4

4 out of 5 stars* for plan year 2024

Plan ID: H0562-012

What You Need to Know:

  • Health Net Healthy Heart (HMO) is a Medicare Advantage Health Maintenance Organization Local HMO plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is .
  • The plan includes an out-of-pocket maximum of $3,000 per year (in-network).
  • Health Net Healthy Heart (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $0.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: $0
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 $0 $0 $0 $0 $0 0.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H0562-039
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: No additional gap coverage, only the Donut Hole Discount
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $3,000
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in San Diego, California: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
2,524 members 4 out of 5 Stars. 4 out of 5 Stars. 4 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,411 drugs
Number of Members Enrolled in this Plan in San Diego, California: NULL
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
$0.00 $0.00 $0.00 $0.00
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
217 $5.00 410 $10.00 1011 $42.00 902 $95.00 680 33%

Other Medicare Advantage Plans in San Diego, California

Plan Name Type Premium MOOP Rx Deduct. Rating
UnitedHealthcare Medicare Advantage Assure (HMO) (2023)Local HMO$7,550$445
4
Anthem MediBlue Coordination Plus (HMO) (2023)Local HMO$7,550$445
5
Brand New Day Classic Care I Plan (HMO) (2023)Local HMO$999$0
3
Brand New Day Classic Care II Plan (HMO) (2023)Local HMO$999$50
3
CalPlus (HMO) (2023)Local HMO$4,900$445
5
Astiva Health Advantage (HMO) (2023)Local HMO$3,000$0
New plan - not yet rated.
Humana Value Plus H5619-037 (HMO) (2023)Local HMO$7,550$445
4
Aetna Medicare Plus Plan 2 (HMO) (2023)Local HMO$7,550$220
New plan - not yet rated.
Connected Care (HMO) (2023)Local HMO$3,000$0
4
Sharp Direct Advantage Platinum Card (HMO) (2023)Local HMO$2,900$0
3
Scripps Signature offered by SCAN Health Plan (HMO) (2023)Local HMO$2,500$0
5
AARP Medicare Advantage SecureHorizons Value (HMO) (2023)Local HMO$5,300$0
4
Platinum (HMO) (2023)Local HMO$2,900$0
5
Health Net Sapphire Premier (HMO) (2023)Local HMO$3,450$445
4
AARP Medicare Advantage Patriot (HMO) (2023)Local HMO *$4,900$-
4
AVA (HMO) (2023)Local HMO$999$0
5
Select (HMO) (2023)Local HMO$3,400$0
5
Harmony (HMO) (2023)Local HMO$2,900$0
5
Health Net Sapphire Premier II (HMO) (2023)Local HMO$3,450$445
4
Aetna Medicare Plus Plan (HMO) (2023)Local HMO$2,000$0
New plan - not yet rated.
Aetna Medicare Eagle Plan (HMO) (2023)Local HMO *$4,200$-
New plan - not yet rated.
Health Net Sapphire (HMO) (2023)Local HMO$3,450$445
4
Humana Honor (HMO) (2023)Local HMO *$6,700$-
4
Sharp Direct Advantage Gold Card (HMO) (2023)Local HMO$2,900$0
3
Scripps Classic offered by SCAN Health Plan (HMO) (2023)Local HMO$3,400$0
5
Anthem MediBlue Extra (HMO) (2023)Local HMO$900$445
5
Blue Shield 65 Plus (HMO) (2023)Local HMO$3,399$0
5
Brand New Day Classic Choice Plan (HMO) (2023)Local HMO$7,550$445
3
Scripps Plus offered by SCAN Health Plan (HMO) (2023)Local HMO$7,550$445
5
Astiva Health Value (HMO) (2023)Local HMO$7,550$445
New plan - not yet rated.
Imperial Traditional (HMO) (2023)Local HMO$2,999$0
New plan - not yet rated.
Aetna Medicare Select Plan (HMO) (2023)Local HMO$3,400$0
5
Imperial Dynamic Plan (HMO) (2023)Local HMO$899$0
New plan - not yet rated.
Kaiser Permanente Senior Advantage San Diego (HMO) (2023)Local HMO$4,000$0
5
Imperial Traditional Plus (HMO) (2023)Local HMO$2,999$445
New plan - not yet rated.
Sharp SecureHorizons Plan by UnitedHealthcare (HMO) (2023)Local HMO$3,400$0
4
AARP Medicare Advantage SecureHorizons Plan 4 (HMO) (2023)Local HMO$3,400$50
4
Humana Gold Plus H5619-016 (HMO) (2023)Local HMO$3,200$0
4
AARP Medicare Advantage Walgreens (HMO) (2023)Local HMO$2,900$0
4
UC San Diego Health Humana (HMO) (2023)Local HMO$3,200$0
4
Blue Shield AdvantageOptimum Plan 1 (HMO) (2023)Local HMO$3,400$0
3
Blue Shield Coordinated Choice Plan (HMO) (2023)Local HMO$6,700$445
3
Clever Care Balance Medicare Advantage (HMO) (2023)Local HMO$7,550$435
New plan - not yet rated.
Blue Shield AdvantageOptimum Plan 2 (HMO) (2023)Local HMO$3,400$0
3
Clever Care Longevity Medicare Advantage (HMO) (2023)Local HMO$2,999$0
New plan - not yet rated.
Anthem MediBlue Plus (HMO) (2023)Local HMO$3,400$0
5
AARP Medicare Advantage SecureHorizons Premier (HMO) (2023)Local HMO$4,300$0
4
Anthem MediBlue Select (HMO) (2023)Local HMO$2,500$0
5
Aetna Medicare Choice Plan (PPO) (2023)Local PPO$7,550$0
5
Medicare Advantage Plans by Health Net of California
Health Net Sapphire (HMO) (2023)Local HMO$3,450$445
4

Find Medicare Advantage Plans in California