Skyline Benefit

2026 Medicare Advantage plan details

UCLA Health Medicare Advantage plans in Los Angeles County.

Compare the 2026 UCLA Health Principal and Prestige HMO plans, including selected costs, benefits, provider-network steps, and official plan documents. Verify your ZIP-code eligibility, care team, prescriptions, and pharmacy before enrolling.

2027 plan-year update

2027 plan details will be added in early October.

The plan-specific benefits, premiums, networks, formularies, and service areas currently shown are for 2026. We will replace them with verified 2027 information when official materials become available.

Important:

This page is a selected summary, not a complete description of benefits. You must continue to pay your Medicare Part B premium. Review the carrier document and Evidence of Coverage for limitations, exclusions, and complete plan rules.

Understanding UCLA Health plans

Start with your ZIP code, doctors, and medical group.

UCLA Health offers two 2026 Medicare Advantage HMO options in Los Angeles County: Principal (H4647-001) and Prestige (H4647-002). Availability is based on your permanent residential address, and the two plans have different premiums, maximum out-of-pocket limits, and supplemental benefits.

A UCLA Health name on a plan or facility does not confirm that every physician, specialist, clinic, or location participates. Check the exact provider and medical group for the exact plan, then review prescriptions, pharmacies, referrals, prior authorization rules, and total expected costs.

Skyline Benefit can help California Medicare beneficiaries organize these checks and compare the plan documents. The carrier directory and current plan documents control provider participation, availability, benefits, and costs.

Reviewed August 30, 2026. Skyline Benefit will review this page when approved 2027 carrier materials become available. Until then, the 2026 documents and benefits shown here remain plan-year-specific.

Side-by-side plan view

Start with medical cost exposure.

Principal (H4647-001) and Prestige (H4647-002) are HMO plans available in Los Angeles County. Confirm residential ZIP-code eligibility, the exact primary care doctor, specialists, facilities, prescriptions, and referral requirements before enrolling.

$1,499 medical maximum

UCLA Health Medicare Advantage Prestige Plan (HMO)

H4647-002
$45monthly plan premium
$1,499annual medical maximum out-of-pocket
Primary care
$0
Specialist
$0
Inpatient hospital
$0 per stay
Emergency care
$75; inpatient copay applies if admitted within 36 hours
Urgent care
$15
Selected prescription and supplemental benefits
Compare UCLA Health Medicare Advantage Principal Plan (HMO)UCLA Health Medicare Advantage Prestige Plan (HMO)
Part D deductible $250 on Tiers 3-5$250 on Tiers 3-5
Selected Tier 1 / Tier 2 pricing Tier 1 and Tier 2: $0, retail and mail orderTier 1 and Tier 2: $0, retail and mail order
OTC allowance $60 every 3 months; no rollover$100 every 3 months; no rollover
Routine vision eyewear $150 annual eyewear allowance$250 annual eyewear allowance
Transportation 12 one-way rides24 one-way rides

Prescription costs depend on the drug, tier, pharmacy, day supply, coverage phase, Extra Help status, and plan rules. “Not highlighted” does not necessarily mean a service is excluded; consult the full plan documents.

UCLA Medicare questions

What to confirm before choosing a UCLA Health plan.

These answers address common UCLA Medicare searches while keeping the official provider directory and plan documents as the final source.

Does UCLA Health accept Medicare?

UCLA Health participates with Medicare and lists accepted Medicare coverage, but participation can differ by plan, physician, medical group, facility, and location. For a Medicare Advantage plan, verify the exact doctor and facility in that plan’s current directory before receiving care or enrolling.

Where are UCLA Health Medicare Advantage plans available?

The 2026 UCLA Health Principal and Prestige HMO plans shown here serve Los Angeles County. Eligibility depends on your permanent residential address and the plan’s current service area, so confirm availability for your ZIP code before comparing benefits.

Are all UCLA Health doctors in both UCLA Medicare Advantage plans?

Do not assume so. Confirm the exact physician, specialist, clinic location, facility, and medical group in the official directory for the exact plan. Provider participation can change and a health-system name alone is not sufficient confirmation.

What is the difference between UCLA Health Principal and Prestige?

Principal (H4647-001) and Prestige (H4647-002) have different monthly plan premiums, maximum out-of-pocket limits, medical cost sharing, and supplemental benefits. Compare the selected highlights on this page, then read the current Summary of Benefits and Evidence of Coverage.

Do the UCLA Health Principal and Prestige plans require a primary care doctor?

Both plans are HMOs. Confirm the applicable primary care selection, medical group, referral process, network rules, and prior authorization requirements in the current plan materials before enrolling or scheduling care.

Can Skyline Benefit help me compare UCLA Health Medicare Advantage plans?

Yes. Skyline Benefit can help California Medicare beneficiaries compare the UCLA Health plan documents and organize checks for ZIP-code eligibility, doctors, medical groups, prescriptions, pharmacies, costs, and enrollment timing. Carrier records and official plan documents control.

Network before extras

Confirm the care team you want to keep.

Do not rely on a hospital or medical-group name alone. Confirm the exact doctor, location, medical group assignment, and plan network for the 2026 plan before enrolling.

Original carrier material

Read the complete carrier documents.

These are unchanged consumer-facing 2026 carrier documents used to prepare the selected summary above. Broker FAQs and broker-only materials are not posted.

Personal Medicare guidance

Ready to compare UCLA Health Medicare Advantage plans?

Share the basics and a licensed Skyline Benefit advisor can help you compare Principal and Prestige around your ZIP code, doctors, medical group, prescriptions, and costs.

  • Principal and Prestige availability for your home ZIP code
  • UCLA Health doctors, medical groups, facilities, and referrals
  • Prescriptions, pharmacies, premiums, cost sharing, and plan documents
Schedule a UCLA Health plan review
UCLA Health Medicare Advantage UCLA Health Medicare Advantage plan review

Start your UCLA Health plan review.

No obligation. Please do not include Medicare, Social Security, or medical information.

    Insurance inquiries only.

    We only use your information to respond. Do not include medical, Medicare, or Social Security numbers. Privacy Policy

    Medicare disclosure

    Skyline Benefit is an independent insurance agency and is not connected with or endorsed by the U.S. government or the federal Medicare program.

    We do not offer every plan available in your area. Currently we represent 11 organizations which offer 58 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.