San Jose - Santa Clara County 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 details		 If your health is FAIR
use this column
Click here to view health status details		 If your health is POOR
use this column
Click here to view health status details

#1 Astiva Health
(Premier HMO) 		 $280 Astiva Health
(Premier HMO) 		 $745 Align Senior Care
(Advantage Care HMO)  		 $1,811
#2 Imperial Health
(Traditional HMO) 		 $360 Imperial Health
(Traditional HMO)  		 $785 Astiva Health
(Premier HMO) 		 $2,548
#3 Central Health Medicare
(Classic Care HMO) 		 $366 SCAN
(Classic HMO)  		 $1,009 SCAN
(Classic HMO)  		 $2,574
#4 SCAN
(Classic HMO)  		 $504 Align Senior Care
(Advantage Care HMO)  		 $1,165 Anthem
(Medicare Advantage HMO)   		 $2,982
#5 Alignment Health Plan
(Smart HMO) 		 $564 Anthem
(Medicare Advantage HMO)   		 $1,539 Imperial Health
(Traditional HMO)  		 $3,132
#6 Align Senior Care
(Advantage Care HMO) 		 $655 Alignment Health Plan
(Smart HMO)  		 $2,134 United Healthcare
(AARP Advantage HMO-$49) 		 $3,825
#7 Anthem
(Medicare Advantage HMO)  		 $694 United Healthcare
(AARP Advantage HMO-$49) 		 $2,376 Alignment Health Plan
(Smart HMO)  		 $4,890
#8 Kaiser Permanente
(Senior Advantage HMO)  		 $1,135 Blue Shield
(Inspire HMO-$38) 		 $2,847 Central Health Medicare
(Classic Care HMO)  		 $5,599
#9 Blue Shield
(Inspire HMO-$38)		 $1,312 Central Health Medicare
(Classic Care HMO)  		 $3,365 Blue Shield
(Inspire HMO-$38) 		 $5,943
#10 Blue Shield
(Inspire HMO-$38)		 $1,350 Blue Shield
(Inspire HMO-$38) 		 $3,373 Blue Shield
(Inspire HMO-$38) 		 $7,345
#11 United Healthcare
(AARP Advantage HMO-$49)		 $1,479 Kaiser Permanente
(Senior Advantage HMO)  		 $4,762 WellCare
(Simple Focus HMO-$37) 		 $8,494
#12 WellCare
(Simple Focus HMO-$37)		 $2,036 WellCare
(Simple Focus HMO-$37) 		 $6,233 Kaiser Permanente
(Senior Advantage HMO)  		 $9,285
  Average: All Plans $895 Average: All Plans $2,528 Average: All Plans $4,869

*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.