Medicare Part D Effective December 1, 2016
Health Plan
Network Name
Creditable Plans
Non-Creditable Plans
Aetna
HMO Deductible Basic HMO Aetna Value Network
Anthem Blue Cross
Prudent Buyer – Small Group Bronze EPO A, Silver EPO A, Gold EPO A Select HMO Silver HMO A, Gold HMO A, Platinum HMO A Advantage PPO Silver PPO A, Gold PPO A Select PPO Silver PPO B, Gold PPO B, Gold PPO C, Gold PPO D
Health Net
WholeCare Salud HMO y Más Purecare
Gold HMO A, Gold HMO B Platinum HMO A Bronze HSP A, Silver HSP A, Gold HSP A
Kaiser Permanente
Full
Bronze HMO C, Silver HMO B, Gold HMO A, Gold HMO B, Platinum HMO A
Bronze HMO B, Silver HMO C
Sharp
Premier Performance
Silver HMO A, Gold HMO B, Platinum HMO A Silver HMO B, Gold HMO A, Platinum HMO B
Bronze HMO A, Bronze HMO B, Bronze HMO C
Sutter Health Plus
Full
Silver HMO A, Silver HMO B, Silver HMO C, Silver HMO D, Gold HMO A, Gold HMO B, Gold HMO C, Platinum HMO A, Platinum HMO C
Bronze HMO A, Bronze HMO B
UnitedHealthcare
SignatureValue Focus Alliance
Silver HMO A, Gold HMO A, Platinum HMO A Bronze HMO A, Silver HMO D, Gold HMO C, Platinum HMO B Silver HMO B, Silver HMO C, Gold HMO B, Platinum HMO C
Bronze HMO B
Western Health Advantage
Full
Silver HMO A, Silver HMO B, Silver HMO C, Gold HMO A, Gold HMO B, Gold HMO C, Gold HMO D, Platinum HMO A, Platinum HMO B
Bronze HMO A, Bronze HMO B, Bronze HMO C, Bronze HMO D
Bronze HMO A, Silver HMO A Bronze HMO B, Silver HMO B Gold HMO A, Gold HMO B, Platinum HMO A Bronze EPO B
Please contact carriers at the numbers provided below with any questions that you may have: Aetna 866.529.2517 Sharp 800.359.2002 Anthem Blue Cross 866.524.5659 Sutter Health Plus 855.315.5800 Health Net 800.522.0088 UnitedHealthcare 800.624.8822 Kaiser Permanente 800.464.4000 Western Health Advantage 888.563.2250
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