Nearly 250,000 Medicare beneficiaries live in San Francisco, California. Around 50% of those enrolled in Medicare participate in a Medicare Advantage Program. The following sections will cover the benefits and costs of these types of plans.

Medicare plans in San Francisco, California

Supplemental plans can extend your coverage to services you typically have to pay out-of-pocket with California’s Medicare plan. Medicare Advantage and Medigap are available for Medicare beneficiaries and can help in different ways. In San Francisco, the average age of those enrolled in Medicare Advantage plans is 73.

Medicare Advantage plans

There are 26 different Medicare Advantage plans available in San Francisco. These options vary in benefits and cost but provide significant value to the Medicare Advantage beneficiaries they serve with plans.

One of the best options available is Wellcare (HMO). With a four-star rating and a reasonably low MOOP (maximum out-of-pocket) of $4,400, Wellcare excels in value and quality.

Chinese Community (HMO) is another excellent option for clients whose main priority is quality of service. With a 4-star rating and zero-dollar monthly premiums, this option does come with a higher MOOP than alternatives. Unfortunately, at $7,500, this MOOP may burden some beneficiaries.

Aetna (Local PPO) offers impressive versatility and affordability for users who prefer PPO options. With zero-dollar monthly premiums and a $6,700 MOOP, Aetna provides beneficiaries with a solid alternative to HMO plans.

The average cost of Medicare Advantage plans in San Francisco, California

PLAN PREMIUM MOOP Plan Type Star Rating
Chinese Community $0 $7,550 HMO 4
Brand New Day $0 $999 HMO 3
Alignment Health $0 $4,900 HMO 4
Wellcare $0 $4,400 HMO 4
Aetna $0 $6,700 LOCAL PPO 4

Medicare Supplement plans

California Medicare Supplement plans are crucial to ensuring your healthcare is fully covered. These plans expand coverage to protect beneficiaries from costs that would otherwise be their responsibility. The benefits of these plans remain consistent wherever you’re, but your location will impact the price.

UnitedHealthcare Part D plans offer lower-than-average deductibles at $310, with a premium of $30.50. A program with Wellcare will cost $10.90 monthly as a premium, with a $480 deductible. An Aetna plan offers a $7.50 monthly cost, with $480 as a deductible.

The average cost of Medicare Supplement plans in San Francisco, California

LETTER PLAN LOWEST PREMIUM HIGHEST PREMIUM
PLAN A $94.27 $231.90
PLAN B $140.08 $229.65
PLAN C $160.71 $283.77
PLAN D $124.36 $230.13
PLAN F $156.00 $298.10
PLAN HDF $32.00 $70.00
PLAN G $115.00 $206.33
PLAN HDG $35.00 $62.00
PLAN K $51.44 $123.00
PLAN L $89.08 $175.00
PLAN M N/A N/A
PLAN N $95.29 $188.66

Medicare Part D prescription drug plans

A Part D Plan will cover any medication your physicians prescribe you as a Medicare beneficiary. Medigap plans don’t provide this coverage, and some Medicare Advantage plans also lack this coverage. Because of this, exploring California Part D plans is essential to enroll in Medicare in San Francisco.

An Aetna plan is the cheapest local option, with a monthly premium of $7.50 and a deductible of $480. Wellcare plans are a bit more expensive, as the monthly premium is $10.90 with a $480 deductible. UnitedHealthcare offers a lower deductible at $310, but premiums cost $30.50.

The average cost of Medicare Part D plans in San Francisco, California

PLAN PREMIUM DEDUCTIBLE STAR RATING
Aetna $7.50 $480 3
Wellcare $10.90 $480 3
Clear Spring Health $16.00 $480 2
Humana $24.20 $480 4
UnitedHealthcare $30.50 $310 4

Special Needs plans

Special-Needs Plans, or SNPs, are a group of Medicare Advantage plans available to beneficiaries with specific health needs. These plans can significantly benefit some beneficiaries, so check if you qualify.

Brand New Day provides SNPs with a MOOP of $1,500, available to beneficiaries with chronic or debilitating conditions. Align Senior Care offers a plan with a MOOP of $3,500, institutional eligibility, and options with dual eligibility. Aetna’s program has a MOOP of $7,550.

The average cost of Medicare Special Needs plans in San Francisco, California

PLAN PREMIUM MOOP Plan Type Eligibility
Align Senior Care $0 $3,500 HMO Institutional
Wellcare $0 $3,000 HMO Chronic or Disabling
Brand New Day $0 $1,500 HMO Chronic or Disabling
Aetna $0 $7,550 HMO Dual
Alignment Health $0 $6,700 HMO Dual

How to sign up for Medicare plans in San Francisco

If signing up for Medicare in San Francisco, California, is overwhelming, you’re not alone. Call Medigap today or fill out our online form to get rates! Our helpful staff is happy to help you find the best plan for your needs.

Written By:
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Lindsay Malzone, Lindsay Malzone is the Medicare editor for Medigap.com. She's been contributing to many well-known publications since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.
Reviewed By:
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Rodolfo Marrero, Rodolfo Marrero is one of the co-founders at Medigap.com. He has been helping consumers find the right coverage since the site was founded in 2013. Rodolfo is a licensed insurance agent that works hand-in-hand with the team to ensure the accuracy of the content.