Best Medicare Advantage plan for the lowest cost in a bad year in San Benito County, California

Why this plan

Imperial Dynamic Plan (HMO) is the only plan with drug coverage open to everyone here, so it is the pick by default: $295 a year at most (no premium, a $295 limit). Original Medicare, with a Part D plan and a Medigap policy, is the other way to get covered.

Who it suits

This suits you if you have an ongoing condition, a surgery or treatment coming, or simply want to know the worst a year can cost. Once your copays and coinsurance for in-network medical care reach the plan's out-of-pocket limit, it pays in full for covered care for the rest of the year -- but you keep paying the premium, so we count both.

Before you choose

• Check your doctors and hospitals. Most Medicare Advantage plans pay only, or mostly, for care in their own network. Ask the plan, or your doctor's office, before you join.
• Price your prescriptions. What your drugs cost can differ by hundreds of dollars a year between plans and outweigh any premium difference. Add them in our plan list to see your own costs.
• Read the plan's own documents. We take every figure from what the plan filed with Medicare, but its Evidence of Coverage is the final word on what it pays.
• Get free advice if you want it. Your State Health Insurance Assistance Program (SHIP) gives free, unbiased help choosing a plan.

How we picked

The plan whose worst year costs least: twelve months of premiums plus its yearly limit on what you pay for covered medical care in its network. Drugs aren't included; Part D has its own yearly cap. Where several tie, we look next at the largest Part B giveback, then the lowest premium, then the lowest copay to see a primary care doctor. Plans that still tie are listed by name.

We compare the 1 Medicare Advantage plan with drug coverage that anyone with Medicare in San Benito County can join. Special needs plans and PACE, which are only for people who qualify, aren't included; you'll find them on the San Benito County page. No plan pays to be picked.