New Report Exposes Kaiser Medicare Advantage Plan, Reviews Alternatives

A new report exposes cost disparities in California Medicare Advantage plans for 2021. As CMS increases the out-of-pocket limit to $7,550, a few California plans lowered their limit below $1,000.

Prescott, United States - October 17, 2020 /PressCable/ —

A new report by MedicareWire exposes cost disparities in California Medicare Advantage plans for 2021. As the Centers for Medicare and Medicaid Services (CMS) announces its higher maximum out-of-pocket (MOOP) limit of $7,550 per year, Kaiser Medicare Advantage keeps its plans MOOP at or below $6,700 per year, while a few competing California plans dropped their MOOP below $1,000.

For more information on Medicare Advantage Plans in California visit:

By law, Medicare Advantage plans are required to cap enrollees’ out-of-pocket costs for Part A and Part B services, even though Original Medicare has no limits on out-of-pocket costs. The cap does not include the monthly premium or the cost of prescription drugs. Prescription medications are covered under Medicare Part D, even when it’s integrated with a Medicare Advantage plan.

MedicareWire reports that Kaiser Medicare Advantage is the only 5-star plan available in California, one of the highest cost-of-living states in the country. “Many Medicare beneficiaries turn to Medicare Advantage plans because they believe it is a lower-cost alternative to Original Medicare”, says David Bynon, publisher at “People are often lured in by the zero-dollar premium on many MA plans, only to later discover the true cost of HMO coverage in Medicare Advantage”, Bynon explains.

Several California Medicare Advantage Health Maintenance Organizations (HMOs), including Brand New Day, now feature plans with a maximum out-of-pocket limit below $1,000 per year, meeting the dire need of many financially strapped seniors and people with disabilities.

As MedicareWire reports, the MOOP is an important part of the safety net that’s designed into Medicare Advantage, but other costs also catch many people off-guard. One example is the cost of an inpatient stay in the hospital. Most people wrongfully assume that Medicare Advantage won’t cost more than traditional Medicare, but recent studies prove otherwise. The Kaiser Family Foundation found that half of all Medicare Advantage enrollees would incur higher costs than beneficiaries in traditional Medicare for a 5-day hospital stay.

MedicareWire found that with a Kaiser Medicare Advantage plan (H0524-037-0) a 5-night stay in a San Diego Kaiser hospital would cost the beneficiary $1,425, which is $27 less than the 2021 Medicare Part A deductible of $1,452. However, a 7-night stay would balloon up to $1,995, which is $570 more than traditional Medicare. As MedicareWire explains, these are exactly the unexpected costs beneficiaries are trying to avoid when they join a plan.

In an unexpected turn, Brand New Day Medicare Advantage, while not a 5-star plan, can efficiently manage plan member costs. The MedicareWire report details a 5-night hospital stay in San Diego with the Brand New Day plan (H0838-037-0) costs the beneficiary just $400, more than $1,000 less than traditional Medicare.

Brand New Day offers several specialty plans in addition to its standard Medicare plan. In addition to its Medicare only, Medicare and Medi-Cal members, the plan offers specialized programs for those with ongoing medical conditions including Diabetes, Cardiovascular Disease, Dementia, and Mental Illness.

Brand New Day serves those who live in long-term care facilities. The HMO plan’s approach is designed to keep its members healthy and independent. For more information about Brand New Day, visit or call (866) 255-4795.

Contact Info:
Name: David W Bynon
Email: Send Email
Organization: MedicareWire
Address: 101 W Goodwin Street Unit 2487, Prescott, AZ 86302, United States
Phone: +1-855-266-4865

Source: PressCable

Release ID: 88981237

More Press Releases

Globes carpet kicks off with big sleeves and shades of pink

Oct 21, 2020

NEW YORK — Cynthia Erivo and Greta Gerwig rocked sparkling chokers as the Golden Globes red carpet kicked off Sunday, with Erivo in a hand-beaded custom Thom Browne gown and Gerwig in black and cream. Both went off-shoulder for the big night in Beverly Hills, California. Erivo, the “Harriet” star and fashion standout, said her dress includes designs of her favorite flower, the peony, at the hem and in her lining. The short-sleeve gown, Erivo told E!, took 800 hours. A huge blue stone dropped from her short necklace. Shades of pink had an early trend moment on Kirsten Dunst...

Judge: No slander in Alec Baldwin's comments on parking spat

Oct 21, 2020

NEW YORK — Alec Baldwin didn't slander a man in interviews about a parking dispute that turned physical, a judge has ruled as dueling lawsuits between the actor and the other driver continue. Baldwin's remarks — including claims that Wojciech Cieszkowski's driving was “really fast,” “really aggressive” and made the actor think his wife and son were about to be run over — were "hyperbole" and "rhetorical illustrations," Manhattan judge David B. Cohen wrote Thursday. “They are words of frustration with someone's driving,” not accusations that amount to slander, Cohen wrote. He tossed out Cieszkowski's slander claim, but his assault...

Innovative fashion designers lead the way on sustainability

Oct 21, 2020

LONDON — Innovative fashion designers are turning to such things as horseradish and nettles to make sustainable clothing and accessories to the delight of a growing number of buyers. While more consumers are paying closer attention to how the production of goods impacts the environment, old habits die hard. A buy-and-toss mentality persists despite a boost from celebrities helping to drive the upcycle and vintage movements. Actress Maggie Q, who created an activewear line from recycled fabrics, is among activists who see plenty of room for improvement. She says she feels "sick about fast fashion.'' "You hear people say, 'Well,...

Streep, Miranda and Stone are named as Met Gala co-0chairs

Oct 21, 2020

NEW YORK — Next year's Met Gala may be the closest we'll ever come to getting a Miranda Priestly moment at the starry event. Meryl Streep has been named as a co-chair of the Metropolitan Museum of Art's Costume Institute. The Oscar-winner played Priestly, a thinly veiled fictional version of Vogue editor Anna Wintour, in the movie "The Devil Wears Prada." Wintour clearly has no hard feelings because she selected Streep as a co-chair along with Lin-Manuel Miranda and fellow Oscar-winner Emma Stone. Designer Nicolas Ghesquiere rounds out the group. The gala's theme is "About Time: Fashion and Duration," which...

ABC says interview with Epstein accuser wasn't ready to air

Oct 21, 2020

NEW YORK — ABC News faced questions Tuesday about its reluctance to air a sensitive story of alleged sexual misconduct after a leaked video emerged of reporter Amy Robach complaining about how her bosses handled an interview with a Jeffrey Epstein accuser. The conservative web site Project Veritas released video of Robach venting that "every day I get more and more pissed" that her 2015 interview with Virginia Giuffre never made the air. Robach made her remarks late in August while sitting in a Times Square studio with a microphone but not on the air. ABC said Tuesday that the...

Broaden News

Reporter Pass is the only access you need to get into Hollywood. No matter it’s the red carpet event or backstage access, we’ve got you covered.

Award ShowsCelebrityPaparazziRoyaltyMoviesMusicTelevision Programs Press Releases