Medicare Advantage · State · 2026 plan year

Medicare Advantage in California

39,671 plans across 58 counties, find your county to compare every plan available where you live.

39,671
Plans available
4.0★
Avg CMS rating
$17.71
Avg premium/mo
58
5-star plans

The short answer

California offers 39,671 Medicare Advantage plans across 58 counties, averaging 4.0★ on the CMS quality scale, with 58 plans at the top 5-star tier.

39,671
plans statewide
4.0★
average CMS rating
58
5-star plans
58
counties to browse

Medicare Advantage service areas are defined per county, a plan in one county may not be sold in the next. Find your county below.

What the CMS Data Shows for California

According to Centers for Medicare & Medicaid Services 2026 plan-year filings, California beneficiaries can choose from 39,671 distinct Medicare Advantage contracts marketed across 58 counties. The state-wide average CMS Star Rating is 4.00 out of 5.00, based on the composite of clinical quality, member experience, and plan operations measures that CMS recalculates every October. 58 contracts achieved the top 5-star tier, which also unlocks year-round Special Enrollment rights for beneficiaries who want to switch into them.

Quality, not price, is the signal this data captures best. Medicare Advantage premiums sit on top of the standard Part B premium every enrollee already pays, and they change plan to plan and year to year, confirm any plan's current premium on the official Medicare.gov Plan Compare tool. What PlainMedicare compares for California is the CMS Star Rating, drug coverage, plan type, and supplemental benefits (dental, vision, hearing). The above-4-star average rating means the federal Quality Bonus Payment flows for participating insurers are concentrated here, which historically translates into richer extra benefits in subsequent plan years.

For shoppers in California, the practical signal from this data is that county-level plan availability varies sharply, a five-star contract sold in one county may not be offered in the neighboring county because Medicare Advantage service areas are defined at the county (FIPS) level, not the state level. Use the county list below to see exactly which contracts appear in your service area, and cross-check the star rating, drug coverage, and Special Needs Plan indicators before the October 15 – December 7 Annual Election Period closes. All figures on this page originate from CMS public-use files released for the 2026 contract year and are refreshed each plan year.

Medicare Advantage Quality in California

California offers 39,671 Medicare Advantage plans across 58 counties, giving beneficiaries a range of options beyond Original Medicare. These plans, offered by private insurers approved by CMS, typically bundle Part A (hospital), Part B (medical), and often Part D (prescription drug) coverage, many also include dental, vision, and hearing benefits not covered by Original Medicare.

With an average star rating of 4.0 out of 5, California's Medicare Advantage landscape sits above the national rated-plan average of about 3.9 stars. 58 plans have earned the highest possible 5-star rating, the top of the CMS quality scale. Many plans in California also bundle Part D drug coverage and supplemental dental, vision, and hearing benefits, look up each plan's current premium and copays on Medicare.gov before you enroll.

Counties in California

Click a county to see all Medicare Advantage plans available in your area.

Alameda
716 plans
4.0
$12.99/mo avg
Alpine
653 plans
4.0
$22.70/mo avg
Amador
670 plans
4.0
$29.10/mo avg
Butte
652 plans
4.0
Calaveras
653 plans
4.0
$25.00/mo avg
Colusa
648 plans
4.0
Contra Costa
672 plans
4.0
$27.19/mo avg
Del Norte
642 plans
4.0
El Dorado
659 plans
4.0
$26.09/mo avg
Fresno
732 plans
4.0
$7.10/mo avg
Glenn
651 plans
4.0
Humboldt
653 plans
4.0
Imperial
663 plans
4.0
$7.18/mo avg
Inyo
645 plans
4.0
$7.20/mo avg
Kern
701 plans
4.0
$3.03/mo avg
Kings
690 plans
4.0
$8.36/mo avg
Lake
653 plans
4.0
$89.00/mo avg
Lassen
650 plans
4.0
$64.00/mo avg
Los Angeles
826 plans
4.0
$4.70/mo avg
Madera
732 plans
4.0
$7.10/mo avg
Marin
692 plans
4.0
$10.65/mo avg
Mariposa
661 plans
4.0
$26.07/mo avg
Mendocino
647 plans
4.0
$29.67/mo avg
Merced
666 plans
4.0
$11.82/mo avg
Modoc
642 plans
4.0
Mono
647 plans
4.0
$16.67/mo avg
Monterey
649 plans
4.0
$78.44/mo avg
Napa
669 plans
4.0
$16.50/mo avg
Nevada
647 plans
4.0
$34.67/mo avg
Orange
791 plans
4.0
$4.04/mo avg
Placer
700 plans
4.0
$10.38/mo avg
Plumas
653 plans
4.0
$21.33/mo avg
Riverside
780 plans
4.0
$2.88/mo avg
Sacramento
722 plans
4.0
$10.25/mo avg
San Benito
652 plans
4.0
$1.83/mo avg
San Bernardino
789 plans
4.0
$2.75/mo avg
San Diego
785 plans
4.0
$6.07/mo avg
San Francisco
728 plans
4.0
$10.65/mo avg
San Joaquin
731 plans
4.0
$13.75/mo avg
San Luis Obispo
669 plans
4.0
$5.61/mo avg
San Mateo
706 plans
4.0
$18.77/mo avg
Santa Barbara
668 plans
4.0
$47.29/mo avg
Santa Clara
729 plans
4.0
$16.62/mo avg
Santa Cruz
671 plans
4.0
$32.79/mo avg
Shasta
656 plans
4.0
Sierra
650 plans
4.0
$64.00/mo avg
Siskiyou
651 plans
4.0
Solano
674 plans
4.0
$14.99/mo avg
Sonoma
676 plans
4.0
$34.13/mo avg
Stanislaus
717 plans
4.0
$12.36/mo avg
Sutter
659 plans
4.0
$39.67/mo avg
Tehama
656 plans
4.0
Trinity
648 plans
4.0
Tulare
703 plans
4.0
$10.19/mo avg
Tuolumne
645 plans
4.0
$7.20/mo avg
Ventura
713 plans
4.0
$7.27/mo avg
Yolo
707 plans
4.0
$12.03/mo avg
Yuba
661 plans
4.0
$19.83/mo avg

Shopping in California

Service areas are county-level, so start with where you live.

  • Open your county to see exactly which plans are sold in your service area, availability changes from one county to the next. All states
  • Prioritise 4★+ plans on quality, then compare total cost rather than premium alone. Star ratings
  • A 5-star plan can be joined almost any time of year through a special enrollment period. Top-rated plans

All figures are from CMS public-use files for the 2026 contract year. Confirm current plan details on Medicare.gov before enrolling.

Frequently Asked Questions

What are the best Medicare Advantage plans in California?

California has 58 five-star rated Medicare Advantage plans out of 39,671 total plans available. The average star rating across all plans is 4.0 out of 5. Browse by county below to find top-rated plans in your area.

How do Medicare Advantage star ratings work?

CMS rates Medicare Advantage plans on a 1-to-5 star scale based on quality measures including preventive care, chronic disease management, member satisfaction, and customer service. Plans with 4+ stars are considered high quality. In California, the average rating is 4.0 stars.

How much do Medicare Advantage plans cost in California?

The average monthly premium for Medicare Advantage plans in California is $17.71. Premiums vary by county and plan type, many plans offer $0 premiums in exchange for network restrictions. Click a county below to see specific plan costs in your area.

How do I enroll in a Medicare Advantage plan in California?

You can enroll during the Annual Election Period (October 15 – December 7) for coverage starting January 1, or during the Medicare Advantage Open Enrollment Period (January 1 – March 31). Visit Medicare.gov, call 1-800-MEDICARE, or contact a licensed Medicare insurance agent in California. You must have Medicare Parts A and B to enroll.

What supplemental benefits do Medicare Advantage plans in California include?

Many Medicare Advantage plans in California include supplemental benefits not covered by Original Medicare, such as dental, vision, hearing, fitness programs, over-the-counter drug allowances, and transportation. Benefits vary by plan, check individual plan details for specific coverage.

Note: PlainMedicare provides publicly available CMS data for informational purposes only. This is not medical or insurance advice. Consult a licensed Medicare counselor or insurance agent before making enrollment decisions. Plan availability and premiums change annually, always verify with Medicare.gov or 1-800-MEDICARE.

Related

Data sourced from the Centers for Medicare & Medicaid Services (CMS). See our methodology for details. Retrieved and formatted by PlainMedicare Editorial