Bay Area · 9 counties · open to everyone

What does my Medicare Advantage plan cost?

Premium, max-out-of-pocket, drug deductible and star rating for each Bay-Area Medicare Advantage plan — plus what it charges for the services that matter at discharge (SNF, home health, DME, therapy, ambulance). Figures are from CMS plan filings for 2026; always confirm with the plan before deciding, and check whether a facility is in-network separately. For programs that help pay, see Who can pay.

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Medi-Cal (managed care)

Medi-Cal managed-care benefits are standardized statewide — most members pay $0 for covered services (SNF, home health, DME, therapy). There is no per-plan cost-share grid to publish. Extra in-home/respite/transition help is available via CalAIM Community Supports — see the “Who can pay” money layer.

All counties Alameda Contra Costa Marin Napa San Francisco San Mateo Santa Clara Solano Sonoma

Medicare Advantage plans

37 in Alameda

Aetna Medicare Eagle (PPO)

Aetna Medicare · PPO

★ 4.5

Premium / mo

$Not Applicable

Max out-of-pocket

$6,750.00

Drug deductible

$Not Applicable

What it costs at discharge

Inpatient hospital (acute): $430/day days 1–4, $0/day days 5–90
Skilled nursing facility (SNF): $10/day days 1–20, $218/day days 21–100
Home health: $0 copay
Physical / speech therapy: $20 copay
Occupational therapy: $20 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $265 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Francisco, San Mateo, Santa Clara

Aetna Medicare Enhanced (PPO)

Aetna Medicare · PPO

★ 4.5

Premium / mo

$63.00

Max out-of-pocket

$5,900.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): $300/day days 1–7, $0/day days 8–90
Skilled nursing facility (SNF): $10/day days 1–20, $218/day days 21–100
Home health: $0 copay
Physical / speech therapy: $30 copay
Occupational therapy: $30 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $285 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Francisco

Aetna Medicare Signature (PPO)

Aetna Medicare · PPO

★ 4.5

Premium / mo

$0.00

Max out-of-pocket

$6,750.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): $335/day days 1–7, $0/day days 8–90
Skilled nursing facility (SNF): $10/day days 1–20, $218/day days 21–100
Home health: $0 copay
Physical / speech therapy: $30 copay
Occupational therapy: $30 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $285 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Francisco

Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)

Kaiser Permanente · HMO

★ 4.5

Premium / mo

$99.00

Max out-of-pocket

$3,900.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $270/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $100/day days 21–100
Home health: $0 copay
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $0 — covered in full
Ground ambulance: $350 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, Napa, San Francisco

Kaiser Permanente Senior Advantage Basic Alameda (HMO)

Kaiser Permanente · HMO

★ 4.5

Premium / mo

$19.00

Max out-of-pocket

$6,000.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $290/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $150/day days 21–100
Home health: $0 copay
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $0 — covered in full
Ground ambulance: $350 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda

AARP Medicare Advantage from UHC CA-7 (HMO-POS)

UnitedHealthcare · HMO-POS

★ 4.0

Premium / mo

$70.00

Max out-of-pocket

$5,900.00

Drug deductible

$440.00

What it costs at discharge

Inpatient hospital (acute): $550/day days 1–4, $0/day days 5–90
Skilled nursing facility (SNF): $0/day days 1–20, $218/day days 21–100
Home health: $0 copay
Physical / speech therapy: $45 copay
Occupational therapy: $45 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $290 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda

Alignment Health BreathEasy (HMO C-SNP)

Alignment Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$12.00

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): see plan
Skilled nursing facility (SNF): see plan
Home health: $0 — covered in full
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: 20% coinsurance
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, Santa Clara

Alignment Health Clarity (HMO C-SNP)

Alignment Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$12.00

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): see plan
Skilled nursing facility (SNF): see plan
Home health: $0 — covered in full
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: 20% coinsurance
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, Santa Clara

Alignment Health Harmony (HMO)

Alignment Health Plan · HMO

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$3,400.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $100/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $100/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $200 copay
Ground ambulance: $175 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, San Francisco, San Mateo, Santa Clara

Alignment Health Heart & Diabetes (HMO C-SNP)

Alignment Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$1,499.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $100/day days 1–3, $0/day days 4–90
Skilled nursing facility (SNF): $0/day days 1–31, $50/day days 32–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $0 — covered in full
Ground ambulance: $100 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, Santa Clara

Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)

Alignment Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$12.00

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): $275/day days 1–6, $0/day days 7–90
Skilled nursing facility (SNF): see plan
Home health: $0 — covered in full
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: 20% coinsurance
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, Santa Clara

Alignment Health Heart & Diabetes Care (HMO C-SNP)

Alignment Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$1,990.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $100/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $20/day days 1–20, $100/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $200 copay
Ground ambulance: $100 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, Santa Clara

Alignment Health Heart & Diabetes Choice (HMO C-SNP)

Alignment Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$0.70

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): $225/day days 1–6, $0/day days 7–90
Skilled nursing facility (SNF): $0/day days 1–20, $50/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $200 copay
Ground ambulance: $175 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, Santa Clara

Alignment Health Honor+ Plan (HMO)

Alignment Health Plan · HMO

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): see plan
Skilled nursing facility (SNF): see plan
Home health: $0 — covered in full
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: $0 — covered in full
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, San Mateo, Santa Clara

Alignment Health My Choice CalCare (HMO)

Alignment Health Plan · HMO

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$3,499.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $100/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $20/day days 1–20, $100/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $200 copay
Ground ambulance: $175 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, Santa Clara

Blue Shield Inspire (HMO)

Blue Shield of California · HMO

★ 4.0

Premium / mo

$56.00

Max out-of-pocket

$4,500.00

Drug deductible

$425.00

What it costs at discharge

Inpatient hospital (acute): $280/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $200/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $15 copay
Occupational therapy: $15 copay
Outpatient hospital services: $250 copay
Ground ambulance: $280 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Mateo

Kaiser Permanente Dual Complete North P16 (HMO D-SNP)

Kaiser Permanente · HMO D-SNP

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$9,250.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $425/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $214/day days 21–100
Home health: $0 copay
Physical / speech therapy: $0 copay
Occupational therapy: $0 copay
Outpatient hospital services: $0 copay
Ground ambulance: $400 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda

SCAN Balance (HMO C-SNP)

SCAN Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$1,500.00

Drug deductible

$250.00

What it costs at discharge

Inpatient hospital (acute): $100/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $75/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $125 copay
Ground ambulance: $180 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Mateo

SCAN Classic (HMO)

SCAN Health Plan · HMO

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$1,500.00

Drug deductible

$250.00

What it costs at discharge

Inpatient hospital (acute): $100/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $75/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $125 copay
Ground ambulance: $180 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Mateo

SCAN Compass (HMO)

SCAN Health Plan · HMO

★ 4.0

Premium / mo

$49.00

Max out-of-pocket

$4,500.00

Drug deductible

$250.00

What it costs at discharge

Inpatient hospital (acute): $300/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $200/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $15 copay
Occupational therapy: $15 copay
Outpatient hospital services: $250 copay
Ground ambulance: $250 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda

SCAN MyChoice (HMO)

SCAN Health Plan · HMO

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$1,999.00

Drug deductible

$250.00

What it costs at discharge

Inpatient hospital (acute): $150/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $75/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $150 copay
Ground ambulance: $105 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Mateo

SCAN Strive (HMO C-SNP)

SCAN Health Plan · HMO C-SNP

★ 4.0

Premium / mo

$0.00

Max out-of-pocket

$9,250.00

Drug deductible

$250.00

What it costs at discharge

Inpatient hospital (acute): see plan
Skilled nursing facility (SNF): see plan
Home health: $0 — covered in full
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: 20% coinsurance
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Francisco, San Mateo, Santa Clara

UHC Complete Care Support CA-8AP (HMO-POS C-SNP)

UnitedHealthcare · HMO-POS C-SNP

★ 4.0

Premium / mo

$8.90

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): $1525 copay
Skilled nursing facility (SNF): see plan
Home health: $0 copay
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: $0 — covered in full
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Contra Costa, San Francisco, Solano

Imperial Courage Plan (HMO)

Imperial Health Plan of California, Inc. · HMO

★ 3.5

Premium / mo

$Not Applicable

Max out-of-pocket

$2,999.00

Drug deductible

$Not Applicable

What it costs at discharge

Inpatient hospital (acute): $150/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $200/day days 21–100
Home health: $10 copay
Physical / speech therapy: 20% coinsurance
Occupational therapy: $10 copay
Outpatient hospital services: $200 copay
Ground ambulance: $150 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, Sonoma

Imperial Dynamic Plan (HMO)

Imperial Health Plan of California, Inc. · HMO

★ 3.5

Premium / mo

$0.00

Max out-of-pocket

$296.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $0/day days 1–90
Skilled nursing facility (SNF): $0/day days 1–20, $100/day days 21–50, $200/day days 51–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $100 copay
Ground ambulance: $150 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, Sonoma

Imperial Senior Value (HMO C-SNP)

Imperial Health Plan of California, Inc. · HMO C-SNP

★ 3.5

Premium / mo

$0.00

Max out-of-pocket

$296.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $0/day days 1–90
Skilled nursing facility (SNF): $0/day days 1–20, $100/day days 21–50, $200/day days 51–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $100 copay
Ground ambulance: $150 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, Sonoma

Aetna Medicare Signature (HMO)

Aetna Medicare · HMO

★ 3.0

Premium / mo

$0.00

Max out-of-pocket

$3,900.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): $325/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $75/day days 21–100
Home health: $0 copay
Physical / speech therapy: $0 copay
Occupational therapy: $0 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $325 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Francisco

Aetna Medicare Signature Extra (HMO-POS)

Aetna Medicare · HMO-POS

★ 3.0

Premium / mo

$0.00

Max out-of-pocket

$3,600.00

Drug deductible

$300.00

What it costs at discharge

Inpatient hospital (acute): $325/day days 1–7, $0/day days 8–90
Skilled nursing facility (SNF): $20/day days 1–20, $218/day days 21–100
Home health: $0 copay
Physical / speech therapy: $0 copay
Occupational therapy: $0 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $295 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, San Francisco, San Mateo

Anthem Prime (HMO-POS)

Anthem Blue Cross Partnership Plan · HMO-POS

★ 3.0

Premium / mo

$0.00

Max out-of-pocket

$1,200.00

Drug deductible

$110.00

What it costs at discharge

Inpatient hospital (acute): $250/day days 1–5, $0/day days 6–90
Skilled nursing facility (SNF): $0/day days 1–20, $218/day days 21–100
Home health: $0 copay
Physical / speech therapy: $10 copay
Occupational therapy: $10 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $250 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda, Marin, San Mateo

Anthem Select (HMO-POS)

Anthem Blue Cross · HMO-POS

★ 3.0

Premium / mo

$0.00

Max out-of-pocket

$7,550.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $315/day days 1–6, $0/day days 7–90
Skilled nursing facility (SNF): $0/day days 1–20, $218/day days 21–100
Home health: $0 copay
Physical / speech therapy: $25 copay
Occupational therapy: $25 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $275 copay
Durable medical equipment (DME): $0 — covered in full

Verified · 161d agoCMS plan filing· Alameda

CCHP Senior Program (HMO)

CCHP (Chinese Community Health Plan) · HMO

★ 3.0

Premium / mo

$29.00

Max out-of-pocket

$3,000.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $100/day days 1–7, $0/day days 8–90
Skilled nursing facility (SNF): $0/day days 1–20, $75/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $15 copay
Occupational therapy: $15 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $180 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda

CCHP Senior Value Program (HMO)

CCHP (Chinese Community Health Plan) · HMO

★ 3.0

Premium / mo

$0.00

Max out-of-pocket

$3,500.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $150/day days 1–7, $0/day days 8–90
Skilled nursing facility (SNF): $0/day days 1–20, $100/day days 21–100
Home health: $0 — covered in full
Physical / speech therapy: $20 copay
Occupational therapy: $20 copay
Outpatient hospital services: $0 — covered in full
Ground ambulance: $200 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda

Central Health Dual Access Plan (HMO D-SNP)

Central Health Medicare Plan · HMO D-SNP

★ 3.0

Premium / mo

$0.00

Max out-of-pocket

$9,250.00

Drug deductible

$550.00

What it costs at discharge

Inpatient hospital (acute): see plan
Skilled nursing facility (SNF): see plan
Home health: $0 copay
Physical / speech therapy: $55 copay
Occupational therapy: $35 copay
Outpatient hospital services: 20% coinsurance
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Contra Costa, San Francisco, San Mateo, Santa Clara, Solano

Advantage Care (HMO)

Align Senior Care · HMO

Premium / mo

$0.00

Max out-of-pocket

$1,900.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $0 copay
Skilled nursing facility (SNF): $0/day days 1–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $0 — covered in full
Ground ambulance: $125 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, San Mateo, Santa Clara

Alameda Alliance Wellness (HMO D-SNP)

Alameda Alliance for Health · HMO D-SNP

Premium / mo

$12.00

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): see plan
Skilled nursing facility (SNF): see plan
Home health: 0% coinsurance
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: 20% coinsurance
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda

Premier Care (HMO I-SNP)

Align Senior Care · HMO I-SNP

Premium / mo

$0.00

Max out-of-pocket

$1,900.00

Drug deductible

$0.00

What it costs at discharge

Inpatient hospital (acute): $0 copay
Skilled nursing facility (SNF): $0/day days 1–100
Home health: $0 — covered in full
Physical / speech therapy: $0 — covered in full
Occupational therapy: $0 — covered in full
Outpatient hospital services: $0 — covered in full
Ground ambulance: $125 copay
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, San Mateo, Santa Clara

Senior Care (HMO I-SNP)

Align Senior Care · HMO I-SNP

Premium / mo

$12.00

Max out-of-pocket

$9,250.00

Drug deductible

$615.00

What it costs at discharge

Inpatient hospital (acute): $235/day days 1–10, $0/day days 11–90
Skilled nursing facility (SNF): $0/day days 1–100
Home health: $0 — covered in full
Physical / speech therapy: 20% coinsurance
Occupational therapy: 20% coinsurance
Outpatient hospital services: 20% coinsurance
Ground ambulance: 20% coinsurance
Durable medical equipment (DME): 20% coinsurance

Verified · 161d agoCMS plan filing· Alameda, Marin, San Francisco, San Mateo, Santa Clara

Source: CMS Medicare Advantage / Part D Landscape + Plan Benefit Package filings (a curated set of discharge-relevant benefit categories). Cost-shares can have conditions, day limits, and prior-authorization requirements not shown here — confirm specifics with the plan.