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California Part D Plans

How to get drug coverage?

Medicare beneficiaries can obtain prescription drug coverage by enrolling in a Medicare stand alone prescription drug plan (Part D) or by enrolling in a Medicare Advantage plan (Part C) with a drug component.

Enrollment in 2016

In 2016, 2,173,885 enrolled in a Stand Alone California Prescription Drug Plan and 2,341,040 enrolled in an California Medicare Advantage Plan with prescription drug coverage.

Costs for Medicare drug coverage

Medicare drug plans cover a portion of all covered prescription drug costs after the enrollee has paid their annual drug deductible. However an enrollee’s actual drug costs will depend on their drug plan’s cost-sharing requirements for each drug tier, whether they use a preferred pharmacy in the plan’s network, whether their drugs are listed in the plan’s formulary (and if so, the tier in which the drugs are listed), and whether the enrollee is eligible for income-based subsidies.

California 2017 Medicare Part D Plans at a glance

Using CMS data HealthPocket found that:

  • The average monthly premium for a 2017 Medicare prescription drug plan in California is $65.90, 23.83% higher than the national average of $53.22. The lowest available Medicare Part D monthly premium in the state of California in 2017 is $17.00.
  • The maximum possible annual drug deductible in any 2017 Medicare drug plan is $400, but in California the average annual drug deductible for Medicare Part D plans is $215.91. 45.45% of Medicare Part D insurance plans in California have a $0 annual drug deductible.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part D plans each year based on customer service, member complaints, member satisfaction, patient safety, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average CMS star rating assigned to Medicare Part D insurance plans in California was 3.4 stars in 2017.
  • Among California's 2017 Medicare prescription drug plans with CMS star ratings:
    • 31.82% earned a score of 4 or 4.5 stars
    • 50% earned a score of 3 or 3.5 stars
    • 18.18% earned a score of 2.5 stars

Sources:

Medicare Enrollment Dashboard:

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/CMSProgramStatistics/Dashboard.html

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California Medicare Part D Insurance Companies

There are 14 Part D insurance providers that offer affordable and comprehensive Part D insurance in California. Of these, the companies that offer the largest variety of plans to choose from are UnitedHealthcare, WellCare, and Humana. In California,. The following are all medicare insurance providers in California:

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2018 Best Medicare Part D Plans in California

There are 33 medicare part d plans in California. The following are the 10 highest rated part d plans in California based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $22ExpressScripts - Express Scripts Medicare - Saver (PDP)
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from $38SilverScript - SilverScript Choice (PDP)
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from $52ExpressScripts - Express Scripts Medicare - Value (PDP)
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from $68SilverScript - SilverScript Plus (PDP)
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from $89UnitedHealthcare - AARP MedicareRx Preferred (PDP)
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from $100Asuris Northwest Health - Asuris Medicare Script Basic (PDP)
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from $102ExpressScripts - Express Scripts Medicare - Choice (PDP)
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from $160Asuris Northwest Health - Asuris Medicare Script Enhanced (PDP)
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from $19Aetna - Aetna Medicare Rx Select (PDP)
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from $20Humana - Humana Walmart Rx Plan (PDP)
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See all Part D plans in California

Best California Part D Plans for patients with High Blood Pressure

The following are the 5 highest rated medicare part d plans in California based on their CMS rating of the plan's medication adherence for hypertension.

Monthly CostPlan NameCMS Rating
from $100Hometown Health - Senior Care Plus: Medicare Rx Standard (PDP)Not Rated
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from $86Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
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from $64Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $69WellCare - WellCare Extra (PDP)
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from $37WellCare - WellCare Value Script (PDP)
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Best California Part D Plans for patients with High Cholesterol

The following are the 5 highest rated medicare part d plans in California based on their CMS rating of the plan's medication adherence for cholesterol.

Monthly CostPlan NameCMS Rating
from $100Hometown Health - Senior Care Plus: Medicare Rx Standard (PDP)Not Rated
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from $86Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
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from $64Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
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from $69WellCare - WellCare Extra (PDP)
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from $37WellCare - WellCare Value Script (PDP)
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Best California Part D Plans for patients with Diabetes

The following are the 5 highest rated medicare plans in California based on their CMS rating for the plan's ability for diabetes treatment and the plan's medication adherence for oral diabetes medications.

Monthly CostPlan NameCMS Rating
from $100Hometown Health - Senior Care Plus: Medicare Rx Standard (PDP)Not Rated
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from $86Cigna-HealthSpring - Cigna-HealthSpring Rx Secure (PDP)
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from $64Cigna-HealthSpring - Cigna-HealthSpring Rx Secure-Extra (PDP)
Remove X
Details
from $69WellCare - WellCare Extra (PDP)
Remove X
Details
from $37WellCare - WellCare Value Script (PDP)
Remove X
Details

Most Popular Medicare Doctors in California

The following are the most popular medicare doctors in California based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
SpecialistVENTURA, CA
Internal MedicineBAKERSFIELD, CA
Internal MedicineMERCED, CA
SpecialistVENTURA, CA
SurgeryWALNUT CREEK, CA
RadiologyNEWPORT BEACH, CA
RadiologyMODESTO, CA
Internal MedicineLOS ANGELES, CA
SurgeryTORRANCE, CA
RadiologyVICTORVILLE, CA
See all doctors accepting Medicare in California

Browse Part D Plans by Cities

  1. Los Angeles, CA
  2. San Diego, CA
  3. San Jose, CA
  4. San Francisco, CA
  5. Fresno, CA
  6. Long Beach, CA
See all cities in California

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