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Wellcare Simple Focus (HMO)

California Medicare Advantage Plan (2025 Plan)

Select your County to view details for Wellcare Simple Focus (HMO) specific to your location

Overview of Wellcare Simple Focus (HMO) in California

by Wellcare by Health Net

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 3.0
out of 5 stars

Variations of Wellcare Simple Focus (HMO) Within California

Wellcare Simple Focus (HMO) is available in 7 California Counties. Pricing and benefit details can vary by location. Each variation of Wellcare Simple Focus (HMO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Wellcare Simple Focus (HMO) in California is listed below:

Wellcare Simple Focus (HMO) H0562-097-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$6,750 In-network
Available in Counties: San Francisco
Wellcare Simple Focus (HMO) H0562-012-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$4,150 In-network
Available in Counties: Imperial, San Diego
Wellcare Simple Focus (HMO) H0562-126-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$1,000 In-network
Available in Counties: Riverside, San Bernardino
Wellcare Simple Focus (HMO) H0562-125-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$1,000 In-network
Available in Counties: Los Angeles, Orange

Comparing the Quality Score of Wellcare Simple Focus (HMO) to Other Plans in California

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Wellcare Simple Focus (HMO) received an overall government quality rating of 3.0 stars out of 5 stars.

Wellcare Simple Focus (HMO) performed worse than California’s State average overall quality score of 3.5 stars.

This Plan’s 5-star Gov’t Quality Score
California State Average Score
Overall Government 5 Star Quality Rating
 3.0
 3.5
Summary rating of health plan quality
 3
 3.4
Staying healthy: screenings, tests, & vaccines
 4
 3.9
Managing chronic (long term) conditions
 3
 3.5
Member experience with health plan
 2
 2.5
Member complaints & changes in the health plan's performance
 4
 3.7
Health plan customer service
 4
 4.1
Summary rating of drug plan quality
 3.5
 3.8
Drug plan customer service
 4
 4.3
Member complaints & changes in the drug plan's performance
 4
 3.9
Member experience with the drug plan
 2
 3.7
Drug safety & accuracy of drug pricing
 4
 3.8

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Wellcare Simple Focus (HMO) received 3 stars for its health plan quality score which is worse than the California State average health plan quality score of 3.4 stars.

Wellcare Simple Focus (HMO) received 3.5 stars for its drug plan quality score which is worse than the California State average drug plan quality score of 3.8 stars.

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