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
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#1 Clever Care
(Value HMO) 		 $240 Astiva Health
(Premier HMO) 		 $635 Sharp Health
(Direct Advantage Gold HMO)  		 $764
#2 Astiva Health
(Premier HMO) 		 $280 Central Health Medicare
(Classic Care HMO) 		 $693 Alignment Health Plan
(Smart HMO) 		 $891
#3 Blue Shield
(65 Plus HMO) 		 $280 Alignment Health Plan
(Smart HMO)  		 $775 Central Health Medicare
(Classic Care HMO) 		 $1,220
#4 Imperial Health
(Dynamic HMO) 		 $360 Champion Health
(Ally HMO)  		 $822 Astiva Health
(Premier HMO) 		 $1,409
#5 Central Health Medicare
(Classic Care HMO) 		 $364 Imperial Health
(Dynamic HMO) 		 $845 SCAN
(Alta HMO) 		 $1,524
#6 Alignment Health Plan
(Smart HMO) 		 $375 Clever Care
(Value HMO) 		 $1,105 Champion Health
(Ally HMO) 		 $1,608
#7 Champion Health
(Ally HMO) 		 $376 Blue Shield
(65 Plus HMO) 		 $1,385 Imperial Health
(Dynamic HMO) 		 $1,689
#8 Molina Healthcare
(Choice Care HMO)  		 $401 SCAN
(Alta HMO) 		 $1,406 Clever Care
(Value HMO) 		 $2,394
#9 United Healthcare
(AARP Medicare Advantage HMO) 		 $571 Kaiser Permanente
(Senior Advantage HMO)  		 $1,795 Humana
(Gold Plus HMO-16) 		 $3,017
#10 Anthem
(Medicare Advantage HMO) 		 $574 Humana
(Gold Plus HMO-16) 		 $2,144 Blue Shield
(65 Plus HMO) 		 $3,095
#11 Kaiser Permanente
(Senior Advantage HMO)  		 $575 Aetna
(Medicare Prime HMO)   		 $2,355 Aetna
(Medicare Prime HMO)    		 $3,338
#12 Sharp Health
(Direct Advantage Gold HMO)  		 $590 Sharp Health
(Direct Advantage Gold HMO)  		 $2,455 United Healthcare
(AARP Medicare Advantage HMO) 		 $3,815
#13 Aetna
(Medicare Prime HMO)   		 $596 United Healthcare
(AARP Medicare Advantage HMO) 		 $2,620 Anthem
(Medicare Advantage HMO) 		 $4,423
#14 SCAN
(Alta HMO) 		 $701 Molina Healthcare
(Choice Care HMO)  		 $2,790 Molina Healthcare
(Choice Care HMO)  		 $4,624
#15 Humana
(Gold Plus HMO-16)  		 $720 Anthem
(Medicare Advantage HMO) 		 $2,933 WellCare
(Low Premium HMO-$30)		 $6,935
#16 WellCare
(Low Premium HMO-$30)		 $1,571 WellCare
(Low Premium HMO-$30) 		 $4,237 Kaiser Permanente
(Senior Advantage HMO)   		 $13,400
  Average: All Plans $536 Average: All Plans $1,812 Average: All Plans $3,384

*Annual estimated costs (out-of-pocket expenses) include applicable 2026 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($202.90 in 2026 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.) 

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