Central Health Medi-Medi Plan II (HMO D-SNP)

Central Health Medi-Medi Plan II (HMO D-SNP) is a HMO D-SNP plan offered by Central Health Plan of California, Inc. available for the 2026 plan year to people living in Ventura County. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Central Health Medi-Medi Plan II (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Central Health Medi-Medi Plan II (HMO D-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

Central Health Medi-Medi Plan II (HMO D-SNP) features an Enhanced Alternative drug benefit with a $250.00 annual prescription drug deductible. If you qualify for the low-income subsidy, your Part D premium is reduced to $0.00. During the initial coverage phase, you pay for your prescriptions at standard pharmacies or standard mail-order services until total drug costs reach $2,100.00. For a 30-day supply, you will pay a $4.00 copay for Tier 1 preferred generics, 20% coinsurance for Tier 2 standard generics, 30% coinsurance for Tier 3 preferred brands, 27% coinsurance for Tier 4 non-preferred drugs, and no copay for Tier 5 specialty drugs. Once your yearly out-of-pocket costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs.

Additional Benefits

The Central Health Medi-Medi Plan II (HMO D-SNP) offers comprehensive coverage with many services featuring no copayments, though some cost-sharing applies. For primary care and specialist visits, members pay a 28% coinsurance, while outpatient services generally carry a 20% coinsurance with no copay. Emergency care requires a $110 copay, which is waived if you are admitted, and inpatient hospital stays are covered with no plan-specific copay under Original Medicare-defined coinsurance. This plan provides strong everyday benefits, offering routine vision exams and up to $300 annually for eyewear with no copays, no coinsurance, and no deductibles. Members also enjoy no copays and no coinsurance for home health services, diabetic supplies, and up to 48 one-way transportation trips to plan-approved locations per year. Other valuable extras such as acupuncture, over-the-counter items, and meal benefits are also available with no copay and no coinsurance.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.