Medicare Advantage plans in Fresno, CA, 2027
Fresno, California has 19 Medicare Advantage plans open to everyone for 2027 (21 in 2026) and 23 special needs plans, according to the CMS landscape files; 14 of the open plans have a $0 premium. 7 plans that served the county in 2026 end or leave it, with 2,532 members living here in September 2026.
What changes in Fresno for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 21 | 19 | ▼down 2 |
| Special needs plans | 24 | 23 | ▼down 1 |
| Plans with a $0 premium | 17 | 14 | ▼down 3 |
| Plans that lower the Part B premium | 7 | 4 | ▼down 3 |
| Median out-of-pocket limit | $2,900 | $3,000 | ▲up $100 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026.
Which plans can anyone in Fresno join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Imperial Dynamic PlanH5496-012 · HMO | $0 | $295 | $15 | 3.5 of 5 |
| Champion AllyH6170-007 · HMO | $0 | $499 | none | not rated (too little data) |
| SCAN Costco Medicare AdvantageH5425-136 · HMO | $0 | $699 | none | 4 of 5 |
| SCAN ClassicH5425-101 · HMO | $0 | $999 | none | 4 of 5 |
| Alignment Health ONE + Walgreens 035H3815-035 · HMO | $0 | $1,300 | none | 4 of 5 |
| Alignment Health + CommUnity 046H3815-046 · HMO | $0 | $1,750 | none | 4 of 5 |
| Humana Gold PlusH5619-012 · HMO | $0 | $2,200 | none | 3 of 5 |
| Imperial Courage PlanH5496-016 · HMO | $0 | $2,999 | $85 | 3.5 of 5 |
| Anthem Medicare AdvantageH0544-056 · HMO-POS | $0 | $3,000 | none | 3 of 5 |
| Anthem PrimeH4161-006 · HMO-POS | $0 | $3,000 | none | 3 of 5 |
| Humana Gold PlusH5619-191 · HMO | $0 | $3,200 | none | 3 of 5 |
| Alignment Health My Choice 050H3815-050 · HMO | $0 | $3,499 | none | 4 of 5 |
| Humana Gold Plus GivebackH5619-150 · HMO | $0 | $5,000 | $42 | 3 of 5 |
| Humana USAA Honor GivebackH5619-121 · HMO | $0 | $5,250 | $45 | 3 of 5 |
| Alignment Health Honor Plus 060H3815-060 · HMO | $7.30 | $9,850 | none | 4 of 5 |
| Kaiser Permanente Senior Advantage Basic FresnoH0524-046 · HMO | $29 | $4,900 | none | 4.5 of 5 |
| AARP Medicare Advantage from UHC CA-0005H0543-035 · HMO-POS | $65 | $7,150 | none | 4 of 5 |
| Alignment Health Advantage 001H8832-001 · PPO | $70 | $4,451 | none | not rated (too new) |
| Kaiser Permanente Senior Advantage Enhanced FresnoH0524-038 · HMO | $95 | $2,900 | none | 4.5 of 5 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Stars are the contract's 2026 rating. confirm on Medicare Plan Finder.
Which plans leave Fresno in 2027?
Members of these plans here choose a 2027 plan during open enrollment, October 15 to December 7, 2026; choosing by December 31 means no gap; because their plan is leaving the county, they can still join until the end of February 2027, with coverage from the first of the next month. Each plan's page says what happens to its members.
| 2026 plan | Members here, Sept. 2026 | For 2027 |
|---|---|---|
| Central Health Classic Care Plan IIH5649-028 | 825 | Not offered |
| Alignment Health Honor+ PlanH3815-052 | 717 | Leaves the county |
| Central Health Embrace Care PlanH5649-025 | 548 | Not offered |
| Central Health Embrace Choice PlanH5649-026 | 246 | Not offered |
| Central Health Dual Access PlanH5649-024 | 129 | Not offered |
| Central Health Valor Care PlanH5649-030 | 67 | Not offered |
| Champion SelectH6170-003 | fewer than 11 | Not offered |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which special needs plans are sold here?
Open only to people with Medicaid as well as Medicare, with certain chronic conditions, or living in an institution.
| Plan | Who can join | Premium |
|---|---|---|
| Imperial Senior ValueH5496-005 | Chronic or Disabling Condition | $0 |
| Champion CareH6170-008 | Chronic or Disabling Condition | $0 |
| SCAN BalanceH5425-102 | Chronic or Disabling Condition | $0 |
| Champion AdvantageH6170-001 | Chronic or Disabling Condition | $0 |
| Champion CompassH6170-015 | Chronic or Disabling Condition | $0 |
| Alignment Health Heart & Diabetes 010H3815-010 | Chronic or Disabling Condition | $0 |
| Alignment Health Heart & Diabetes 048H3815-048 | Chronic or Disabling Condition | $0 |
| Wellcare CalViva Health Dual AlignH3561-007 | Dual-Eligible | $0 |
| Alignment Health BreathEasy Plus 041H3815-041 | Chronic or Disabling Condition | $0 |
| Anthem Full Dual Advantage AlignedH4471-010 | Dual-Eligible | $0 |
| Anthem Kidney CareH4909-030 | Chronic or Disabling Condition | $0 |
| SCAN StriveH5425-098 | Chronic or Disabling Condition | $0 |
| Humana Gold Plus SNP-DEH5619-038 | Dual-Eligible | $0 |
| Champion ConnectH6170-002 | Chronic or Disabling Condition | $0 |
| Champion HomeH6170-016 | Chronic or Disabling Condition | $0 |
| Champion SecureH6170-017 | Chronic or Disabling Condition | $0 |
| Kaiser Permanente Dual Complete North P18H8794-018 | Dual-Eligible | $0 |
| Alignment Health Heart & Diabetes 051H3815-051 | Chronic or Disabling Condition | $0.10 |
| Champion ChoiceH6170-009 | Chronic or Disabling Condition | $2.60 |
| Imperial FlexH5496-017 | Chronic or Disabling Condition | $2.70 |
| Alignment Health Heart & Diabetes Plus 039H3815-039 | Chronic or Disabling Condition | $7.30 |
| Alignment Health Clarity Plus 042H3815-042 | Chronic or Disabling Condition | $7.30 |
| Champion PlusH6170-010 | Chronic or Disabling Condition | $7.30 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
How many people in Fresno use Medicare Advantage?
79,690 of the county's 163,221 people with Medicare were in a Medicare Advantage plan in September 2026, 48.8%; in California as a whole the share is 51.5%.
Source: CMS Medicare Advantage state and county penetration, September 2026.
What else should you check?
- Medicare Advantage in CaliforniaEvery county of the state
- 10 stand-alone drug plans in CaliforniaIf you keep Original Medicare
- Is your plan ending?Every plan not offered in 2027