There are 234,941 Medicare beneficiaries currently living in San Jose. 51% participate in a Medicare Advantage plan, numbering over 120,000 members. This article will discuss the supplemental plans available to San Jose, California, Medicare beneficiaries.
Medicare plans in San Jose, California
California Medicare plans have a variety of benefits and are a good option for most Medicare beneficiaries. Medigap and Medicare Advantage plans are available in San Jose for parts A and B and can supplement your coverage in crucial ways.
In San Jose, CA, the average age of Medicare Advantage plan members is 74, with members split 45/55 between females and males. The prices below are based on a 65-year-old female, but they should give you a good idea of what to expect.
Medicare Advantage plans
Many Medicare beneficiaries in San Jose, CA, have found enrolling in a California Medicare Advantage plan advantageous. The current number of members in these plans in the area totals 120,528. Located in San Mateo County, those in San Jose, CA, have access to 39 different Medicare Advantage plans, precisely the national average.
United Healthcare (HMO) offers a four-star rating and a zero-dollar monthly premium. With a maximum out-of-pocket (MOOP) of 4,000 dollars, United Healthcare is a reliable option for beneficiaries searching for affordable Medigap plans.
Another excellent option is Brand New Day, an HMO offering zero-dollar monthly premiums. However, what differentiates Brand New Day is its MOOP, set at $999. Still boasting a three-star rating, Brand New Day allows members to save money without sacrificing quality.
Aetna (Local PPO) offers a solid alternative for users who avoid HMO options. Aetna has a four-star rating and zero-dollar monthly premiums, providing many advantages to users who prefer PPO coverage. However, it’s essential to consider that the MOOP, set at $6,700, is higher than the available alternatives.
The average costs of Medicare Advantage plans in San Jose, California
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| Alignment Health | $0 | $4,900 | HMO | 4 |
| UnitedHealthcare | $0 | $4,000 | HMO | 4 |
| Blue Shield of California | $0 | $3,400 | HMO | 3 |
| Brand New Day | $0 | $999 | HMO | 3 |
| Aetna | $0 | $6,700 | LOCAL PPO | 4 |
Medicare Supplement plans
California Medicare Supplement plans offer increased coverage to enrolled beneficiaries. These plans can cover expenses that would otherwise be the patient’s responsibility. The government standardizes these plans, so benefits remain consistent while premiums change based on location.
Medigap Plan F is a popular choice for Medicare beneficiaries in the area, with premiums ranging from $150-$281. In addition, this plan covers all Medicare costs for eligible beneficiaries, making it an option worth considering.
Another available option is Medigap Plan N. This option allows beneficiaries to minimize deductibles while not paying unreasonable premiums. The monthly premiums for this plan range from $91-$166.
Medigap Plan G is also commonly selected. This plan provides similar coverage to Plan F but doesn’t cover Part B deductibles. Premiums are lower than Plan F, ranging from $115- $206.
The average costs in Medicare Supplement plans in San Jose, California
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $89.84 | $205.70 |
| PLAN B | $126.16 | $203.23 |
| PLAN C | $149.68 | $251.13 |
| PLAN D | $119.60 | $203.66 |
| PLAN F | $150.32 | $281.55 |
| PLAN HDF | $32.00 | $70.00 |
| PLAN G | $115.00 | $206.33 |
| PLAN HDG | $35.00 | $62.00 |
| PLAN K | $46.16 | $108.00 |
| PLAN L | $83.28 | $153.00 |
| PLAN M | N/A | N/A |
| PLAN N | $91.72 | $166.95 |
Medicare Part D prescription drug plans
California Part D plans give coverage for prescription medications to Medicare beneficiaries. None of the Medigap plans provide this coverage, so Part D plans are essential if you choose a Medigap plan.
Aetna plans cost $7.50 in monthly premiums with a $480 deductible. Humana Part D plans have a 4-star rating and $480 deductibles with a $22.70 premium. Clear Spring Health is another option in San Jose, charging $19.70 with the same deductible as the other options.
The average cost of Medicare Part D plans in San Jose, California
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $7.50 | $480 | 3 |
| Wellcare | $10.90 | $480 | 3 |
| Humana | $24.20 | $480 | 4 |
| Clear Spring Health | $16.00 | $480 | 2 |
| UnitedHealthcare | $30.50 | $310 | 4 |
Special Needs plans
Special-Needs Plans are a specific Medicare Supplement available to patients with conditions requiring special attention. Exploring these plans is worth it if you or a loved one has special needs or disabilities.
The average cost of Medicare Special Needs plans in San Jose, California
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Brand New Day | $0 | $3,450 | HMO | Chronic or Disabling |
| Anthem Blue Cross | $0 | $3,000 | HMO | Institutional |
| Imperial Health | $0 | $2,999 | HMO | Chronic or Disabling |
| Align Senior Care | $0 | $3,500 | HMO | Chronic or Disabling |
| Kaiser Permanente | $31.40 | $3,400 | HMO | Dual |
How to sign up for Medicare in San Jose
If you’re a Medicare beneficiary in San Jose, California, interested in Medigap coverage, we can help. Call today or fill out our form to get rates! Our staff are experts in navigating the Medicare system and will work with you to find coverage that meets your needs.
