(818) 472-5484

    Local Service

    Medicare Help in Santa Monica at No Cost

    Santa Monica's two general hospitals belong to different systems: UCLA on 16th Street and Providence Saint John's on Santa Monica Boulevard. Some Medicare Advantage plans include one and not the other. Lara Goulson, who started Goulson Insurance, begins with your hospital and the doctors you see now. She narrows the field to plans that cover them, then helps you sign up for the one you choose. She speaks Spanish and Hebrew as well as English. Home visits are available anywhere from 90401 to 90405, and phone or video works if you'd rather not meet in person. The agency also keeps an office a short drive east, in Century City.

    (818) 472-5484

    Lara Goulson, Licensed Insurance Agent, CA License #0E69969

    Mostly renters, and older north of Montana

    Santa Monica's five ZIP codes hold 93,581 people. Of those, 18,777 are 65 or older, about one in five (20.1 percent). North of Montana Avenue, in 90402, the share climbs to 28.4 percent, and half the people there are older than 52.7. Downtown, in 90401, the median age falls to 36.9, and one person in eight (12.5 percent) is 65 or older. About seven in ten households rent. Citywide, just 29.3 percent own their home, and by ZIP code that share runs from 73.9 percent in 90402 down to 5.2 percent in 90401. Median household income ranges from $95,139 to $159,100, depending on the ZIP code. One person in ten age 5 and up speaks Spanish at home (10.1 percent). Most, 72.8 percent, speak only English. Every figure in this section is from the 2020 to 2024 American Community Survey. We got the 18,777 by adding the survey's counts for each age group from 65 up.

    Grandparents walking with their granddaughter along the shoreline at sunset

    UCLA and Saint John's contract with plans separately

    Santa Monica has two general hospitals inside its city limits. Santa Monica UCLA Medical Center and Orthopaedic Hospital, at 1250 16th Street, is licensed for 281 beds. Providence Saint John's Health Center, at 2121 Santa Monica Blvd, is licensed for 266. East of the city, Cedars-Sinai Medical Center is licensed for 919. Kaiser Foundation Hospital West Los Angeles, licensed for 265, is the nearest Kaiser hospital. For routine care there, you need to be in a Kaiser plan. The bed counts are the ones California's licensing records showed in September 2026. UCLA, Providence and Cedars-Sinai each make their own deals with plans. A Medicare Advantage plan that covers your UCLA doctor may not cover Saint John's, and one that covers Saint John's may not cover Cedars. Plans reach doctors by way of medical groups, and one insurer's plans don't all use the same groups. Those deals get renegotiated, and that is how a hospital can end up leaving a plan's network. That is why Lara asks for names. Hand her a list: every doctor you see, your hospital, your pharmacy. She looks each one up, plan by plan, before you enroll. She goes back through your list each fall, when plans release their changes, so a dropped contract does not catch you off guard.

    Owning north of Montana, or renting

    For owners north of Montana, the first decision is usually between a Medicare Supplement and Medicare Advantage. A Supplement's monthly premium is higher. In return, a year of heavy medical bills costs you far less out of pocket. If you own a house and see specialists at UCLA or Cedars you mean to keep, that protection counts for more. If you rent, as about seven in ten Santa Monica households do, the first questions are different. Lara checks whether a plan includes the doctors you see now, on Wilshire or at Saint John's, and whether your income could get you help with costs. Two programs are worth asking about before you look at plans. With Extra Help, your Part D premium and copays go down if your income and savings fall below set limits. If Medi-Cal covers you too, a Dual Eligible Special Needs Plan becomes an option. It takes Lara a few minutes to see whether either is open to you.

    Medicare Advantage across Los Angeles County in 2027

    About 57 percent of Los Angeles County's 1.7 million Medicare beneficiaries are enrolled in Medicare Advantage or another Medicare health plan (CMS, May 2026). The county has 70 Medicare Advantage plans open to general enrollment in 2027, plus 54 Special Needs Plans, and 60 of the 70 charge a $0 monthly plan premium (CMS 2027 Landscape file). What varies far more is the out of pocket maximum, the most you pay in a year for covered care in network: our analysis of the same file puts the average at $2,232 and the median at $1,500, with a range from $199 to $9,850.

    Lara is a licensed insurance agent. Insurance companies pay her when you enroll, so her help costs you nothing and your premium is the same with or without her.

    How Lara is paid

    Independent Medicare help in Santa Monica

    Goulson Insurance Services Inc. is an independent insurance agency, and our agents work as licensed brokers for Santa Monica families. No single insurance company employs us or decides what we recommend, so the comparison starts with your doctors, your prescriptions and your budget. We put Medicare Advantage, Medicare Supplement and Part D plans from several carriers side by side, and you enroll only if one fits. The agency holds CA license 6020069, Lara Goulson holds CA license 0E69969, and we work in English, Spanish and Hebrew.

    Life insurance, long term care and help with claims

    Lara also helps families from Ocean Park to north of Montana with final expense coverage, life insurance and long term care. She handles those on a separate call or visit, never as part of a Medicare review. Enrollment isn't the end of her job. When your plan denies a claim, the two of you call the plan together. She also makes calls with you to doctors' offices, and to hospital billing departments when a charge looks wrong.

    Text or call (818) 472-5484 with the names of your UCLA or Saint John's doctors.

    You reach Lara directly · English, Español, עברית · Licensed in 12 states · 5.0 on Google · No cost to you

    Nearby Neighborhoods

    We serve the whole San Fernando Valley and greater Los Angeles. These are the neighborhood pages closest to this one.

    Santa Monica Medicare questions

    Not necessarily. Each plan works with its own set of medical groups, even when one company sells several plans, so your doctor can be in one and missing from another. Send Lara your doctors' names. She can tell you which of the plans you are comparing list each one.

    A plan with contracts at both. Santa Monica UCLA and Providence Saint John's Health Center belong to different systems, so a plan can list one without the other. Give Lara every doctor's name at the start, and she will narrow the comparison to plans that list them all. If none does, she will tell you.

    Mostly, protection when the medical bills pile up. The premium is higher every month, but if you need surgery at UCLA or months of treatment at Cedars, your share of the bills stays much smaller. Whether that is worth it depends on how much risk you can carry. Lara lays the two options next to each other, worked out for the doctors you see and the drugs you take, before you decide.

    There are two places to start. If her income and savings are low enough to qualify, Extra Help can cut what she pays for Part D drugs. If she has Medi-Cal too, she could also look at a Dual Eligible Special Needs Plan. Before comparing any plans, Lara looks at both with her, and with you if you join the call.

    Yes, she does. Every step can be in Spanish, down to the enrollment form you sign. Your children, or anyone else in the family, can sit in on the call or the home visit. She also works in Hebrew and English.

    Start with your hospital

    The most useful thing to put in the message is a list: your hospital and the doctors you see. If you go to UCLA for some care and Saint John's for the rest, say so. Lara will look for plans that list them and call you back with what she finds.

    By submitting this form, you agree that a licensed insurance agent may contact you by phone or email about your insurance options. Calls and texts by automated technology only if you tick the box below.

    You reach Lara directly · English, Español, עברית · Licensed in 12 states · 5.0 on Google · No cost to you

    Medicare Advantage and Part D disclaimer

    We do not offer every plan available in your area. Currently we represent 14 organizations which offer 93 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Not connected with or endorsed by the United States Government or the federal Medicare program. This website is a solicitation for insurance. Goulson Insurance Services Inc., CA Business Entity License #6020069. Lara Goulson, CA License #0E69969, NPN 8407942.

    1-800-MEDICARE is available 24 hours a day, 7 days a week.