Benefits Indicates $0 Premium Plans
Click the Senior Choice Gold Award highlighted Medicare Plan for enrollment details
RANK
If your health is EXCELLENT
use this column
Click here to view health status detailsIf your health is FAIR
use this column
Click here to view health status detailsIf your health is POOR
use this column
Click here to view health status details
#1 | Astiva Health (Premier HMO) |
$280 | Astiva Health (Premier HMO) |
$635 | Alignment Health Plan (Smart HMO) |
$1,400 |
#2 | Alignment Health Plan (Smart HMO) |
$300 | Alignment Health Plan (Smart HMO) |
$700 | Astiva Health (Premier HMO) |
$2,228 |
#3 | Blue Shield (65 Plus HMO) |
$350 | Clever Care (Longevity HMO) |
$746 | Clever Care (Longevity HMO) |
$2,338 |
#4 | Imperial Health (Traditional HMO) |
$360 | Imperial Health (Traditional HMO) |
$785 | SCAN (Alta HMO) |
$2,649 |
#5 | Central Health Medicare (Classic Care HMO) |
$366 | SCAN (Alta HMO) |
$1,034 | Imperial Health (Traditional HMO) |
$3,132 |
#6 | Sharp Health (Direct Advantage Gold HMO) |
$375 | Humana (Gold Plus HMO-16) |
$1,315 | Humana (Gold Plus HMO-16) |
$3,165 |
#7 | Clever Care (Longevity HMO) |
$376 | Blue Shield (65 Plus HMO) |
$1,638 | Central Health Medicare (Classic Care HMO) |
$3,356 |
#8 | Molina Healthcare (Choice Care HMO) |
$401 | Anthem (Select HMO) |
$1,899 | Blue Shield (65 Plus HMO) |
$3,463 |
#9 | Humana (Gold Plus HMO-16) |
$450 | Aetna (Medicare Plus HMO) |
$2,288 | Anthem (Select HMO) |
$3,867 |
#10 | SCAN (Alta HMO) |
$504 | Central Health Medicare (Classic Care HMO) |
$2,537 | Aetna (Medicare Plus HMO) |
$4,338 |
#11 | Anthem (Select HMO) |
$719 | United Healthcare (AARP Medicare Advantage HMO) |
$2,638 | United Healthcare (AARP Medicare Advantage HMO) |
$4,768 |
#12 | United Healthcare (AARP Medicare Advantage HMO) |
$806 | Kaiser Permanente (Senior Advantage HMO) |
$3,144 | Kaiser Permanente (Senior Advantage HMO) |
$5,042 |
#13 | Kaiser Permanente (Senior Advantage HMO) |
$875 | Sharp Health (Direct Advantage Gold HMO) |
$3,781 | Sharp Health (Direct Advantage Gold HMO) |
$6,127 |
#14 | WellCare (Simple Focus HMO) |
$1,141 | Molina Healthcare (Choice Care HMO) |
$4,470 | WellCare (Simple Focus HMO) |
$7,548 |
#15 | Aetna (Medicare Plus HMO) |
$1,310 | WellCare (Simple Focus HMO) |
$4,611 | Molina Healthcare (Choice Care HMO) |
$9,320 |
Average: All Plans | $574 | Average: All Plans | $2,148 | Average: All Plans | $4,183 |
*Annual estimated costs (out-of-pocket expenses) include applicable 2025 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($185 in 2025 for most beneficiaries) are not included. Estimated costs may be greater for beneficiaries who are late enrolling for Medicare Part D (prescription drug) coverage or lower for beneficiaries with limited income and resources who may be eligible for low-income subsidies. Estimates do not include cost-sharing for additional popular benefits provided by some plans, e.g., eyewear, hearing aids, transportation.
The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan. HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans.
Medicare has neither reviewed nor endorsed this information. The Senior Choice Gold Award is not given by Medicare.
This is not a complete listing of plans available in your service area. For a complete listing, please contact 1-800-MEDICARE or consult www.Medicare.gov.
(TTY users should call 1-877-486-2048, 24 hours a day/7 days a week or consult www.Medicare.gov.)
COSTSHARE REPORT is a registered mark of HealthMetrix Research Inc.