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Our 2025 HRA Program has been Extended!

Take advantage of this great opportunity and earn $180 for Total+ and $80 for Longevity for electronically-submitted HRA with an effective date of 2/1, 3/1, or 4/1.

Learn more about our 2025 HRA Bonus Program

Product Information

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2025 Clever Care Total+ (HMO C-SNP) with full Medi-Cal

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.
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$0 monthly premium
$0 deductible
$0 maximum-out-of-pocket

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) without full Medi-Cal

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.
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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.
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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.
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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.
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$0 monthly premium
$0 deductible
$2,900 maximum-out-of-pocket
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Plan Details

2025 Clever Care Total+ (HMO C-SNP) with full Medi-Cal

2025 Clever Care Value (HMO)

2025 Clever Care Total+ (HMO C-SNP) without full Medi-Cal

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
A holistic plan for individuals diagnosed with a cardiovascular disorder or diabetes; includes prescription drug cost reduction for LIS benefciaries.
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
$0
$18.40
$0
$15.70
$0
$0
$0
$0 for Part A. $164.90 for Part B
Part B premium buy-down
Not included
$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
$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
$0
$2,900
$9,350
$1,200
$8,850
$2,500
$1,700
$2,900
No maximum
Inpatient Hospital Stay
$0 copay unlimited days
$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
$0 copay per visit
$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
$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
$0 copay per visit
$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
$0 copay
$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
$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
$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
$0 copay | $600 per ear per year
Not covered
Dental Coverage
$550 per quarter, with rollover ($2,200 annually)
$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 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 24 one-way trips per year, 30 mile radius, an additional 24 trips may be available based on VBID eligibility
$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
$200 per quarter, no rollover ($800 annually)
$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, $2,000 Max Allowance (unlimited visits)
$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 24 services per year
$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 $100,000 annual limit
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)
$0, Included
Included
Included
Included
Included
Included
Included
Included
Not covered
Prescription Drug Deductible (Part D)
$0
$0
$590
$0
$545
$0
$0
$0
N/A
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Your Broker Development Team is here to help

Region 1: LA

Jason Clay

Market Sales Manager

LA County

jason.clay@ccmapd.com
(714) 317-7969

Sandy Chung

Broker Relations Specialist

All Counties

sandy.chung@ccmapd.com
(626) 320-0368

Roy Choi

Broker Sales Manager

LA County

roy.choi@ccmapd.com
(310) 984-0888

Sandy Wang

Community Outreach Specialist

LA County

sandy.wang@ccmapd.com
(310) 984-0888

Region 2: OC/SD

James Luna

Market Sales Manager

OC & SD Counties

james.luna@ccmapd.com
(714) 823-1601

Fatima Mougammadou

Broker Sales Manager

OC & SD Counties

fatima.mougammadou @ccmapd.com
(714) 487-2160
Sunny Myung

Broker Relations Specialist

All Counties

seun.myung@ccmapd.com
(626) 433-7258

Xuan (Sunny) Pham

Broker Sales Manager

OC & SD Counties

xuan.pham@ccmapd.com
(951) 833-5332

Region 3: Inland Empire

Robert Serrano

Market Sales Manager

Inland Empire Counties

robert.serrano@ccmapd.com
(909) 964-1478
Kevin Morales – Fierro

Community Outreach Specialist

Inland Empire Counties

kevin.morales-fierr@ccmapd.com
(562) 888-8801 Ext. 8858

Leadership

Stephanie Hughes

Director of Sales

stephanie.hughes@ccmapd.com
(909) 241-9333

Xuan (Sunny) Pham

Provider Growth Sales Manager

xuan.pham@ccmapd.com
(562) 888-8801 ext. 8851

Stephanie Chagolla

Broker Support Supervisor

stephanie.chagolla@ccmapd.com
(626) 995-3818

Broker Support

(877) 525-3837
broker@ccmapd.com

Contact Us

(877) 5-CLEVER
broker@ccmapd.com

660 W. Huntington Dr., Suite 200
Arcadia, CA 91007

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Clever Care of Golden State is an HMO plan with a Medicare contract. Enrollment in Clever Care of Golden State depends on contract renewal.
H7607_23_CM1368_M

  • © 2025 All rights reserved. Clever Care of Golden State, Inc. is a wholly owned subsidiary of Clever Care Health Plan, Inc.