San Joaquin County, California — 2026 Medicare Advantage plans
44 individual Medicare Advantage plan segments from 12 parent organizations are filed for San Joaquin County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
44plans filed −4 vs prior year
26with a $0 premium −1 vs prior year
$4,650median in-network MOOP unchanged vs prior year
22on 4-star or better contracts
23report comprehensive dental
38report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| Aetna Medicare Signature (HMO) CVS Health Corporation · H0523-065-000 · SoB ✓ | HMO | $0 | $2,000 | $615 | 3.0out of 5 stars, Average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Alignment Health CalPlusDuals (HMO D-SNP) Alignment Healthcare USA, LLC · H3815-030-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $80 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health Heart & Diabetes (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-010-000 · SoB ✓ | HMO C-SNP | $0 | $1,499 | $0 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Transportation OTC allowance Meals |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-048-000 · SoB ✓ | HMO C-SNP | $0 | $1,990 | $0 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Transportation OTC allowance Meals |
| Alignment Health Honor+ Plan (HMO) Alignment Healthcare USA, LLC · H3815-052-000 · SoB ✓ | HMO | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $100 | Comprehensive dental Vision exam Eyewear Transportation OTC allowance Meals |
| Alignment Health My Choice CalCare (HMO) Alignment Healthcare USA, LLC · H3815-050-000 · SoB ✓ | HMO | $0 | $3,499 | $0 | 4.0out of 5 stars, Above average | $100 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Kidney Care (PPO C-SNP) Elevance Health, Inc. · H8552-028-000 · SoB ✓ | PPO C-SNP | $0 | $9,250 | $0 | 2.5out of 5 stars, Below average | $60 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Medicare Advantage (HMO-POS) Elevance Health, Inc. · H0544-095-000 · SoB | HMO-POS | $0 | $3,450 | $0 | 3.0out of 5 stars, Average | $42 | Vision exam Eyewear Transportation OTC allowance Meals |
| Anthem Prime (HMO-POS) Elevance Health, Inc. · H4161-005-000 · SoB ✓ | HMO-POS | $0 | $1,200 | $110 | 3.0out of 5 stars, Average | $38 | Vision exam Eyewear OTC allowance |
| Central Health Classic Care Plan III (HMO) Molina Healthcare, Inc. · H5649-023-000 · SoB ✓ | HMO | $0 | $2,999 | $125 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Central Health Dual Access Plan (HMO D-SNP) Molina Healthcare, Inc. · H5649-024-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $550 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Central Health Embrace Care Plan (HMO C-SNP) Molina Healthcare, Inc. · H5649-025-003 · SoB ✓ | HMO C-SNP | $0 | $1,900 | $615 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Central Health Embrace Choice Plan (HMO C-SNP) Molina Healthcare, Inc. · H5649-026-003 · SoB ✓ | HMO C-SNP | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Humana Community (HMO) Humana Inc. · H5619-159-000 · SoB ✓ | HMO | $0 | $2,500 | $615 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) Humana Inc. · H5619-038-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $490 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Imperial Dynamic Plan (HMO) Imperial Health Plan of California · H5496-012-000 · SoB | HMO | $0 | $296 | $0 | 3.5out of 5 stars, Average | $140 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Imperial Senior Value (HMO C-SNP) Imperial Health Plan of California · H5496-005-000 · SoB | HMO C-SNP | $0 | $296 | $0 | 3.5out of 5 stars, Average | $130 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Kaiser Permanente Dual Complete North P20 (HMO D-SNP) Kaiser Foundation Health Plan, Inc. · H8794-020-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $75 | Vision exam Eyewear OTC allowance |
| SCAN Balance (HMO C-SNP) SCAN Group · H5425-129-000 · SoB | HMO C-SNP | $0 | $2,000 | $250 | 4.0out of 5 stars, Above average | $35 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN Classic (HMO) SCAN Group · H5425-128-000 · SoB | HMO | $0 | $2,000 | $250 | 4.0out of 5 stars, Above average | $110 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN MyChoice (HMO) SCAN Group · H5425-130-000 · SoB | HMO | $0 | $2,500 | $250 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| SCAN Strive (HMO C-SNP) SCAN Group · H5425-098-000 · SoB | HMO C-SNP | $0 | $9,250 | $250 | 4.0out of 5 stars, Above average | $110 | Comprehensive dental Vision exam Eyewear Transportation OTC allowance Meals |
| Wellcare Simple (HMO) Centene Corporation · H5087-034-001 · SoB ✓ | HMO | $0 | $6,500 | $615 | 3.5out of 5 stars, Average | — | Vision exam Eyewear Hearing aids |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-051-000 · SoB ✓ | HMO C-SNP | $0.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | $100 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Advantage D-SNP (HMO) (HMO D-SNP) SAN JOAQUIN COUNTY HEALTH COMMISSION · H5734-001-000 · SoB | HMO D-SNP | $2.80 | $9,250 | $615 | Not rated | $150 | Vision exam Eyewear Hearing aids OTC allowance |
| Aetna Medicare Value Plus (HMO-POS) CVS Health Corporation · H0523-074-000 · SoB ✓ | HMO-POS | $5.30 | $2,000 | $615 | 3.0out of 5 stars, Average | $60 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP) UnitedHealth Group, Inc. · H0543-249-000 · SoB ✓ | HMO-POS C-SNP | $8.90 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance |
| Alignment Health BreathEasy (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-041-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | 4.0out of 5 stars, Above average | $124 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health Clarity (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-042-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | 4.0out of 5 stars, Above average | $124 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health Freedom (PPO) Alignment Healthcare USA, LLC · H8832-003-000 · SoB ✓ | PPO | $12 | $8,500 | $615 | Not rated | — | Comprehensive dental Vision exam Eyewear Hearing aids Transportation Meals |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-039-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | 4.0out of 5 stars, Above average | $129 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Wellcare Health Net Dual Align (HMO D-SNP) Centene Corporation · H3561-008-000 · SoB ✓ | HMO D-SNP | $12 | $9,250 | $555 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance |
| Blue Shield Advantage (HMO) California Physicians' Service · H0504-050-000 · SoB | HMO | $20 | $2,500 | $340 | 4.0out of 5 stars, Above average | $45 | Vision exam Eyewear Hearing aids OTC allowance |
| Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) Kaiser Foundation Health Plan, Inc. · H0524-043-000 · SoB ✓ | HMO | $24 | $4,400 | $0 | 4.5out of 5 stars, Above average | Reported | Vision exam OTC allowance |
| HumanaChoice H5525-080 (PPO) Humana Inc. · H5525-080-000 · SoB ✓ | PPO | $40 | $5,900 | $615 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Alignment Health Balance (PPO) Alignment Healthcare USA, LLC · H4961-006-000 · SoB ✓ | PPO | $41 | $2,850 | $0 | 4.0out of 5 stars, Above average | $20 | Vision exam Eyewear Transportation OTC allowance |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO) SCAN Group · H5425-127-000 · SoB | HMO | $49 | $4,900 | $250 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Hearing aids OTC allowance Meals |
| Blue Shield Inspire (HMO) California Physicians' Service · H0504-047-000 · SoB | HMO | $58 | $5,300 | $425 | 4.0out of 5 stars, Above average | $35 | Vision exam Eyewear OTC allowance |
| Alignment Health My Choice (PPO) Alignment Healthcare USA, LLC · H4961-001-000 · SoB ✓ | PPO | $77 | $4,200 | $0 | 4.0out of 5 stars, Above average | $20 | Vision exam Eyewear OTC allowance |
| Humana Gold Plus H5619-026 (HMO) Humana Inc. · H5619-026-000 · SoB ✓ | HMO | $88 | $6,750 | $615 | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO) Kaiser Foundation Health Plan, Inc. · H0524-042-000 · SoB ✓ | HMO | $89 | $2,500 | $0 | 4.5out of 5 stars, Above average | Reported | Vision exam OTC allowance |
| Central Health Valor Care Plan (HMO) Molina Healthcare, Inc. · H5649-030-000 · SoB ✓ | HMO | — | $4,400 | — | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Humana USAA Honor Giveback (PPO) Humana Inc. · H5525-079-000 · SoB ✓ | PPO | — | $6,500 | — | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Imperial Courage Plan (HMO) Imperial Health Plan of California · H5496-016-000 · SoB | HMO | — | $2,999 | — | 3.5out of 5 stars, Average | $75 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in San Joaquin County?
Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.
Download all 44 San Joaquin County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.
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