- Entity
- county:california-santa-clara-06085
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/california/santa-clara/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 26
- PPO Plans
- 3
- HMO Plans
- 18
- HMO-POS Plans
- 5
- PFFS Plans
- 0
- Average Monthly Premium
- 24.31
- Average MOOP
- 3551.5
- Average Part D Deductible
- 184.78
- $0 Premium Plans
- 18
- Plans Without Part D Coverage
- 3
- Average CMS Star Rating
- 3.75
- $0 Premium Plan Share
- 69.23
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 58
- 3-Star Plan Share
- 42
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 8
- PPO Average Monthly Premium
- 93
- PPO Average MOOP
- 4833.33
- PPO Enrollment
- 1948
- PPO $0 Premium Plans
- 1
- PPO Plans Without Part D Coverage
- 1
- HMO Average Monthly Premium
- 12.06
- HMO Average MOOP
- 3491.11
- HMO Enrollment
- 84697
- HMO $0 Premium Plans
- 14
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 27.2
- HMO-POS Average MOOP
- 2999.8
- HMO-POS Enrollment
- 6477
- HMO-POS $0 Premium Plans
- 3
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:california-santa-clara-06085
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/california/santa-clara/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-california-santa-clara-06085-landscape-stats
- Plans Indexed
- 26
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle
H5521-369-0 -
Aetna Medicare Enhanced
H5521-676-0 -
Kaiser Permanente Sr Adv Basic Santa Clara
H0524-062-0 -
Kaiser Permanente Sr Adv Enhanced Santa Clara
H0524-039-0 -
AARP Medicare Advantage from UHC CA-10
H0543-193-0 -
Alignment Health Harmony
H3815-031-0 -
Alignment Health Honor+ Plan
H3815-052-0 -
Alignment Health My Choice CalCare
H3815-050-0 -
Alignment Health smartHMO
H3815-040-0 -
Alignment Health Sutter Advantage +More
H3815-020-0 -
Alignment Health the ONE
H3815-034-0 -
Blue Shield Inspire
H0504-047-0 -
SCAN Classic
H5425-069-0 -
SCAN MyChoice
H5425-120-0 -
Astiva Health Premier Plan - NorCal
H1993-012-0 -
Astiva Health Savings Plan - NorCal
H1993-011-0 -
Imperial Courage Plan
H5496-016-0 -
Imperial Dynamic Plan
H5496-012-0 -
Aetna Medicare Enhanced
H0523-083-0 -
Aetna Medicare Enhanced Extra
H4982-030-0 -
Anthem Medicare Advantage
H0544-108-0 -
Anthem Prime
H4161-010-0 -
Central Health Classic Care Plan III
H5649-023-0 -
Central Health Valor Care Plan
H5649-030-0 -
Advantage Care
H3274-005-0 -
Alignment Health Advantage PPO
H8832-002-0
-
Aetna Medicare Eagle
- Total Standard Medicare Advantage Enrollment
- 93122
2026 Medicare Advantage Plans in Santa Clara County, CA
Last update: .
In Santa Clara County, CA, there are 26 Medicare Advantage plans available for 2026. Of these, 18 offer a $0 monthly premium, and about 58% 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 Santa Clara County, CA. Or explore all Medicare Options available in Santa Clara 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 3
- Average Monthly Premium $93.00/mo
- Total PPO Enrollment 1,948
- $0 Premium PPO Plans 1
- Average MOOP $4,833
- Top PPO by Enrollment Alignment Health Advantage PPO (PPO) — 938 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 | $204 | $4,900 | $615 | H5521-676-0 | |
| Alignment Health Advantage PPO | $75 | $2,850 | $0 | H8832-002-0 |
What is the total number of PPO plans offered in Santa Clara?
There are 3 PPO plans in 2026, covering 1,948 beneficiaries.
How much do PPO plans cost in Santa Clara?
The average PPO premium in Santa Clara is $93.00 per month, with 1 plans offering $0 premiums.
What is the most popular PPO plan in Santa Clara?
Alignment Health Advantage PPO (PPO) is the top PPO in Santa Clara, with 938 enrollees.
What is the number of PPO plans without Part D coverage in Santa Clara?
There are 1 PPO plans in Santa Clara 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
- 18
- Average Monthly Premium
- $12.06/mo
- Total HMO Enrollment
- 84,697
- $0 Premium HMO Plans
- 14
- Average MOOP
- $3,491
- Top HMO by Enrollment
- Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) — 41,470 enrollees
- HMO Plans Without Drug Coverage
- 2
What is the average monthly premium for HMO plans?
HMO plans in Santa Clara cost $12.06 per month on average.
Which HMO plan is most popular in Santa Clara?
The most popular HMO plan in Santa Clara is Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO), with 41,470 enrollees.
How many HMO plans in Santa Clara do not include drug coverage?
There are 2 HMO plans in Santa Clara 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-10 | $0 | $3,500 | $440 | H0543-193-0 | |
| Aetna Medicare Enhanced | $65 | $3,900 | $300 | H0523-083-0 | |
| Aetna Medicare Enhanced Extra | $71 | $3,900 | $615 | H4982-030-0 | |
| Anthem Medicare Advantage | $0 | $2,899 | $0 | H0544-108-0 | |
| Anthem Prime | $0 | $800 | $0 | H4161-010-0 |
What is the leading HMO-POS plan in Santa Clara?
Anthem Prime (HMO-POS) is the top HMO-POS in Santa Clara, with 2,886 enrollees.
What is the number of HMO-POS plans without Part D coverage in Santa Clara?
0 HMO-POS plans in Santa Clara do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Santa Clara 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 | 58% |
| 3 Stars | 10 | 42% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 8% |
| Average Rating | 3.75 | |
* 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: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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
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.
This page follows data provenance practices aligned with the 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.