Skyline Benefit

2026 Medicare Advantage plan details

UCLA Health Principal and Prestige plan highlights.

Compare selected 2026 costs and benefits for the UCLA Health Medicare Advantage Principal and Prestige HMO plans. Verify your ZIP-code eligibility, care team, prescriptions, and pharmacy before enrolling.

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.

Side-by-side plan view

Start with medical cost exposure.

Both plans are HMOs available in Los Angeles County. Confirm 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.

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.

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. The organizations and number of plans we represent vary by location and eligibility. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.