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  1. 🏠
  2. Medicare Advantage Plans
  3. California
  4. Sacramento County

2027 Medicare Advantage Plans in Sacramento County, CA

Last update: October 6, 2026.

Sacramento County, CA has 16 Medicare Advantage plans available in 2027. These include 10 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 Sacramento County, CA. Or explore all Medicare Options available in Sacramento County, CA.

  • HMO Plans
  • HMO-POS Plans

At a Glance

County-level summary of Medicare Advantage plan availability and enrollment based on CMS data.

Average Monthly Premium: $12.14/mo
$0 Premium Plans: 10
Average MOOP: $3,846 ($9,250 max. in 2027)
Star Ratings (Plan Mix): (2027 Star Ratings Coming Soon)
Average Part D Deductible: $307.86
Total MA/MAPD Enrollment: 69,336
Plans with the Highest Enrollment
(as of October 5, 2026)
1. Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) — 29,576 enrollees
2. Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) — 19,490 enrollees
3. Alignment Health Sutter Advantage +More (HMO) — 5,122 enrollees

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
$12.95/mo
Total HMO Enrollment
64,974
$0 Premium HMO Plans
9
Average MOOP
$3,806
Top HMO by Enrollment
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) — 29,576 enrollees
HMO Plans Without Drug Coverage
2

Comparison table of 2027 HMO Medicare Advantage Plans available in Sacramento County, California
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Aetna Medicare Eagle
☆☆☆☆☆
$0 $4,450 N/A H0523-099-0
Aetna Medicare Signature
☆☆☆☆☆
$0 $2,000 $600 H0523-065-0
Aetna Medicare Value Plus
☆☆☆☆☆
$0 $2,000 $0 H0523-074-0
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 Smart 038
☆☆☆☆☆
$0 $3,499 $700 H3815-038-0
Alignment Health Sutter Advantage +More
☆☆☆☆☆
$21 $4,900 $0 H3815-019-0
Blue Shield Advantage
☆☆☆☆☆
$19 $3,900 $475 H0504-053-0
Imperial Courage Plan
☆☆☆☆☆
$0 $2,999 N/A H5496-016-0
Imperial Dynamic Plan
☆☆☆☆☆
$0 $295 $0 H5496-012-0
Kaiser Permanente Sr Adv Enhanced Sac., Sonoma
☆☆☆☆☆
$99 $3,900 $0 H0524-013-0
Kaiser Permanente Sr Advantage Basic Sac., Sonoma
☆☆☆☆☆
$29 $6,000 $0 H0524-051-0
SCAN Classic
☆☆☆☆☆
$0 $2,900 $450 H5425-128-0
SCAN Costco Medicare Advantage
☆☆☆☆☆
$0 $2,900 $450 H5425-138-0
Sutter Senior Advantage, a SCAN Medicare Plan
☆☆☆☆☆
$19 $4,000 $250 H5425-126-0

What is the typical premium for HMO plans in Sacramento?

HMO plans in Sacramento cost $12.95 per month on average.

Which HMO plan do most beneficiaries choose in Sacramento?

The most popular HMO plan in Sacramento is Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO), with 29,576 enrollees.

How many HMO options are offered without prescription drug coverage in Sacramento?

There are 2 HMO plans in Sacramento 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 1
  • Average Monthly Premium $0.00/mo
  • Total HMO-POS Enrollment 4,362
  • $0 Premium HMO-POS Plans 1
  • Average MOOP $4,450
  • Top HMO-POS by Enrollment AARP Medicare Advantage from UHC CA-023P (HMO-POS) — 4,362 enrollees
  • HMO-POS Plans Without Drug Coverage 0

Comparison table of 2027 HMO-POS Medicare Advantage Plans available in Sacramento County, California
Health Plan Name CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
AARP Medicare Advantage from UHC CA-023P
☆☆☆☆☆
$0 $4,450 $685 H0543-222-0
What is the total number of HMO-POS plans in Sacramento?

In 2027, Sacramento has 1 HMO-POS plans with 4,362 enrollees.

How much do HMO-POS plans cost in Sacramento?

The typical HMO-POS premium in Sacramento is $0.00, and 1 plans have no monthly premium.

Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Sacramento County, CA for 2027.

CMS Star Ratings for Medicare Advantage Plans in Sacramento County, CA (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: CY2027 Landscape (202609.1)
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2027 Star Ratings Data Tables
  • 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.

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