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.

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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 and receive Medi-Cal.
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$0 monthly premium
$615 deductible
$9,250 maximum-out-of-pocket

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 and receive Medi-Cal.
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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 and receive Medi-Cal.
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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: H7607-0014
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 and receive Medi-Cal.
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$0 monthly premium
$0 deductible
$0 maximum-out-of-pocket

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
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Plan Details

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

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

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 a cardiovascular disorder, chronic heart failure, or diabetes and receive Medi-Cal.
A holistic plan for individuals diagnosed with asthma, chronic bronchitis, emphysema, or COPD and receive Medi-Cal.
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
$0
$0
$0
$0
$0
$0
$0
$0
$18.40
$0
$0 for Part A. $164.90 for Part B
Part B premium buy-down
Not included
Not included
Not included
$120
Not included
Not included
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
$0
$615
$0
$0
$0
$0
$0
$0
$0
$1,632 for Part A | $240 for Part B
Maximum-Out-of-Pocket
$9,250
$0
$9,250
$2,000
$500
$0
$0
$2,900
$9,350
$1,200
No maximum
Inpatient Hospital Stay
$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 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 unlimited days
$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
20% coinsurance
$0 copay per visit
20% coinsurance
$75 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
$75 copay per visit
20% coinsurance
$0 copay per visit
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
$0 copay per visit
$0 copay per visit
20% Coinsurance
$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
$0 copay per visit
$5 copay per visit
20% Coinsurance
$0 copay per visit
20% coinsurance
Emergency Care
$95 copay per visit
$0 copay
$95 copay per visit
$125 copay per visit
$90 copay per visit
$0 copay
$0 copay
$125 copay per visit
$95 copay per visit
$90 copay per visit
20% coinsurance
Urgent Care
$25 copay per visit
$0 copay per visit
$25 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
$25 copay per visit
$0 copay per visit
20% coinsurance
Labs | X-ray
20% Coinsurance
$0 copay
20% Coinsurance
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
20% Coinsurance
$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
$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)
$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)
$550 per quarter, with rollover ($2,200 annually)
Not covered
Routine Vision and Eyewear Coverage
$0 copay, $350 annually
$0 copay, $350 annually
$0 copay, $350 annually
$0 copay, $200 annually
$300 every year, $0 copay
$0 copay, $350 annually
$0 copay, $200 annually
$0 copay, $200 annually
$0 copay, $200 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 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 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
Not covered
Flexible Health and Wellness Allowance
$600 per quarter, with rollover ($2,400 annually)
$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)
$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, $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)
$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 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
$0 copay up to 12 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 $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
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)
Included
$0, Included
Included
Included
Included
$0, Included
$0, 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)
$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)
$0
$0
$590
$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  (in 2025). Prior authorization is required. Not all members qualify.

**Medicare defined amounts are for 2025 and may change for 2026. We will provide updated rates as soon as Medicare releases them.

Joining a Clever Care Medicare Advantage Plan is Easy

Speak with a licensed
Clever Care representative

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

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.