Medicare Advantage plans in Sacramento, CA, 2027
Sacramento, California has 16 Medicare Advantage plans open to everyone for 2027 (22 in 2026) and 16 special needs plans, according to the CMS landscape files; 10 of the open plans have a $0 premium. 11 plans that served the county in 2026 end or leave it, with 14,740 members living here in September 2026.
What changes in Sacramento for 2027?
| In the county | 2026 | 2027 | Change |
|---|---|---|---|
| Plans open to everyone | 22 | 16 | ▼down 6 |
| Special needs plans | 16 | 16 | no change |
| Plans with a $0 premium | 15 | 10 | ▼down 5 |
| Plans that lower the Part B premium | 5 | 5 | no change |
| Median out-of-pocket limit | $3,699.50 | $3,699.50 | no change |
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 Sacramento join?
| Plan | Premium | Out-of-pocket limit | Part B reduction | 2026 stars |
|---|---|---|---|---|
| Imperial Dynamic PlanH5496-012 · HMO | $0 | $295 | $15 | 3.5 of 5 |
| Aetna Medicare SignatureH0523-065 · HMO | $0 | $2,000 | none | 3 of 5 |
| Aetna Medicare Value PlusH0523-074 · HMO | $0 | $2,000 | none | 3 of 5 |
| SCAN ClassicH5425-128 · HMO | $0 | $2,900 | none | 4 of 5 |
| SCAN Costco Medicare AdvantageH5425-138 · HMO | $0 | $2,900 | none | 4 of 5 |
| Imperial Courage PlanH5496-016 · HMO | $0 | $2,999 | $85 | 3.5 of 5 |
| Alignment Health Smart 038H3815-038 · HMO | $0 | $3,499 | $135 | 4 of 5 |
| Alignment Health My Choice 050H3815-050 · HMO | $0 | $3,499 | none | 4 of 5 |
| Aetna Medicare EagleH0523-099 · HMO | $0 | $4,450 | $40 | 3 of 5 |
| AARP Medicare Advantage from UHC CA-023PH0543-222 · HMO-POS | $0 | $4,450 | $15 | 4 of 5 |
| Alignment Health Honor Plus 060H3815-060 · HMO | $7.30 | $9,850 | none | 4 of 5 |
| Blue Shield AdvantageH0504-053 · HMO | $19 | $3,900 | none | 4 of 5 |
| Sutter Senior Advantage, a SCAN Medicare PlanH5425-126 · HMO | $19 | $4,000 | none | 4 of 5 |
| Alignment Health Sutter Advantage +MoreH3815-019 · HMO | $21 | $4,900 | none | 4 of 5 |
| Kaiser Permanente Sr Advantage Basic Sac., SonomaH0524-051 · HMO | $29 | $6,000 | none | 4.5 of 5 |
| Kaiser Permanente Sr Adv Enhanced Sac., SonomaH0524-013 · HMO | $99 | $3,900 | 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 Sacramento 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 |
|---|---|---|
| Anthem PrimeH4161-004 | 6,484 | Leaves the county |
| Aetna Medicare SignatureH5521-425 | 2,682 | Not offered |
| Anthem Medicare AdvantageH0544-064 | 1,793 | Not offered |
| Central Health Classic Care Plan IIIH5649-023 | 1,268 | Not offered |
| Aetna Medicare EnhancedH5521-581 | 679 | Not offered |
| Alignment Health My ChoiceH4961-001 | 639 | Leaves the county |
| Aetna Medicare EagleH5521-369 | 440 | Not offered |
| Central Health Embrace Care PlanH5649-025 | 321 | Not offered |
| Alignment Health Honor+ PlanH3815-052 | 225 | Leaves the county |
| Central Health Embrace Choice PlanH5649-026 | 150 | Not offered |
| Central Health Valor Care PlanH5649-030 | 59 | 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 |
| Alignment Health Heart & Diabetes 010H3815-010 | Chronic or Disabling Condition | $0 |
| Alignment Health Heart & Diabetes 048H3815-048 | Chronic or Disabling Condition | $0 |
| Aetna Medicare Chronic CareH0523-094 | Chronic or Disabling Condition | $0 |
| SCAN BalanceH5425-129 | Chronic or Disabling Condition | $0 |
| UHC Complete Care Support CA-8APH0543-249 | Chronic or Disabling Condition | $0 |
| Wellcare Health Net Dual AlignH3561-010 | Dual-Eligible | $0 |
| Alignment Health BreathEasy Plus 041H3815-041 | Chronic or Disabling Condition | $0 |
| Anthem Full Dual Advantage AlignedH4471-010 | Dual-Eligible | $0 |
| SCAN StriveH5425-098 | Chronic or Disabling Condition | $0 |
| Kaiser Permanente Dual Complete North P2H8794-002 | Dual-Eligible | $0 |
| Alignment Health Heart & Diabetes 051H3815-051 | Chronic or Disabling Condition | $0.10 |
| Imperial FlexH5496-017 | Chronic or Disabling Condition | $2.70 |
| Molina Medicare Complete Care PlusH3038-004 | Dual-Eligible | $7.30 |
| 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 |
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 Sacramento use Medicare Advantage?
186,962 of the county's 297,349 people with Medicare were in a Medicare Advantage plan in September 2026, 62.9%; 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