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UCLA Health Medicare Advantage Plan (HMO) has a contract with Medicare and enrollment in the plan depends on contract renewal. UCLA Health Medicare Advantage Plan includes Part D drug coverage. To enroll in UCLA Health Medicare Advantage Plan, you must have both Medicare Parts A and B and reside in the plan service area, Los Angeles County. In addition to your monthly plan premium, you must continue to pay your Medicare Part B premium.

Members enrolled in UCLA Health Medicare Advantage Plan (HMO) must use plan providers except in emergency or urgent care situations. If a member obtains care from an out-of-network provider without prior approval from UCLA Health Medicare Advantage Plan, neither Medicare nor UCLA Health Medicare Advantage Plan will be responsible for the costs. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

Special Supplemental Benefits for the Chronically Ill (SSBCI) are special supplemental benefits for qualifying members. Not all members will qualify.

Every year, Medicare evaluates plans based on a 5-star rating system. Star ratings may vary by contract or market. For plan year 2025, UCLA Health Medicare Advantage Plan’s H4647 (HMO) contract is too new to be measured for a Star rating.

(Smart Benefits Card) &more Benefits Prepaid Mastercard® is issued by Avidia Bank, pursuant to a license from Mastercard Inc. Use of this card is subject to the terms and conditions of the Cardholder Agreement.

Please contact Member Services at 1-833-627-8252 (833-MAP-UCLA) (TTY 711) for additional information. Hours are 8am - 8pm PST, Monday - Friday, April 1 through September 30, except on all federal holidays. Hours are 8am - 8pm PST, 7 days a week, October 1 through March 31, except Thanksgiving Day and Christmas Day.

Other providers are available in our network. For a full listing of network providers, please visit UCLAHealthMedicareAdvantage.org