Compare every Medicare plan in your area

California Medicare Insurance

Medicare in California

Medicare offers healthcare coverage to California residents age 65 or older, or to those California residents that suffer from certain medical disabilities. In 2015, 5,644,384 people are enrolled in Medicare in California, accounting for 14% of the population in California. Approximately $10,954 was spent per Medicare enrollee in California in 2009, about 5.68% higher than the national average of $10,365. From 2015 to 2030 the number of seniors in California is projected to rise by an estimated 58.54% according to calculations based off of the 2000 Census and therefore the number of Medicare enrollees in California is also expected to rise.

Local Medicare Resources

Residents of California that qualify or are enrolled in Medicare can receive free personalized and unbiased Medicare counseling and education from the California Health Insurance Counseling and Advocacy Program (HICAP), a part of a national network of State Health Insurance and Assistance Programs (SHIP). Additionally California's Senior Medicare Patrol (SMP) helps Medicare beneficiaries detect, avoid, and report healthcare fraud and abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). Keep in mind that you must be eligible for Original Medicare in order to enroll in a Medicare Advantage plan. If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

California 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in California is $32.77, 47.55% less than the national average of $62.48. 64.56% of 2017 Medicare Part C insurance plans in California have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in California the average annual drug deductible for Medicare Part C insurance plans with drug components is $111.29. 64.56% of 2017 Medicare Part C insurance plans with a drug component in California have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in California is $39.4. 40% of 2017 Medicare Part C insurance plans without a drug component in California have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in California is $4,693.64. 37.15% of 2017 Medicare Advantage plans in California had a medical out-of-pocket limit of $3,400 or less.

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

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in California was 4 stars in 2017.
  • Among California's 2017 Medicare Advantage plans with CMS star ratings:
    • 12.85% earned a score of 5 stars
    • 46.09% earned a score of 4 or 4.5 stars
    • 37.15% earned a score of 3 or 3.5 stars
    • 3.91% of plans are “Not enough data available” or “Too new to be measured”.

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

See More ▼Collapse ▲

California Medicare Insurance Companies

There are 38 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in California. Of these, the companies that offer the largest variety of plans to choose from are Kaiser Permanente, UnitedHealthcare, and Anthem Blue Cross. In California,. The following are all medicare insurance providers in California:

See More ▼Collapse ▲

2018 Best Medicare Plans in California

There are 141 medicare plans in California. The following are the 10 highest rated medicare plans in California based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0Kaiser Permanente - Kaiser Permanente Senior Advantage Inland Empire (HMO) - Riverside County
Remove X
Details
from $0Kaiser Permanente - Kaiser Permanente Senior Advantage San Diego (HMO) - San Diego County
Remove X
Details
from $0Kaiser Permanente - Kaiser Permanente Senior Advantage LA, Orange Co. (HMO) - Los Angeles County
Remove X
Details
from $0Kaiser Permanente - Kaiser Permanente Senior Advantage Ventura (HMO) - Ventura County
Remove X
Details
from $0Kaiser Permanente - Kaiser Permanente Senior Advantage Basic Kern (HMO) - Kern County
Remove X
Details
from $12Kaiser Permanente - Kaiser Permanente Senior Advantage B Only South (HMO) - Kern County
Remove X
Details
from $18Kaiser Permanente - Kaiser Permanente Senior Advantage B Only North (HMO) - Alameda County
Remove X
Details
from $19Kaiser Permanente - Kaiser Permanente Senior Advantage Basic Fresno (HMO) - Fresno County
Remove X
Details
from $19Kaiser Permanente - Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) - San Joaquin County
Remove X
Details
from $23Kaiser Permanente - Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) - Amador County
Remove X
Details
See all Medicare plans in California

Best California Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in California based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $35Anthem Blue Cross - Anthem MediBlue Coordination Plus (HMO) - Los Angeles County
Remove X
Details
from $33Anthem Blue Cross - Anthem Connect Plus (HMO) - Los Angeles County
Remove X
Details
from $0Anthem Blue Cross - Anthem Value Plus (HMO) - San Bernardino County
Remove X
Details
from $0Anthem Blue Cross - Anthem MediBlue Plus (HMO) - Sacramento County
Remove X
Details
from $0Anthem Blue Cross - Anthem StartSmart Plus (HMO) - San Benito County
Remove X
Details

Best California Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in California based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $39Kaiser Permanente - Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) - Fresno County
Remove X
Details
from $36Kaiser Permanente - Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) - Amador County
Remove X
Details
from $33Kaiser Permanente - Kaiser Permanente Senior Advantage Enhanced Stanis (HMO) - Stanislaus County
Remove X
Details
from $33Kaiser Permanente - Kaiser Permanente Senior Advantage Solano (HMO) - Solano County
Remove X
Details
from $31Kaiser Permanente - Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) - San Joaquin County
Remove X
Details

Best California Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in California based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $102Anthem Blue Cross - Anthem MediBlue Access (PPO) - Orange County
Remove X
Details
from $59Aspire Health Plan - Aspire Health Plus (HMO-POS) - Monterey County
Remove X
Details
from $50Aspire Health Plan - Aspire Health Advantage (HMO) - Monterey County
Remove X
Details
from $35Brand New Day - Brand New Day Classic Choice for Medi-Medi (HMO) - Fresno County
Remove X
Details
from $35Aspire Health Plan - Aspire Health Value (HMO) - Monterey County
Remove X
Details

Best California Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in California based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $0Golden State Medicare Health Plan - Golden State Medicare Gold (HMO) - Los Angeles County
Remove X
Details
from $35Central Health Medicare Plan - Central Health Premier Plan (HMO) - Los Angeles County
Remove X
Details
from $35Brand New Day - Brand New Day Classic Choice for Medi-Medi (HMO) - Fresno County
Remove X
Details
from $35Inter Valley Health Plan - Inter Valley Health Plan Value Preferred Choice (HMO) - Los Angeles County
Remove X
Details
from $35Care1st Health Plan - Coordinated Choice Plan (HMO) - Fresno County
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 Medicare 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

Related Articles

Related Search

{"globalPhoneNumber":"8009316467","helpInfo":{"phone":"8009316467","analyticsInfo":{"pageType":"content","productLine":"medicare","phone":"8009316467"}}}