UCLA Health Medicare Advantage Principal Plan (HMO)
H4647-001- Primary care
- $0
- Specialist
- $0
- Inpatient hospital
- $200 per stay
- Emergency care
- $150; inpatient copay applies if admitted within 36 hours
- Urgent care
- $15
2026 Medicare Advantage plan details
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
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.
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
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
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.
| 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 order | Tier 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 rides | 24 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
These answers address common UCLA Medicare searches while keeping the official provider directory and plan documents as the final source.
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.
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.
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.
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.
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.
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
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
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
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.
No obligation. Please do not include Medicare, Social Security, or medical information.
Benefits and costs shown are selected highlights from the linked 2026 carrier material and may be subject to eligibility, network, authorization, coverage, and other plan rules. Enrollment depends on the plan’s Medicare contract renewal.
← Back to 2026 plans by carrierSkyline 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.