Best Medicare Companies in South Lake Tahoe, California (2024)
Uncover the top-notch Medicare companies in South Lake Tahoe, California, providing exceptional healthcare coverage for residents. Compare plans, benefits, and customer reviews to make an informed decision for your Medicare needs. Find peace of mind and quality care with the leading providers in the area. Explore the options and choose the best Medicare company that caters to your unique requirements, ensuring your well-being and satisfaction in South Lake Tahoe.
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Tim Bain
Licensed Insurance Agent
Tim Bain is a licensed life insurance agent with 23 years of experience helping people protect their families and businesses with term life insurance. His insurance expertise has been featured in several publications, including Investopedia and eFinancial. He also does digital marking and analysis for KPS/3, a communications and marking firm located in Nevada.
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UPDATED: Dec 27, 2023
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UPDATED: Dec 27, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
Welcome to our exclusive guide on the top-rated Medicare companies in South Lake Tahoe, California. This comprehensive article covers essential topics like plan options, benefits, and customer reviews, enabling you to make an informed decision. We know the significance of finding a Medicare provider that aligns with your unique needs and budget.
We invite you to enter your ZIP code below and compare rates from the best insurance providers in South Lake Tahoe. Take control of your healthcare journey today and ensure you receive the quality coverage you deserve. Your peace of mind is just a few clicks away.
Medicare Advantage by Company in South Lake Tahoe, California
There are Medicare Advantage companies in South Lake Tahoe, CA, offering a range of options including HMO and PPO plans. There are even some plans available at no additional cost beyond your South Lake Tahoe Medicare Part B premium. Take a look at the Medicare Advantage companies in South Lake Tahoe, California, to compare plans and coverage.
Medicare Advantage Companies in South Lake Tahoe, California
Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
---|---|---|---|---|---|
AARP Medicare Advantage SecureHorizons (HMO) – H0543-140-0 | $61.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
Anthem MediBlue Access (PPO) – H8552-029-0 | $30.00 | $370 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 26%, Select Care Drugs: $0.00 | $6,700 |
Anthem MediBlue Dual Access (PPO D-SNP) – H8552-030-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $36.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) – H0524-013-0 | $75.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $5,400 |
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) – H0524-051-0 | $15.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) – H0524-030-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% | n/a |
UnitedHealthcare Medicare Advantage Assure (HMO) – H0543-202-0 | $17.10 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | $7,550 |
Medicare Part D by Company in South Lake Tahoe, California
South Lake Tahoe Medicare Part D companies offer plans that cover prescription medications, with deductible and copay options that vary along with the monthly cost. Whether you have original Medicare or a South Lake Tahoe, California, Medicare Advantage plan, you can buy standalone Part D coverage from a local company.
Standalone Medicare Part D Plans in South Lake Tahoe, California
Plan | Details | Tiers |
---|---|---|
SilverScript SmartRx (PDP) S5601 – 207 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 48% Tier 5: 25% |
Clear Spring Health Premier Rx (PDP) S6946 – 056 – 0 by Clear Spring Health |
Monthly Premium: $13.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
Elixir RxPlus (PDP) S7694 – 137 – 0 by Elixir Insurance |
Monthly Premium: $15.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
WellCare Wellness Rx (PDP) S4802 – 201 – 0 by WellCare |
Monthly Premium: $15.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
Humana Walmart Value Rx Plan (PDP) S5884 – 211 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 17% Tier 4: 35% Tier 5: 25% |
WellCare Value Script (PDP) S4802 – 163 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
Cigna Secure-Essential Rx (PDP) S5617 – 311 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 43% Tier 5: 25% |
Mutual of Omaha Rx Premier (PDP) S7126 – 101 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 44% Tier 5: 25% |
Anthem Blue Cross MediBlue Rx Enhanced (PDP) S5596 – 076 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $26.10 Annual Deductible: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 39% Tier 5: 26% |
Express Scripts Medicare – Saver (PDP) S5660 – 248 – 0 by Express Scripts Medicare |
Monthly Premium: $26.50 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
Cigna Secure Rx (PDP) S5617 – 158 – 0 by Cigna |
Monthly Premium: $27.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
WellCare Medicare Rx Select (PDP) S5810 – 295 – 0 by WellCare |
Monthly Premium: $28.30 Annual Deductible: $385 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 26% |
AARP MedicareRx Saver Plus (PDP) S5921 – 376 – 0 by UnitedHealthcare |
Monthly Premium: $29.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $25.00 Tier 4: 40% Tier 5: 25% |
Clear Spring Health Value Rx (PDP) S6946 – 027 – 0 by Clear Spring Health |
Monthly Premium: $29.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 35% Tier 5: 25% |
SilverScript Choice (PDP) S5601 – 064 – 0 by Aetna Medicare |
Monthly Premium: $29.50 Annual Deductible: $250 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 39% Tier 5: 28% |
WellCare Classic (PDP) S4802 – 094 – 0 by WellCare |
Monthly Premium: $30.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 25% |
Cigna Secure-Extra Rx (PDP) S5617 – 277 – 0 by Cigna |
Monthly Premium: $30.30 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
Humana Basic Rx Plan (PDP) S5884 – 114 – 0 by Humana |
Monthly Premium: $30.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 32% Tier 5: 25% |
Elixir RxSecure (PDP) S7694 – 032 – 0 by Elixir Insurance |
Monthly Premium: $30.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 29% Tier 5: 25% |
WellCare Medicare Rx Saver (PDP) S5810 – 066 – 0 by WellCare |
Monthly Premium: $37.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 39% Tier 5: 25% |
AARP MedicareRx Walgreens (PDP) S5921 – 413 – 0 by UnitedHealthcare |
Monthly Premium: $41.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
Blue Shield Rx Plus (PDP) S2468 – 003 – 0 by Blue Shield of California |
Monthly Premium: $59.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $6.00 Tier 3: $39.00 Tier 4: 41% Tier 5: 25% |
Express Scripts Medicare – Value (PDP) S5660 – 134 – 0 by Express Scripts Medicare |
Monthly Premium: $61.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
Humana Premier Rx Plan (PDP) S5884 – 178 – 0 by Humana |
Monthly Premium: $72.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
Anthem Blue Cross MediBlue Rx Plus (PDP) S5596 – 034 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $79.90 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
WellCare Medicare Rx Value Plus (PDP) S5768 – 155 – 0 by WellCare |
Monthly Premium: $81.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 44% Tier 5: 33% |
SilverScript Plus (PDP) S5601 – 065 – 0 by Aetna Medicare |
Monthly Premium: $81.60 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
Anthem Blue Cross MediBlue Rx Standard (PDP) S5596 – 033 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $84.20 Annual Deductible: $390 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $32.00 Tier 4: 27% Tier 5: 25% |
Express Scripts Medicare – Choice (PDP) S5660 – 202 – 0 by Express Scripts Medicare |
Monthly Premium: $84.90 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
AARP MedicareRx Preferred (PDP) S5820 – 031 – 0 by UnitedHealthcare |
Monthly Premium: $99.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
Mutual of Omaha Rx Plus (PDP) S7126 – 031 – 0 by Mutual of Omaha Rx |
Monthly Premium: $100.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
Blue Shield Rx Enhanced (PDP) S2468 – 004 – 0 by Blue Shield of California |
Monthly Premium: $130.40 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 33% Tier 5: 33% |
Medicare Supplement By Company in South Lake Tahoe, California
South Lake Tahoe, California, Medicare supplement plans are designed to fill in the gaps left by original Medicare. That’s why they’re also known as Medigap plans. Compare South Lake Tahoe, CA, Medigap companies, and the plans they offer here.
Medicare Supplement Companies in South Lake Tahoe, California
Company | Plans |
---|---|
AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Anthem BlueCross – California | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Blue Shield of California Life & Health Insurance Company | Medigap Plan A, Medigap Plan G, Medigap Plan N |
Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Cigna Health & Life Insurance Company (w/ 11% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Cigna Health & Life Insurance Company (w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Combined Insurance Company of America | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Continental Life Insurance Company of Brentwood, Tennessee (Aetna) | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Everence Association Inc. | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Health Net Life Insurance Company (Not Los Angeles and San Diego) | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Humana (Humana Insurance Company) | Medigap Plan A, Medigap Plan A, Medigap Plan B, Medigap Plan B, Medigap Plan C, Medigap Plan C, Medigap Plan F, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan K, Medigap Plan L, Medigap Plan L, Medigap Plan N, Medigap Plan N |
Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) (Household) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
Independence American Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
National Guardian Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Oxford Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan N |
State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
United World Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Anthem BlueCross – California (Innovative) | Medigap Plan F |
Blue Shield of California Life & Health Insurance Company (Plan F Extra) | Medigap Plan F |
Health Net Life Insurance Company (Innovative F/Not Los Angeles and San Diego) | Medigap Plan F |
Blue Shield of California Life & Health Insurance Company (Plan G Extra) | Medigap Plan G |
Blue Shield of California Life & Health Insurance Company (Plan G Inspire) | Medigap Plan G |
Health Net Life Insurance Company (Innovative G/Not Los Angeles and San Diego) | Medigap Plan G |
Medicare Supplement Coverage by Plan in South Lake Tahoe, California
Medicare supplement plans in South Lake Tahoe, CA, are standardized, so you’ll get the same coverage regardless of which company you choose. Find out what the standard Medigap plans in California cover here.
South Lake Tahoe, California Standard Medicare Plan Coverage
Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
---|---|---|---|---|
Medigap Plan A | Premiums range from $97-$902 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan B | Premiums range from $151-$576 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan C | Premiums range from $178-$735 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan D | Premiums range from $128-$575 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan F | Premiums range from $177-$1,104 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan F-high deductible | Premiums range from $40-$208 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G | Premiums range from $128-$961 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G-high deductible | Premiums range from $37-$207 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan K | Premiums range from $55-$307 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan L | Premiums range from $100-$447 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan M | Premiums range from $177-$514 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan N | Premiums range from $98-$737 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
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Shop for Medicare Coverage in South Lake Tahoe, California
Finding the right coverage for Medicare in South Lake Tahoe, California, is a matter of looking at your choices and narrowing down the best fits for your needs and budget. Whether you want a PPO Medicare Advantage plan in South Lake Tahoe, CA, or you prefer to bolster original Medicare with a South Lake Tahoe Medicare supplement plan, shopping around is your best bet.
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Frequently Asked Questions
Which Medicare companies are available in South Lake Tahoe, California in 2023?
There are several Medicare companies that offer plans in South Lake Tahoe, California in 2023. These may include four of the major national insurers such as:
- Aetna
- UnitedHealthcare
- Humana
- Anthem Blue Cross
It’s important to note that the availability of Medicare companies and plans can vary depending on the specific location within South Lake Tahoe, California. For example, some plans may only be available in certain zip codes or counties within the broader South Lake Tahoe area. It’s therefore important to check with individual companies to determine their specific offerings and coverage areas.
Additionally, it’s worth noting that the Medicare program is administered by the federal government, and all plans offered by private companies must meet certain minimum requirements and standards set by the government. However, companies may still differ in terms of their specific plan offerings, costs, provider networks, and other factors that can impact your coverage and benefits. Therefore, it’s important to carefully compare and evaluate different plans and companies to find the one that best meets your needs and budget.
What are the differences between Medicare Advantage and Medicare Supplement plans offered by companies in South Lake Tahoe, California?
Medicare Advantage and Medicare Supplement plans are both offered by private companies in South Lake Tahoe, California, but has its different ways.
Medicare Advantage plans, also known as Medicare Part C, are an alternative to traditional Medicare (Part A and Part B). These plans are required to cover everything that original Medicare covers, but may also offer additional benefits, here are the top six on the list:
- prescription drug
- coverage
- dental and vision care
- wellness programs
- have a network of providers that you must use in order to receive the plan’s benefits, and you may be required to pay copays or deductibles for certain services
- often have lower premiums than Medigap plans, but may require you to pay more out-of-pocket for certain services
Medicare Supplement plans (also called Medigap plans) are designed to supplement original Medicare coverage, rather than replace it. These plans are designed to cover the out-of-pocket costs that original Medicare doesn’t cover, top six on the list includes:
- deductibles
- copays
- coinsurance
- plans usually don’t have provider networks and typically allow you to use any doctor or hospital that accepts Medicare
- generally have higher premiums but may provide more comprehensive coverage
- fewer out-of-pocket costs overall
In summary, Medicare Advantage plans are an all-in-one alternative to traditional Medicare that may offer additional benefits, while Medicare Supplement plans are designed to fill in the gaps in original Medicare coverage. The choice between the two will depend on your individual needs and budget. It’s important to carefully compare and evaluate your options before choosing a plan.
Are there any Medicare companies in South Lake Tahoe, California that offer prescription drug coverage?
Yes, many Medicare companies in South Lake Tahoe, California offer prescription drug coverage as part of their Medicare Advantage and/or Medicare Part D plans.
Medicare Part D is a standalone prescription drug plan offered by private insurance companies that is available to all Medicare beneficiaries. This coverage helps to pay for prescription drugs and can help to lower out-of-pocket costs for medications. Most Medicare Advantage plans also include prescription drug coverage as part of their benefits package.
When considering Medicare companies that offer prescription drug coverage in South Lake Tahoe, California, it’s important to carefully review the details of the plan’s coverage, including the formulary (list of covered medications) and any restrictions or limitations on coverage. It’s also important to consider factors such as the plan’s copays, deductibles, and premiums to determine the overall value and affordability of the plan.
To compare Medicare plans and coverage options in South Lake Tahoe, California that include prescription drug coverage, you can use the Medicare Plan Finder tool on the official Medicare website or contact individual Medicare companies directly to request plan information and enrollment materials. It’s important to review all options and carefully evaluate your needs and budget to find the plan that best meets your needs for prescription drug coverage.
Are there any Medicare companies in South Lake Tahoe, California that have a network of doctors and hospitals that I must use?
Yes, many Medicare companies in South Lake Tahoe, California have a network of doctors and hospitals that you must use in order to receive the plan’s benefits. These two types of plans are called:
- Medicare Advantage HMO (Health Maintenance Organization)
- PPO (Preferred Provider Organization) plans
HMO plans require you to choose a primary care physician (PCP) from the plan’s network of providers. Your PCP will be your main point of contact for all medical care, and will need to provide referrals for any specialist care or services outside of the plan’s network. If you receive care from a provider outside of the plan’s network, you may be responsible for paying the full cost of the service.
PPO plans also have a network of providers, but generally allow you to receive care from both in-network and out-of-network providers. If you choose to receive care from an out-of-network provider, you may have to pay higher copays, deductibles, and coinsurance.
It’s important to carefully review the provider network of any Medicare Advantage plan you are considering, to ensure that your preferred doctors and hospitals are included in the network. If you have a specific doctor or hospital that you prefer to use, it’s important to check with the plan to ensure that they are in-network before enrolling in the plan.
It’s also important to consider the costs associated with different Medicare Advantage plans, here are the four things to take into consideration:
- copays
- deductibles
- premiums
- restrictions or limitations on coverage
It’s recommended that you review all options and carefully evaluate your needs and budget to find the plan that best meets your needs for network providers and overall value.
How do I file a complaint or appeal with a Medicare company in South Lake Tahoe, California if I am not satisfied with my plan or coverage?
If you are not satisfied with your Medicare plan or coverage from a company in South Lake Tahoe, California, here are the four steps you can take to file a complaint or appeal.
- Contact your plan: The first step is to contact your Medicare company directly to discuss your concerns and see if the issue can be resolved without filing a formal complaint or appeal. You can find contact information for your plan on the company’s website or by calling the customer service number on your plan membership card.
- File a complaint: If you are not able to resolve your issue directly with the Medicare company, you can file a complaint with Medicare. You can do this online by visiting the Medicare Complaint Form webpage or by calling 1-800-MEDICARE (1-800-633-4227). You can file a complaint about any aspect of your plan, including quality of care, coverage, or customer service.
- Request an appeal: If you have received a denial of coverage or payment from your Medicare company, you have the right to request an appeal. You must request the appeal within 60 days of receiving the denial notice. You can request an appeal through your Medicare company or by contacting the Medicare Appeals Office at 1-800-MEDICARE.
- Get help from a counselor: If you need help filing a complaint or appeal, you can contact the State Health Insurance Assistance Program (SHIP) in California. SHIP is a free counseling service that provides assistance to Medicare beneficiaries with questions or concerns about their coverage.
It’s important to keep detailed records of any communications with your Medicare company or with Medicare, including the date and time of the communication and the name of the person you spoke with. This can help you to track the progress of your complaint or appeal and ensure that your issue is resolved in a timely manner.
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Tim Bain
Licensed Insurance Agent
Tim Bain is a licensed life insurance agent with 23 years of experience helping people protect their families and businesses with term life insurance. His insurance expertise has been featured in several publications, including Investopedia and eFinancial. He also does digital marking and analysis for KPS/3, a communications and marking firm located in Nevada.
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