2026 Medicare Advantage Plans in Fresno County, CA
Last update: . Enrollment data updated: May 2, 2026
In Fresno County, CA, there are 21 Medicare Advantage plans available for 2026. Of these, 17 offer a $0 monthly premium, and about 47% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Fresno County, CA. Or explore all Medicare Options available in Fresno County, CA.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 1
- Average Monthly Premium $45.00/mo
- Total PPO Enrollment 346
- $0 Premium PPO Plans 0
- Average MOOP $4,201
- Top PPO by Enrollment Alignment Health Advantage PPO (PPO) — 346 enrollees
- PPO Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Alignment Health Advantage PPO | $45 | $4,201 | $0 | H8832-001-0 |
What is the total number of PPO plans offered in Fresno?
There are 1 PPO plans in 2026, covering 346 beneficiaries.
How much do PPO plans cost in Fresno?
The average PPO premium in Fresno is $45.00 per month, with 0 plans offering $0 premiums.
What is the most popular PPO plan in Fresno?
Alignment Health Advantage PPO (PPO) is the top PPO in Fresno, with 346 enrollees.
What is the number of PPO plans without Part D coverage in Fresno?
There are 0 PPO plans in Fresno without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 17
- Average Monthly Premium
- $6.65/mo
- Total HMO Enrollment
- 35,409
- $0 Premium HMO Plans
- 15
- Average MOOP
- $2,952
- Top HMO by Enrollment
- Alignment Health the ONE + Walgreens (HMO) — 10,531 enrollees
- HMO Plans Without Drug Coverage
- 3
What is the average monthly premium for HMO plans?
HMO plans in Fresno cost $6.65 per month on average.
Which HMO plan is most popular in Fresno?
The most popular HMO plan in Fresno is Alignment Health the ONE + Walgreens (HMO), with 10,531 enrollees.
How many HMO plans in Fresno do not include drug coverage?
There are 3 HMO plans in Fresno without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC CA-0005 | $59 | $6,700 | $440 | H0543-035-0 | |
| Anthem Medicare Advantage | $0 | $3,000 | $0 | H0544-056-0 | |
| Anthem Prime | $0 | $2,900 | $0 | H4161-006-0 |
What is the leading HMO-POS plan in Fresno?
Anthem Prime (HMO-POS) is the top HMO-POS in Fresno, with 1,447 enrollees.
What is the number of HMO-POS plans without Part D coverage in Fresno?
0 HMO-POS plans in Fresno do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Fresno County, CA for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 9 | 47% |
| 3 Stars | 10 | 53% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 10% |
| Average Rating | 3.58 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.