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Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H9623-001

Gold Coast Health Plan Total Care Advantage (HMO D-SNP)

Offered by Gold Coast Health Plan (Ventura County Medi-Cal Managed Care Commission) · available in 1 county in CA

Only for people who have both Medicare and Medicaid.

Monthly premium$7.30health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Actuarially Equivalent Standard
Star RatingPlan Too New To Be Measured2027 CMS rating

Extra benefits listed in the CMS file

Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
FitnessFitness benefit (gym membership or program)
Caregiver supportSupport for caregivers of enrollees

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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