Medicare Advantage · State · 2026 plan year

Medicare Advantage in California

According to the Centers for Medicare & Medicaid Services (CMS) 2026 plan-year files, 467 plans across 58 counties; find your county to compare every plan available where you live.

467
Plans available
3.7★
Avg CMS rating
$17.71
Avg premium/mo
0
5-star plans

The short answer

California ranks #2 of 49 by Medicare Advantage plan inventory (467 plans) but #36 by average CMS star (3.70★).

#2
inventory rank
467
plans statewide
#36
avg star rank
3.70★
mean CMS rating

Plan inventory and average star are independent CMS signals; a large catalog is not the same as the highest mean quality score.

Product mix · CA plans_unique

How 467 California plans split by CMS plan type

Exclusive CMS plan-type codes for this state's representative plans_unique rows, orthogonal to the star-bucket chart below. Source: CMS landscape, 2026.

Wider statewide MA inventory

California in the wider-inventory third

California ranks #2 of 49 states and territories by Medicare Advantage plan count (467 plans) - top-third inventory breadth in the CMS file. According to CMS 2026 plan-year filings, California beneficiaries can choose from 467 distinct Medicare Advantage plans marketed across 58 counties - a top-third inventory book (#2 of 49 by plan count). No plan in this state currently holds the top 5-star tier for the 2026 plan year. County (FIPS) service areas still decide what is sold where you live - open a county below before the October 15 - December 7 Annual Election Period closes.

plans #2/49 · stars #36/49 · 58 counties · avg prem $17.71/mo

Lower-star MA quality band in California

California offers 467 Medicare Advantage plans across 58 counties. Mean star 3.7★ across a wider inventory book (star rank #36/49); compare county contracts, not only the state average. Confirm premiums and networks on <a class="underline" href="https://www.medicare.gov/plan-compare/" target="_blank" rel="external noopener">Medicare.gov Plan Compare</a>.

Where California sits on CMS quality

Average CMS star rating across the state's own Medicare Advantage plans, against every state and territory in the CMS file

3.7★ Top 71% higher than 29% of 49 states and territories

3.25★–3.5★: 1 states and territories (2%). Below this entry. 3.5★–3.75★: 13 states and territories (27%). This entry sits in this band. 3.75★–4★: 23 states and territories (47%). Above this entry. 4★–4.25★: 10 states and territories (20%). Above this entry. 4.25★–4.5★: 1 states and territories (2%). Above this entry. 4.5★–4.75★: 0 states and territories (0%). Above this entry. 4.75★–5★: 1 states and territories (2%). Above this entry. This state 3.25★ 5★ every state and territory, bucketed by value

Each bar is a band; taller bars hold more states and territories. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Advantage Star Ratings 2026 · 2026-09-01

Counties in California

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

Alameda
43 plans
3.8
$12.99/mo avg
Alpine
5 plans
3.1
$22.70/mo avg
Amador
11 plans
3.6
$29.10/mo avg
Butte
4 plans
3.3
Calaveras
5 plans
3.2
$25.00/mo avg
Colusa
0 plans
N/R
Contra Costa
13 plans
3.8
$27.19/mo avg
Del Norte
3 plans
3.5
El Dorado
12 plans
3.7
$26.09/mo avg
Fresno
51 plans
3.6
$7.10/mo avg
Glenn
3 plans
3.5
Humboldt
5 plans
3.5
Imperial
21 plans
3.2
$7.18/mo avg
Inyo
6 plans
3.3
$7.20/mo avg
Kern
41 plans
3.4
$3.03/mo avg
Kings
29 plans
3.5
$8.36/mo avg
Lake
1 plans
4.0
$89.00/mo avg
Lassen
2 plans
3.5
$64.00/mo avg
Los Angeles
145 plans
3.7
$4.70/mo avg
Madera
51 plans
3.6
$7.10/mo avg
Marin
25 plans
3.8
$10.65/mo avg
Mariposa
9 plans
3.8
$26.07/mo avg
Mendocino
4 plans
3.6
$29.67/mo avg
Merced
19 plans
3.8
$11.82/mo avg
Modoc
3 plans
3.5
Mono
8 plans
3.3
$16.67/mo avg
Monterey
9 plans
3.1
$78.44/mo avg
Napa
9 plans
3.5
$16.50/mo avg
Nevada
4 plans
3.6
$34.67/mo avg
Orange
110 plans
3.7
$4.04/mo avg
Placer
33 plans
3.8
$10.38/mo avg
Plumas
5 plans
3.5
$21.33/mo avg
Riverside
103 plans
3.7
$2.88/mo avg
Sacramento
46 plans
3.8
$10.25/mo avg
San Benito
4 plans
3.5
$1.83/mo avg
San Bernardino
112 plans
3.6
$2.75/mo avg
San Diego
101 plans
3.7
$6.07/mo avg
San Francisco
55 plans
3.7
$10.65/mo avg
San Joaquin
50 plans
3.6
$13.75/mo avg
San Luis Obispo
18 plans
3.8
$5.61/mo avg
San Mateo
33 plans
3.6
$18.77/mo avg
Santa Barbara
9 plans
3.8
$47.29/mo avg
Santa Clara
52 plans
3.8
$16.62/mo avg
Santa Cruz
8 plans
3.9
$32.79/mo avg
Shasta
4 plans
3.3
Sierra
2 plans
3.5
$64.00/mo avg
Siskiyou
3 plans
3.5
Solano
15 plans
3.5
$14.99/mo avg
Sonoma
13 plans
3.8
$34.13/mo avg
Stanislaus
42 plans
3.7
$12.36/mo avg
Sutter
7 plans
3.8
$39.67/mo avg
Tehama
4 plans
3.3
Trinity
0 plans
N/R
Tulare
30 plans
3.4
$10.19/mo avg
Tuolumne
6 plans
3.3
$7.20/mo avg
Ventura
35 plans
3.6
$7.27/mo avg
Yolo
34 plans
3.8
$12.03/mo avg
Yuba
9 plans
3.7
$19.83/mo avg

Wider inventory markets: start with how to choose a plan then open your county.

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.
Data sourced from the Centers for Medicare & Medicaid Services (CMS). Retrieved and formatted by PlainMedicare

Using California's Medicare Advantage market

Plan availability and star ratings vary by county, not just by state.

  • California beneficiaries can choose from 467 distinct Medicare Advantage plans across 58 counties (#2 of 49 states by plan count) - look up your own county for what's actually sold there. Browse by county
  • The state's mean CMS star rating ranks #36 of 49 - see how star ratings are built before comparing plans. How star ratings work
  • Weigh total cost, not just premium: compare plan details using Medicare.gov before you enroll. Medicare Plan Compare

State-level figures average every county's filings; the plans actually sold where you live can differ from the state total.

PlainMedicare is rendered directly from CMS Medicare Advantage and Part D public files, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a correction. Data current as of 2026-09-01.

CMS lists 131,985 Medicare Advantage and Part D plan records in the current public files. PlainMedicare refreshes this registry with each annual release.