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Learn more about our AEP HRA Incentive Program

Announcing Clever Care’s HRA Incentive Program for AEP!

We’re thrilled to announce that we are continuing our Health Risk Assessment (HRA) Incentive. This applies to new member enrollments with effective dates from February 1, 2026, March 1, 2026, and April 1, 2026.

You can earn $180 for Total+, $180 for Breathe+, and $80 for Longevity.

Product Information

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2026 Clever Care Breathe+ (HMO C-SNP) with full Medi-Cal

Plan ID: H7607-017
Plan Year 2026
A holistic plan for individuals diagnosed with asthma, chronic bronchitis, emphysema, or COPD.
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$0 monthly premium
$0 deductible
$0 maximum-out-of-pocket

2026 Clever Care Breathe+ (HMO C-SNP) without full Medi-Cal

Plan ID: H7607-017
Plan Year 2026
A holistic plan for individuals diagnosed with asthma, chronic bronchitis, emphysema, or COPD.
Plan Details Enroll
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$0 monthly premium
$615 deductible
$9,250 maximum-out-of-pocket

2026 Clever Care Value (HMO)

Plan ID: H7607-015
Plan Year 2026
An essential plan with a $120 Part B premium reduction.
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$0 monthly premium
$0 deductible
$2,000 maximum-out-of-pocket

2026 Clever Care Longevity (HMO)

Plan ID: H7607-014
Plan Year 2026
Our flagship plan with comprehensive benefits.
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$0 monthly premium
$0 deductible
$500 maximum-out-of-pocket

2026 Clever Care Total+ (HMO C-SNP) with full Medi-Cal

Plan ID: H7607-016
Plan Year 2026
A holistic plan for individuals diagnosed with a cardiovascular disorder, chronic heart failure, or diabetes.
Plan Details Enroll
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$0 monthly premium
$0 deductible
$0 maximum-out-of-pocket

2026 Clever Care Total+ (HMO C-SNP) without full Medi-Cal

Plan ID: H7607-016
Plan Year 2026
A holistic plan for individuals diagnosed with a cardiovascular disorder, chronic heart failure, or diabetes.
Plan Details Enroll
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$0 monthly premium
$615 deductible
$9,250 maximum-out-of-pocket
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Plan Details

2026 Clever Care Breathe+ (HMO C-SNP) with full Medi-Cal

2026 Clever Care Breathe+ (HMO C-SNP) without full Medi-Cal

2026 Clever Care Value (HMO)

2026 Clever Care Longevity (HMO)

2026 Clever Care Total+ (HMO C-SNP) with full Medi-Cal

2026 Clever Care Total+ (HMO C-SNP) without full Medi-Cal

Original Medicare (Part A & Part B)

Description
A holistic plan for individuals diagnosed with asthma, chronic bronchitis, emphysema, or COPD.
A holistic plan for individuals diagnosed with asthma, chronic bronchitis, emphysema, or COPD.
An essential plan with a $120 Part B premium reduction.
Our flagship plan with comprehensive benefits.
A holistic plan for individuals diagnosed with a cardiovascular disorder, chronic heart failure, or diabetes.
A holistic plan for individuals diagnosed with a cardiovascular disorder, chronic heart failure, or diabetes.
This is a basic medicare plan. Get more benefits with Clever Care.
Member Premium
$0
$0
$0
$0
$0
$0
$0 for Part A. $164.90 for Part B
Part B premium buy-down
Not included
Not included
$120
Not included
Not included
Not included
Not included
Deductible
$0
$615
$0
$0
$0
$615
$1,632 for Part A | $240 for Part B
Maximum-Out-of-Pocket
$0
$9,250
$2,000
$500
$0
$9,250
No maximum
Inpatient Hospital Stay
$0 copay unlimited days
$0 copay per day for days 1–60, $1,736 deductible, $434 copay per day for days 61-90
$0 copay for days 6-90, $100 copay for days 1-5
$0 copay unlimited days
$0 copay unlimited days
$0 copay per day for days 1–60, $1,736 deductible, $434 copay per day for days 61-90
$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
20% coinsurance
$75 copay per visit
$0 copay per visit
$0 copay per visit
20% coinsurance
20% coinsurance
Doctor Visits
$0 copay per visit
$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
$0 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
20% coinsurance
Emergency Care
$0 copay
$95 copay per visit
$125 copay per visit
$90 copay per visit
$0 copay
$95 copay per visit
20% coinsurance
Urgent Care
$0 copay per visit
$25 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
$25 copay per visit
20% coinsurance
Labs | X-ray
$0 copay
20% Coinsurance
$0 copay
$0 copay
$0 copay
20% Coinsurance
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
Not covered
Dental Coverage
$1,200 biannually, with rollover ($2,400 annually)
$1,200 biannually, with rollover ($2,400 annually)
$400 biannually ($800 annually)
$1,100 every six months with rollover ($2,200 annually)
$1,200 biannually, with rollover ($2,400 annually)
$1,200 biannually, with rollover ($2,400 annually)
Not covered
Routine Vision and Eyewear Coverage
$0 copay, $350 annually
$0 copay, $350 annually
$0 copay, $200 annually
$300 every year, $0 copay
$0 copay, $350 annually
$0 copay, $350 annually
Not covered
Transportation (Non-Emergency)
$0 copay for 48 one-way trips per year, 30 mile radius
$0 copay for 48 one-way trips per year, 30 mile radius
$0 Copay for 16 one-way trips per year, 30 mile radius
$0 copay | 48 trips per year (one-way)
$0 copay for 48 one-way trips per year, 30 mile radius
$0 copay for 48 one-way trips per year, 30 mile radius
Not covered
Flexible Health and Wellness Allowance
$600 per quarter, with rollover ($2,400 annually)
$600 per quarter, with rollover ($2,400 annually)
$90 per quarter, with rollover ($360 annually)
$315 per quarter, with rollover ($1,260 annually)
$600 per quarter, with rollover ($2,400 annually)
$600 per quarter, with rollover ($2,400 annually)
Not covered
Acupuncture
$0 copay, $2,000 Max Allowance (unlimited visits)
$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, $2,000 Max Allowance (unlimited visits)
$0 copay, $2,000 Max Allowance (unlimited visits)
Not covered
Eastern Wellness Therapies
$0 copay up to 24 services per year
$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
Not covered
Worldwide Emergency Coverage
Up to $100,000 annual limit
Up to $100,000 annual limit
Up to $75,000 annual limit
Up to $100,000 annual limit
Up to $100,000 annual limit
Up to $100,000 annual limit
Not covered
Prescription Drug Coverage (Part D)
$0, Included
Included
Included
Included
Included
Included
Not covered
Prescription Drug Deductible (Part D)
$615 annually (does not apply to Tiers 1, 2, 6, or insulin drugs)
$615 annually (does not apply to Tiers 1, 2, 6, or insulin drugs)
$0
$0
$615 annually (does not apply to Tiers 1, 2, 6, or insulin drugs)
$615 annually (does not apply to Tiers 1, 2, 6, or insulin drugs)
N/A
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Your Broker Engagement Sales Team is here to help

Region 1: LA

Jason Clay

Market Sales Manager

LA County

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

Connie Guo

Broker Relations Specialist

LA County

connie.guo@ccmapd.com
(949) 237-2477

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

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
  • This page was last updated on Friday, March 21st, 2025, @ 10:37 AM PDT.

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(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.
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