2026 Medicare Advantage Plans in San Joaquin County, CA
Last update: . Enrollment data updated: May 2, 2026
For 2026, San Joaquin County, CA includes 25 Medicare Advantage plans. Enrollment across these plans totals approximately 43,270, with 14 $0 premium options and 46% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in San Joaquin County, CA are summarized separately. Visit Medicare Options in San Joaquin 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
- 5
- Average Monthly Premium
- $34.00/mo
- Total PPO Enrollment
- 1,781
- $0 Premium PPO Plans
- 1
- Average MOOP
- $5,590
- Top PPO by Enrollment
- Alignment Health My Choice (PPO) — 798 enrollees
- PPO Plans Without Drug Coverage
- 1
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Alignment Health Balance | $41 | $2,850 | $0 | H4961-006-0 | |
| Alignment Health My Choice | $77 | $4,200 | $0 | H4961-001-0 | |
| Humana USAA Honor Giveback | $0 | $6,500 | N/A | H5525-079-0 | |
| HumanaChoice H5525-080 | $40 | $5,900 | $615 | H5525-080-0 | |
| Alignment Health Freedom | $12 | $8,500 | $615 | H8832-003-0 |
What is the average monthly premium for PPO plans in San Joaquin?
PPO plans in San Joaquin cost $34.00 per month on average.
Which PPO plan has the highest enrollment in San Joaquin?
The most popular PPO plan in San Joaquin is Alignment Health My Choice (PPO), with 798 enrollees.
How many PPO plans in San Joaquin do not include prescription drug coverage?
1 PPO plans in San Joaquin do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 17
- Average Monthly Premium $19.29/mo
- Total HMO Enrollment 40,691
- $0 Premium HMO Plans 11
- Average MOOP $3,841
- Top HMO by Enrollment Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) — 12,740 enrollees
- HMO Plans Without Drug Coverage 2
What is the top HMO by enrollment in San Joaquin?
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) is the top HMO in San Joaquin, with 12,740 enrollees.
What is the number of HMO plans without Part D coverage in San Joaquin?
2 HMO plans in San Joaquin 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
- 3
- Average Monthly Premium
- $1.77/mo
- Total HMO-POS Enrollment
- 798
- $0 Premium HMO-POS Plans
- 2
- Average MOOP
- $2,217
- Top HMO-POS by Enrollment
- Anthem Medicare Advantage (HMO-POS) — 482 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Value Plus | $5 | $2,000 | $615 | H0523-074-0 | |
| Anthem Medicare Advantage | $0 | $3,450 | $0 | H0544-095-0 | |
| Anthem Prime | $0 | $1,200 | $110 | H4161-005-0 |
What is the typical premium for HMO-POS plans in San Joaquin?
HMO-POS plans in San Joaquin cost $1.77 per month on average.
Which HMO-POS plan has the most members in San Joaquin?
The most popular HMO-POS plan in San Joaquin is Anthem Medicare Advantage (HMO-POS), with 482 enrollees.
How many HMO-POS options are offered without prescription drug coverage in San Joaquin?
There are 0 HMO-POS plans in San Joaquin without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in San Joaquin County, CA (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 11 | 46% |
| 3 Stars | 13 | 54% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 4% |
| Average Rating | 3.6 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- 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
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
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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.