Skyline Benefit

Part C plans

Compare Medicare Advantage plans.

Compare Medicare Advantage plans by provider networks, prescriptions, plan type, prior authorization rules, and total yearly costs.

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.

Featured Medicare carrier partners
Blue Shield of California Humana Aetna Kaiser Permanente UnitedHealthcare Anthem Blue Cross The Cigna Group Health Net Alignment Health SCAN Health Plan UCLA Health Medicare Advantage Wellcare

How Medicare Advantage works

One private plan organizes your Medicare benefits.

Medicare Advantage, also called Part C, is offered by Medicare-approved private insurers. You remain in Medicare and continue paying your Part B premium, while the plan sets the network, cost-sharing, and coverage rules you use.

01Medicare Parts A + BYou must be enrolled in both.
02Medicare Advantage planA private plan provides your covered Part A and Part B services.
03Medical + often Part DMany plans also include drug coverage and additional benefits.
A family reviewing Medicare plan information together on a tablet

Start with access, not extras

A strong plan fits the care you actually use.

  1. 01
    Confirm doctors and hospitals

    Check the exact plan network, medical group, and whether each provider is accepting the plan.

  2. 02
    Run every prescription

    Compare formulary status, tier, pharmacy pricing, and coverage rules.

  3. 03
    Estimate a full year

    Look beyond premium to copays, coinsurance, and the medical out-of-pocket limit.

  4. 04
    Then review extra benefits

    Dental, vision, hearing, fitness, and allowance benefits vary by plan and service area.

Common plan types

HMO and PPO plans handle access differently.

This is a practical starting point, not a substitute for the plan evidence of coverage. Exact networks, referrals, drug coverage, and costs vary by plan and county.

HMO at a glance

Usually a more structured network: choose a primary care doctor, stay in network for routine care, and expect referrals for many specialists.

Typical differences between Medicare Advantage HMO and PPO plans
CompareHMOHealth Maintenance OrganizationPPOPreferred Provider Organization
Provider networkYou generally use in-network providers, except for emergency, urgent care, and out-of-area dialysis.You can generally use out-of-network providers that accept the plan, usually at a higher cost.
Primary care doctorUsually required.Generally not required.
Specialist referralsUsually required.Generally not required.
Prescription coverageUsually included. If you want Part D, it generally must be through the HMO.Usually included. If you want Part D, it generally must be through the PPO.

Prior authorization: Medicare Advantage plans typically require plan approval before certain services or supplies are covered.

Build the full cost picture

A low premium does not describe the whole plan.

Compare the costs you pay every month, the costs you pay when care is used, and the plan limit that caps your spending for covered Part A and Part B services.

Compare plan types at Medicare.gov
1

Part B premiumYou continue paying it.

2

Plan premiumMay be zero or more.

3

Costs when care is usedCopays, coinsurance, and deductibles.

4

Annual medical limitThe plan caps covered Part A and Part B out-of-pocket costs.

Personal Medicare guidance

Ready to compare Medicare Advantage plans?

Share the basics and a licensed Skyline Benefit advisor can help you compare networks, prescriptions, costs, and plan rules.

  • Doctors, medical groups, hospitals, and referrals
  • Prescriptions, pharmacies, premiums, and copays
  • Plan availability and benefits for your home ZIP code
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David Keum

Local Medicare guidance

Meet David Keum.

Licensed Medicare advisor CA License #4005450

As an independent insurance agency, Skyline Benefit helps compare Medicare Advantage plan networks, prescriptions, costs, and plan rules with clear, personal guidance.

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FAQ

Frequently asked Medicare questions

Browse all Medicare FAQs
Can I keep my current doctors?

Only if they are in the plan network and accepting that plan. We verify provider participation as part of the review.

Do Medicare Advantage plans include drug coverage?

Most do, but not all. We review your medications and pharmacy choices against the exact plan formulary.

Are zero-premium plans free?

No. You may still pay Part B premiums, copays, coinsurance, drug costs, and other plan cost-sharing.

What is a Medicare Advantage maximum out-of-pocket limit?

It is the plan limit on what you pay during the year for covered Part A and Part B services. Prescription drug costs follow separate Part D rules and do not count toward that medical limit.

How can a California Medicare Advantage broker help?

A licensed independent broker can help compare available plans around your ZIP code, doctors, hospitals, prescriptions, pharmacies, travel, costs, and plan rules. The carrier and official plan documents control coverage, and provider participation should be verified before enrollment.

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.