2026 Medicare Advantage Plans in Sacramento County, CA
Last update: . Enrollment data updated: May 2, 2026
In Sacramento County, CA, there are 22 Medicare Advantage plans available for 2026. Of these, 15 offer a $0 monthly premium, and about 64% 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 Sacramento County, CA. Or explore all Medicare Options available in Sacramento 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 4
- Average Monthly Premium $35.00/mo
- Total PPO Enrollment 4,514
- $0 Premium PPO Plans 2
- Average MOOP $5,900
- Top PPO by Enrollment Aetna Medicare Signature (PPO) — 2,738 enrollees
- PPO Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle | $0 | $6,750 | N/A | H5521-369-0 | |
| Aetna Medicare Enhanced | $63 | $5,900 | $615 | H5521-581-0 | |
| Aetna Medicare Signature | $0 | $6,750 | $615 | H5521-425-0 | |
| Alignment Health My Choice | $77 | $4,200 | $0 | H4961-001-0 |
What is the total number of PPO plans offered in Sacramento?
There are 4 PPO plans in 2026, covering 4,514 beneficiaries.
How much do PPO plans cost in Sacramento?
The average PPO premium in Sacramento is $35.00 per month, with 2 plans offering $0 premiums.
What is the most popular PPO plan in Sacramento?
Aetna Medicare Signature (PPO) is the top PPO in Sacramento, with 2,738 enrollees.
What is the number of PPO plans without Part D coverage in Sacramento?
There are 1 PPO plans in Sacramento 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
- 14
- Average Monthly Premium
- $11.14/mo
- Total HMO Enrollment
- 65,378
- $0 Premium HMO Plans
- 10
- Average MOOP
- $3,624
- Top HMO by Enrollment
- Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) — 29,241 enrollees
- HMO Plans Without Drug Coverage
- 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Sr Adv Enhanced Sac., Sonoma | $95 | $3,900 | $0 | H0524-013-0 | |
| Kaiser Permanente Sr Advantage Basic Sac., Sonoma | $24 | $6,000 | $0 | H0524-051-0 | |
| Alignment Health Honor+ Plan | $0 | $9,250 | $615 | H3815-052-0 | |
| Alignment Health My Choice CalCare | $0 | $3,499 | $0 | H3815-050-0 | |
| Alignment Health smartHMO | $0 | $3,499 | $615 | H3815-038-0 | |
| Alignment Health Sutter Advantage +More | $19 | $4,900 | $0 | H3815-019-0 | |
| SCAN Classic | $0 | $2,000 | $250 | H5425-128-0 | |
| SCAN MyChoice | $0 | $2,500 | $250 | H5425-130-0 | |
| Sutter Senior Advantage, a SCAN Medicare Plan | $18 | $2,500 | $250 | H5425-126-0 | |
| Imperial Courage Plan | $0 | $2,999 | N/A | H5496-016-0 | |
| Imperial Dynamic Plan | $0 | $296 | $0 | H5496-012-0 | |
| Aetna Medicare Signature | $0 | $2,000 | $615 | H0523-065-0 | |
| Central Health Classic Care Plan III | $0 | $2,999 | $125 | H5649-023-0 | |
| Central Health Valor Care Plan | $0 | $4,400 | N/A | H5649-030-0 |
What is the average monthly premium for HMO plans?
HMO plans in Sacramento cost $11.14 per month on average.
Which HMO plan is most popular in Sacramento?
The most popular HMO plan in Sacramento is Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO), with 29,241 enrollees.
How many HMO plans in Sacramento do not include drug coverage?
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 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-023P | $0 | $3,900 | $440 | H0543-222-0 | |
| Aetna Medicare Value Plus | $5 | $2,000 | $615 | H0523-074-0 | |
| Anthem Medicare Advantage | $0 | $7,550 | $140 | H0544-064-0 | |
| Anthem Prime | $0 | $2,500 | $0 | H4161-004-0 |
What is the leading HMO-POS plan in Sacramento?
Anthem Prime (HMO-POS) is the top HMO-POS in Sacramento, with 6,295 enrollees.
What is the number of HMO-POS plans without Part D coverage in Sacramento?
0 HMO-POS plans in Sacramento do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Sacramento 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) | 14 | 64% |
| 3 Stars | 8 | 36% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.8 | |
* 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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