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We’ve extended our HRA Bonus Program for 2024.  Earn up to $180 for each Health Risk Assessment filed with an effective date between October 1, November 1, and December 1, 2024. Click the button below to learn more.

Learn more about our 2024 HRA Bonus Program

HRA incentives for 2025 are here, with up to $180 for each electronically-submitted HRA with an effective date of January 1, 2025. Click the button below to learn more.

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

Bill Kao

Broker Sales Manager

Growth Development

LA County

bill.kao@ccmapd.com
(714) 650-8704

Roy Choi

Broker Sales Manager

LA County

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

Region 2: OC/SD

James Luna

Market Sales Manager

OC & SD Counties

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

Xuan (Sunny) Pham

Provider Growth Sales Manager

OC & SD Counties

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

Region 3: Inland Empire

Robert Serrano

Market Sales Manager

San Bernardino & Riverside Counties

robert.serrano@ccmapd.com
(909) 964-1478

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

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