- Entity
- county:california-san-diego-06073
- 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/san-diego/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 46
- PPO Plans
- 4
- HMO Plans
- 31
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 9.12
- Average MOOP
- 3613.87
- Average Part D Deductible
- 331.34
- $0 Premium Plans
- 37
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 0
- $0 Premium Plan Share
- 80.43
- 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
- 41.83
- PPO Average MOOP
- 6862.75
- PPO Enrollment
- 1722
- PPO $0 Premium Plans
- 2
- PPO Plans Without Part D Coverage
- 1
- HMO Average Monthly Premium
- 5.53
- HMO Average MOOP
- 3130.23
- HMO Enrollment
- 127035
- HMO $0 Premium Plans
- 26
- HMO Plans Without Part D Coverage
- 3
- HMO-POS Average Monthly Premium
- 7.36
- HMO-POS Average MOOP
- 3795.45
- HMO-POS Enrollment
- 61187
- HMO-POS $0 Premium Plans
- 9
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:california-san-diego-06073
- 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/san-diego/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-california-san-diego-06073-landscape-stats
- Plans Indexed
- 46
- Standard Medicare Advantage Plans
-
-
AARP Medicare Advantage from UHC CA-0001
H0543-013-0 -
AARP Medicare Advantage from UHC CA-0007
H0543-060-0 -
AARP Medicare Advantage from UHC CA-0012
H0543-152-0 -
AARP Medicare Advantage Patriot No Rx CA-MA2
H0543-258-0 -
Aetna Medicare Eagle
H0523-099-0 -
Aetna Medicare Prime
H0523-075-0 -
Aetna Medicare Signature Legacy
H0523-022-0 -
Alignment Health Advantage 005
H8832-005-0 -
Alignment Health Balance Plus 004
H8832-004-0 -
Alignment Health Honor Plus 060
H3815-060-0 -
Alignment Health My Choice 050
H3815-050-0 -
Alignment Health Platinum + Instacart 016
H3815-016-0 -
Alignment Health Smart 013
H3815-013-0 -
Alignment Health Smart 047
H3815-047-0 -
Alignment Health Smart 056
H3815-056-0 -
Alignment Health ValorCare 053
H3815-053-0 -
Anthem Medicare Advantage
H0544-065-0 -
Anthem Prime
H4161-003-0 -
Anthem Select
H0544-091-0 -
Astiva Health Savings Plan
H1993-001-0 -
Blue Shield 65 Plus
H0504-028-0 -
Blue Shield Advantage
H0504-055-0 -
Blue Shield AdvantageOptimum Plan 1
H5928-010-0 -
Blue Shield Value Advantage Plan
H0504-057-0 -
Champion Ally
H6170-007-0 -
Clever Care Longevity
H7607-014-0 -
Clever Care Value
H7607-015-0 -
Humana Gold Plus Giveback H5619-150
H5619-150-0 -
Humana Gold Plus H3767-001
H3767-001-0 -
Humana Gold Plus H5619-016
H5619-016-0 -
Humana USAA Honor Giveback
H5619-121-0 -
Humana USAA Honor Giveback
H5525-078-0 -
Humana USAA Honor Giveback with Rx
H5525-057-0 -
Imperial Courage Plan
H5496-016-0 -
Imperial Dynamic Plan
H5496-012-0 -
Kaiser Permanente Senior Advantage San Diego
H0524-037-0 -
Kaiser Permanente Senior Advantage San Diego Value
H0524-082-0 -
SCAN Alta
H5425-082-0 -
SCAN Classic
H5425-005-0 -
SCAN Costco Medicare Advantage
H5425-145-0 -
SCAN Select
H5425-134-0 -
UHC Sharp Medicare Advantage CA-001P
H0543-145-0 -
UHC Sharp Medicare Advantage CA-026P
H0543-225-0 -
UHC Sharp Medicare Advantage ValueRx CA-12P
H0543-204-0 -
Wellcare Low Premium
H0562-137-0 -
Wellcare Low Premium Focus
H0562-012-0
-
AARP Medicare Advantage from UHC CA-0001
- Total Standard Medicare Advantage Enrollment
- 189944
2027 Medicare Advantage Plans in San Diego County, CA
Last update: .
For 2027, San Diego County, CA includes 46 Medicare Advantage plans. Enrollment across these plans totals approximately 189,944, with 37 $0 premium options and (2027 Star Ratings Coming Soon) rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in San Diego County, CA are summarized separately. Visit Medicare Options in San Diego County, CA to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 4
- Average Monthly Premium
- $41.83/mo
- Total PPO Enrollment
- 1,722
- $0 Premium PPO Plans
- 2
- Average MOOP
- $6,863
- Top PPO by Enrollment
- Humana USAA Honor Giveback with Rx (PPO) — 1,010 enrollees
- PPO Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Alignment Health Advantage 005 | $160 | $4,451 | $700 | H8832-005-0 | |
| Alignment Health Balance Plus 004 | $7 | $9,850 | $700 | H8832-004-0 | |
| Humana USAA Honor Giveback | $0 | $6,750 | N/A | H5525-078-0 | |
| Humana USAA Honor Giveback with Rx | $0 | $6,400 | $700 | H5525-057-0 |
- What is the average monthly premium for PPO plans in San Diego?
- PPO plans in San Diego cost $41.83 per month on average.
- Which PPO plan has the highest enrollment in San Diego?
- The most popular PPO plan in San Diego is Humana USAA Honor Giveback with Rx (PPO), with 1,010 enrollees.
- How many PPO plans in San Diego do not include prescription drug coverage?
- 1 PPO plans in San Diego do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
What is the total number of HMO plans offered in San Diego?
There are 31 HMO plans in 2027, covering 127,035 enrollees.
How much do HMO plans cost in San Diego?
The average HMO premium in San Diego is $5.53 per month, with 26 plans offering $0 premiums.
What is the top HMO by enrollment in San Diego?
Kaiser Permanente Senior Advantage San Diego (HMO) is the top HMO in San Diego, with 67,974 enrollees.
What is the number of HMO plans without Part D coverage in San Diego?
3 HMO plans in San Diego do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 11
- Average Monthly Premium
- $7.36/mo
- Total HMO-POS Enrollment
- 61,187
- $0 Premium HMO-POS Plans
- 9
- Average MOOP
- $3,795
- Top HMO-POS by Enrollment
- UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS) — 20,804 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC CA-0001 | $29 | $5,300 | $355 | H0543-013-0 | |
| AARP Medicare Advantage from UHC CA-0007 | $52 | $3,800 | $355 | H0543-060-0 | |
| AARP Medicare Advantage from UHC CA-0012 | $0 | $3,900 | $355 | H0543-152-0 | |
| AARP Medicare Advantage Patriot No Rx CA-MA2 | $0 | $5,900 | N/A | H0543-258-0 | |
| Alignment Health Platinum + Instacart 016 | $0 | $1,100 | $0 | H3815-016-0 | |
| Anthem Medicare Advantage | $0 | $3,400 | $0 | H0544-065-0 | |
| Anthem Prime | $0 | $2,000 | $270 | H4161-003-0 | |
| Anthem Select | $0 | $3,000 | $200 | H0544-091-0 | |
| UHC Sharp Medicare Advantage CA-001P | $0 | $4,450 | $355 | H0543-145-0 | |
| UHC Sharp Medicare Advantage CA-026P | $0 | $4,450 | $355 | H0543-225-0 | |
| UHC Sharp Medicare Advantage ValueRx CA-12P | $0 | $4,450 | $355 | H0543-204-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in San Diego cost $7.36 per month on average.
Which HMO-POS plan is most popular in San Diego?
The most popular HMO-POS plan in San Diego is UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS), with 20,804 enrollees.
How many HMO-POS plans in San Diego do not include drug coverage?
There are 1 HMO-POS plans in San Diego without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in San Diego County, CA (2027) are summarized below.
| 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) | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance 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.