Compare Our Plans - Clever Care Health Plan

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

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)

Original Medicare (Part A & Part B)

Description

A holistic plan for individuals diagnosed with asthma, chronic bronchitis, emphysema, or COPD and receive Medi-Cal.

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 and receive Medi-Cal.

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.

This is a basic medicare plan. Get more benefits with Clever Care.

Member Premium

$18.40

$0 for Part A. $164.90 for Part B

Part B premium buy-down

Not included

$120

Not included

$105 (San Diego, San Bernardino, & Riverside Counties), $110 (Los Angeles & Orange Counties)

Not included

$1.20 (San Diego County only)

Not included

Deductible

$615

$1,632 for Part A | $240 for Part B

Maximum-Out-of-Pocket

$9,250

$2,000

$500

$9,250

$2,900

$9,350

$1,200

No maximum

Inpatient Hospital Stay

$0 copay unlimited days

$0 copay per day for days 1–60, $1,676 deductible, $419 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 per day for days 1–60, $1,676 deductible, $419 copay per day for days 61-90

$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

$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

20% coinsurance

$0 copay per visit

$75 copay per visit

20% coinsurance

$0 copay per visit

20% coinsurance

Doctor Visits

$0 copay per visit

20% Coinsurance

$0 copay per visit

20% Coinsurance

Specialist Visits

$0 copay per visit

$5 copay per visit

20% Coinsurance

$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

$0 copay

$125 copay per visit

$95 copay per visit

$90 copay 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

$25 copay per visit

$0 copay per visit

20% coinsurance

Labs | X-ray

$0 copay

20% Coinsurance

$0 copay

20% Coinsurance

$0 copay

20% Coinsurance

$0 copay

20% coinsurance

Hearing Coverage | Hearing Aids

$0 Copay, $600 per ear, per year

Not covered

Dental Coverage

$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)

$550 per quarter, with rollover ($2,200 annually)

$200 per quarter, with rollover ($800 annually)

$550 per quarter, with rollover ($2,200 annually)

Not covered

Routine Vision and Eyewear Coverage

$0 copay, $350 annually

$0 copay, $200 annually

$300 every year, $0 copay

$0 copay, $350 annually

$0 copay, $200 annually

Not covered

Transportation (Non-Emergency)

$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 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

Not covered

Flexible Health and Wellness Allowance

$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)

$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)

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, $1,000 Max Allowance (unlimited visits)

$0 copay, $2,000 Max Allowance (unlimited visits)

$0 copay, $1,900 max allowance (unlimited visits)

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 12 services per year

$0 copay up to 24 services per year

Not covered

Worldwide Emergency Coverage

Up to $100,000 annual limit

Up to $75,000 annual limit

Up to $100,000 annual limit

Up to $55,000 annual limit

Up to $100,000 annual limit

Up to $85,000 annual limit

Not covered

Prescription Drug Coverage (Part D)

$0, Included

Included

$0, Included

Included

$0, Included

Included

Not covered

Prescription Drug Deductible (Part D)

$615 annually (does not apply to Tiers 1, 2, 6, or insulin drugs)

$590

N/A

Enroll Now

Compare Clever Care Medicare Advantage Plans

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Speak with a licensed agent to enroll today.

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

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)

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

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)

Original Medicare (Part A & Part B)

Joining a Clever Care Medicare Advantage Plan is Easy

Speak with a licensed
Clever Care representative

Self-Enroll from your
computer or smartphone

Contact Us

About Clever Care

Follow Us on Social

Helpful LInks

Legal Notices

Compare Clever Care Medicare Advantage Plans

Let us take care of you

Speak with a licensed agent to enroll today.

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

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)

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

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)

Original Medicare (Part A & Part B)

Joining a Clever Care MA-PD Plan is Easy

Enroll over the phone with a licensed agent

Self-enroll from your computer

Joining a Clever Care Medicare Advantage Plan is Easy

Speak with a licensedClever Care representative

Self-Enroll from yourcomputer or smartphone

Contact Us

About Clever Care

Follow Us on Social

Helpful LInks

Legal Notices

Speak with a licensed
Clever Care representative

Self-Enroll from your
computer or smartphone