- Entity
- county:california-fresno-06019
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/california/fresno/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 19
- PPO Plans
- 1
- HMO Plans
- 15
- HMO-POS Plans
- 3
- PFFS Plans
- 0
- Average Monthly Premium
- 14.02
- Average MOOP
- 3312.68
- Average Part D Deductible
- 213.82
- $0 Premium Plans
- 14
- Plans Without Part D Coverage
- 2
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 73.68
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 0
- 3-Star Plan Share
- 0
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 70
- PPO Average MOOP
- 4451
- PPO Enrollment
- 336
- PPO $0 Premium Plans
- 0
- PPO Plans Without Part D Coverage
- 0
- HMO Average Monthly Premium
- 8.75
- HMO Average MOOP
- 3022.67
- HMO Enrollment
- 33627
- HMO $0 Premium Plans
- 12
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 21.67
- HMO-POS Average MOOP
- 4383.33
- HMO-POS Enrollment
- 3131
- HMO-POS $0 Premium Plans
- 2
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:california-fresno-06019
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/california/fresno/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-california-fresno-06019-landscape-stats
- Plans Indexed
- 19
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC CA-0005
H0543-035-0 -
Alignment Health + CommUnity 046
H3815-046-0 -
Alignment Health Advantage 001
H8832-001-0 -
Alignment Health Honor Plus 060
H3815-060-0 -
Alignment Health My Choice 050
H3815-050-0 -
Alignment Health ONE + Walgreens 035
H3815-035-0 -
Anthem Medicare Advantage
H0544-056-0 -
Anthem Prime
H4161-006-0 -
Champion Ally
H6170-007-0 -
Humana Gold Plus Giveback H5619-150
H5619-150-0 -
Humana Gold Plus H5619-012
H5619-012-0 -
Humana Gold Plus H5619-191
H5619-191-1 -
Humana USAA Honor Giveback
H5619-121-0 -
Imperial Courage Plan
H5496-016-0 -
Imperial Dynamic Plan
H5496-012-0 -
Kaiser Permanente Senior Advantage Basic Fresno
H0524-046-0 -
Kaiser Permanente Senior Advantage Enhanced Fresno
H0524-038-0 -
SCAN Classic
H5425-101-0 -
SCAN Costco Medicare Advantage
H5425-136-0
-
AARP Medicare Advantage from UHC CA-0005
- Total Standard Medicare Advantage Enrollment
- 37094
2027 Medicare Advantage Plans in Fresno County, CA
Last update: .
Fresno County, CA has 19 Medicare Advantage plans available in 2027. These include 14 plans with no monthly premium, and roughly (2027 Star Ratings Coming Soon) are rated at least 4 stars based on CMS data.
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 $70.00/mo
- Total PPO Enrollment 336
- $0 Premium PPO Plans 0
- Average MOOP $4,451
- Top PPO by Enrollment Alignment Health Advantage 001 (PPO) — 336 enrollees
- PPO Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Alignment Health Advantage 001 | $70 | $4,451 | $0 | H8832-001-0 |
What is the most popular PPO plan in Fresno?
Alignment Health Advantage 001 (PPO) is the top PPO in Fresno, with 336 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
- 15
- Average Monthly Premium
- $8.75/mo
- Total HMO Enrollment
- 33,627
- $0 Premium HMO Plans
- 12
- Average MOOP
- $3,023
- Top HMO by Enrollment
- Alignment Health ONE + Walgreens 035 (HMO) — 10,824 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Alignment Health + CommUnity 046 | $0 | $1,750 | $0 | H3815-046-0 | |
| Alignment Health Honor Plus 060 | $7 | $9,850 | $700 | H3815-060-0 | |
| Alignment Health My Choice 050 | $0 | $3,499 | $0 | H3815-050-0 | |
| Alignment Health ONE + Walgreens 035 | $0 | $1,300 | $0 | H3815-035-0 | |
| Champion Ally | $0 | $499 | $0 | H6170-007-0 | |
| Humana Gold Plus Giveback H5619-150 | $0 | $5,000 | $700 | H5619-150-0 | |
| Humana Gold Plus H5619-012 | $0 | $2,200 | $200 | H5619-012-0 | |
| Humana Gold Plus H5619-191 | $0 | $3,200 | $200 | H5619-191-1 | |
| Humana USAA Honor Giveback | $0 | $5,250 | N/A | H5619-121-0 | |
| Imperial Courage Plan | $0 | $2,999 | N/A | H5496-016-0 | |
| Imperial Dynamic Plan | $0 | $295 | $0 | H5496-012-0 | |
| Kaiser Permanente Senior Advantage Basic Fresno | $29 | $4,900 | $0 | H0524-046-0 | |
| Kaiser Permanente Senior Advantage Enhanced Fresno | $95 | $2,900 | $0 | H0524-038-0 | |
| SCAN Classic | $0 | $999 | $450 | H5425-101-0 | |
| SCAN Costco Medicare Advantage | $0 | $699 | $450 | H5425-136-0 |
What is the typical premium for HMO plans in Fresno?
HMO plans in Fresno cost $8.75 per month on average.
Which HMO plan do most beneficiaries choose in Fresno?
The most popular HMO plan in Fresno is Alignment Health ONE + Walgreens 035 (HMO), with 10,824 enrollees.
How many HMO options are offered without prescription drug coverage in Fresno?
There are 2 HMO plans in Fresno without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 3
- Average Monthly Premium $21.67/mo
- Total HMO-POS Enrollment 3,131
- $0 Premium HMO-POS Plans 2
- Average MOOP $4,383
- Top HMO-POS by Enrollment Anthem Prime (HMO-POS) — 1,468 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC CA-0005 | $65 | $7,150 | $685 | H0543-035-0 | |
| Anthem Medicare Advantage | $0 | $3,000 | $0 | H0544-056-0 | |
| Anthem Prime | $0 | $3,000 | $250 | H4161-006-0 |
What is the total number of HMO-POS plans in Fresno?
In 2027, Fresno has 3 HMO-POS plans with 3,131 enrollees.
How much do HMO-POS plans cost in Fresno?
The typical HMO-POS premium in Fresno is $21.67, and 2 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Fresno County, CA for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 4 Stars (includes 5 Stars) | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Below 3 Stars | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Not Rated | (2027 Star Ratings Coming Soon) | (2027 Star Ratings Coming Soon) |
| Average Rating | (2027 Star Ratings Coming Soon) | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-09
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
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.