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Member Services:

(833) 388-8168 (TTY: 711)

Enrollment

(833) 721-4365 (TTY: 711)

Provider Support:

(833) 878-1704 (TTY: 711)

Compare Clever Care Medicare Advantage Plans

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Clever Care has Medicare Advantage plans serving Los Angeles, Orange, San Diego, San Bernardino, and Riverside Counties.

Speak with a licensed agent to enroll today.

(833) 721-4365 (TTY: 711)
Select up to two plans to compare.
Compare plans on a computer for a better viewing experience.

2025 Clever Care Value (HMO)

Plan ID: H7607-008
Plan Year 2025
An essential plan with a $105-$110 Part B Premium buydown.
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$0 monthly premium
$0 deductible
$2,900 maximum-out-of-pocket

2025 Clever Care Total+ (HMO C-SNP)

Plan ID: H7607-011
Plan Year 2025
A holistic plan for individuals diagnosed with a cardiovascular disorder or diabetes; includes prescription drug cost reduction for LIS benefciaries.
Plan Details Enroll
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$18.40 monthly premium
$0 deductible
$9,350 maximum-out-of-pocket

2025 Clever Care Longevity (HMO)

Plan ID: H7607-002
Plan Year 2025
Our flagship plan with comprehensive benefits.
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$0 monthly premium
$0 deductible
$1,200 maximum-out-of-pocket

2024 Clever Care Total+ (HMO C-SNP)

Plan ID: H7607-011
Plan Year 2024
The Clever Care Total+ (HMO C-SNP) plan is a chronic heart/diabetes Special Needs Plan with VBID prescription drug cost reduction.
Plan Details Enroll
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$15.70 monthly premium
$0 (some services and Part D drugs may have a deductible) deductible
$8,850 maximum-out-of-pocket

2024 Clever Care Active (HMO)

Plan ID: H7607-007
Plan Year 2024
The Clever Care Active (HMO) plan is a wellness-focused MA-PD plan with a Part B buydown.
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$0 monthly premium
$0 deductible
$2,500 maximum-out-of-pocket

2024 Clever Care Longevity (HMO)

Plan ID: H7607-002
Plan Year 2024
The Clever Care Longevity (HMO) plan is a comprehensive MA-PD plan.
Plan Details Enroll
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$0 monthly premium
$0 deductible
$1,700 maximum-out-of-pocket

2024 Clever Care Value (HMO)

Plan ID: H7607-008
Plan Year 2024
The Clever Care Value HMO plan is an MA-PD plan with Part B premium reduction.
Plan Details Enroll
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$0 monthly premium
$0 deductible
$2,900 maximum-out-of-pocket
Deselect a plan above, select another plan, and click the Compare Plans button to refresh the chart below.

Plan Details

2025 Clever Care Value (HMO)

2025 Clever Care Total+ (HMO C-SNP)

2025 Clever Care Longevity (HMO)

2024 Clever Care Total+ (HMO C-SNP)

2024 Clever Care Active (HMO)

2024 Clever Care Longevity (HMO)

2024 Clever Care Value (HMO)

Original Medicare (Part A & Part B)

Description
An essential plan with a $105-$110 Part B Premium buydown.
A holistic plan for individuals diagnosed with a cardiovascular disorder or diabetes; includes prescription drug cost reduction for LIS benefciaries.
Our flagship plan with comprehensive benefits.
The Clever Care Total+ (HMO C-SNP) plan is a chronic heart/diabetes Special Needs Plan with VBID prescription drug cost reduction.
The Clever Care Active (HMO) plan is a wellness-focused MA-PD plan with a Part B buydown.
The Clever Care Longevity (HMO) plan is a comprehensive MA-PD plan.
The Clever Care Value HMO plan is an MA-PD plan with Part B premium reduction.
This is a basic medicare plan. Get more benefits with Clever Care.
Member Premium
$0
$18.40
$0
$15.70
$0
$0
$0
$0 for Part A. $164.90 for Part B
Part B premium buy-down
$105 (San Diego, San Bernardino, & Riverside Counties), $110 (Los Angeles & Orange Counties)
Not included
$1.20 (San Diego County only)
Not included
$50 paid by the plan
Not included
$130 paid by the plan
Not included
Deductible
$0
$0
$0
$0 (some services and Part D drugs may have a deductible)
$0
$0
$0
$1,632 for Part A | $240 for Part B
Maximum-Out-of-Pocket
$2,900
$9,350
$1,200
$8,850
$2,500
$1,700
$2,900
No maximum
Inpatient Hospital Stay
$0 copay for days 6-90, $100 copay for days 1-5
$0 copay per day for days 1–60, $1,632 deductible, $408 copay per day for days 61–90
$0 copay unlimited days
$1,632 deductible | $0 copay for days 1-60 | $408 copay for days 61-90
$100 copay per day for days 1–5 | $0 copay per day for days 6–90
$0 copay unlimited days
$120 copay per day for days 1–5 | $0 copay per day for days 6–90
$0 Copay for days 1-60 | $408 copay for days 61-90 | $800 copay for days 91-150 (lifetime reserve days) | After day 150, you pay all costs
Outpatient Hospitalization
$75 copay per visit
20% coinsurance
$0 copay per visit
20% coinsurance
$0 copay per visit
$0 copay per visit
$0 copay per visit
20% coinsurance
Doctor Visits
$0 copay per visit
20% Coinsurance
$0 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
20% Coinsurance
Specialist Visits
$5 copay per visit
20% Coinsurance
$0 copay per visit
$0 copay per visit
$5 copay per visit
$0 copay per visit
$10 copay per visit
20% coinsurance
Emergency Care
$125 copay per visit
$95 copay per visit
$90 copay per visit
$95 copay per visit
$75 copay per visit
$75 copay per visit
$110 copy per visit
20% coinsurance
Urgent Care
$0 copay per visit
$25 copay per visit
$0 copay per visit
$25 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
20% coinsurance
Labs | X-ray
$0 copay
20% Coinsurance
$0 copay
$0 copay | 20% coinsurance
$0 copay
$0 copay
$0 copay
20% coinsurance
Hearing Coverage | Hearing Aids
$0 Copay, $600 per ear, per year
$0 Copay, $600 per ear, per year
$0 Copay, $600 per ear, per year
$0 copay | $600 per ear per year
$0 copay | $600 per ear per year
$0 copay | $600 per ear per year
$0 copay | $600 per ear per year
Not covered
Dental Coverage
$200 per quarter, with rollover ($800 annually)
$550 per quarter, with rollover ($2,200 annually)
$550 per quarter, with rollover ($2,200 annually)
$575 allowance per quarter
$300 allowance per quarter
$600 allowance per quarter
$200 allowance per quarter
Not covered
Routine Vision and Eyewear Coverage
$0 copay, $200 annually
$0 copay, $200 annually
$0 copay, $200 annually
$0 copay | $200 every year
$0 copay | $200 every year
$0 copay | $200 every year
$0 copay | $200 every year
Not covered
Transportation (Non-Emergency)
$0 Copay for 16 one-way trips per year, 30 mile radius
$0 copay for 24 one-way trips per year, 30 mile radius
$0 copay for 24 one-way trips per year, 30 mile radius
$0 copay for 48 one-way trips
$0 copay for 16 one-way trips
$0 copay for 24 one-way trips
$0 copay for 16 one-way trips
Not covered
Flexible Health and Wellness Allowance
$50 per quarter, no rollover ($200 annually)
$200 per quarter, no rollover ($800 annually)
$225 per quarter, no rollover ($900 annually)
$275 allowance every three months
$250 for fitness, $75 for OTC & Herbal supplements every three months
$275 allowance every three months
$100 allowance every three months
Not covered
Acupuncture
$0 copay, $1,000 Max Allowance (unlimited visits)
$0 copay, $2,000 Max Allowance (unlimited visits)
$0 copay, $1,900 max allowance (unlimited visits)
$0 copay
$0 copay
$0 copay
$0 copay
Not covered
Eastern Wellness Therapies
$0 copay up to 12 services per year
$0 copay up to 24 services per year
$0 copay up to 24 services per year
$0 copay up to 24 services per year
$0 copay up to 18 services per year
$0 copay up to 24 services per year
$0 copay up to 12 services per year
Not covered
Worldwide Emergency Coverage
Up to $55,000 annual limit
Up to $100,000 annual limit
Up to $85,000 annual limit
Up to $100,000 annual limit
Up to $100,000 annual limit
Up to $75,000 annual limit
Up to $50,000 annual limit
Not covered
Prescription Drug Coverage (Part D)
Included*
Included*
Included*
Included*
Included*
Included*
Included*
Not covered
Prescription Drug Deductible (Part D)
$0
$590
$0
$545
$0
$0
$0
N/A
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Limits and exclusions may apply. Refer to the Evidence of Coverage for a full description of benefits.

*Some benefits may vary depending on SSBCI or VBID model eligibility. Prior authorization is required. Not all members qualify.

**Medicare defined amounts are for 2024 and may change for 2025. We will provide updated rates as soon as Medicare releases them.

Joining a Clever Care Medicare Advantage Plan is Easy

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Messages received on holidays or outside of our business hours will be returned within one business day.

8:00 AM – 8:00 PM, seven days a week,
from October 1 – March 31

8:00 AM – 8:00 PM, weekdays,
from April 1 – September 30.

Self-Enroll from your
computer or smartphone

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Have your red, white, and blue Medicare card handy. If you need help, please call (833) 721-4365 (TTY: 711). Your satisfaction is our goal.

Medicare beneficiaries may also enroll through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

  • This page was last updated on October 18, 2024.

Already a member?

Call (833) 388-8168 (TTY: 711)

to speak to a Member Advocate

Interested in becoming a member?

Call (833) 721-4365 (TTY: 711)

to speak to a Medicare Advisor

8:00 AM – 8:00 PM, 7 days a week from October 1st to March 31st

8:00 AM – 8:00 PM, Monday through Friday from April 1st to September 30th

Contact Us

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Member Services
customerservice@ccmapd.com
7711 Center Ave., Suite 100
Huntington Beach, CA 92647

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Clever Care Health Plan, Inc. is an HMO and HMO C-SNP with a Medicare contract. Enrollment depends on contract renewal. 
H7607_25_CM1428_M

  • © 2024 All rights reserved. Clever Care of Golden State, Inc. is a wholly owned subsidiary of Clever Care Health Plan, Inc.