- Entity
- county:california-stanislaus-06099
- 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/stanislaus/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 21
- PPO Plans
- 5
- HMO Plans
- 15
- HMO-POS Plans
- 1
- PFFS Plans
- 0
- Average Monthly Premium
- 18.14
- Average MOOP
- 3806.62
- Average Part D Deductible
- 249.17
- $0 Premium Plans
- 13
- Plans Without Part D Coverage
- 3
- Average CMS Star Rating
- 3.75
- $0 Premium Plan Share
- 61.9
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 60
- 3-Star Plan Share
- 40
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 5
- PPO Average Monthly Premium
- 34
- PPO Average MOOP
- 5590
- PPO Enrollment
- 1465
- PPO $0 Premium Plans
- 1
- PPO Plans Without Part D Coverage
- 1
- HMO Average Monthly Premium
- 14.07
- HMO Average MOOP
- 3385.93
- HMO Enrollment
- 37148
- HMO $0 Premium Plans
- 11
- HMO Plans Without Part D Coverage
- 2
- HMO-POS Average Monthly Premium
- 0
- HMO-POS Average MOOP
- 1200
- HMO-POS Enrollment
- 224
- HMO-POS $0 Premium Plans
- 1
- HMO-POS Plans Without Part D Coverage
- 0
- Entity
- county:california-stanislaus-06099
- 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/stanislaus/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-california-stanislaus-06099-landscape-stats
- Plans Indexed
- 21
- Standard Medicare Advantage Plans
-
-
Kaiser Permanente Senior Advantage Basic Stanis
H0524-041-0 -
Kaiser Permanente Senior Advantage Enhanced Stanis
H0524-040-0 -
Alignment Health AllCare Preferred
H3815-011-0 -
Alignment Health Balance
H4961-006-0 -
Alignment Health Honor+ Plan
H3815-052-0 -
Alignment Health My Choice
H4961-001-0 -
Alignment Health My Choice CalCare
H3815-050-0 -
Alignment Health smartHMO
H3815-040-0 -
Blue Shield Inspire
H0504-047-0 -
SCAN Classic
H5425-069-0 -
SCAN MyChoice
H5425-120-0 -
Sutter Senior Advantage, a SCAN Medicare Plan
H5425-125-0 -
Humana USAA Honor Giveback
H5525-079-0 -
HumanaChoice H5525-080
H5525-080-0 -
Imperial Courage Plan
H5496-016-0 -
Imperial Dynamic Plan
H5496-012-0 -
Anthem Prime
H4161-005-0 -
Central Health Classic Care Plan III
H5649-023-0 -
Humana Gold Plus H5619-148
H5619-148-0 -
Humana USAA Honor Giveback
H5619-121-0 -
Alignment Health Freedom
H8832-003-0
-
Kaiser Permanente Senior Advantage Basic Stanis
- Total Standard Medicare Advantage Enrollment
- 38837
2026 Medicare Advantage Plans in Stanislaus County, CA
Last update: .
For 2026, Stanislaus County, CA includes 21 Medicare Advantage plans. Enrollment across these plans totals approximately 38,837, with 13 $0 premium options and 60% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Stanislaus County, CA are summarized separately. Visit Medicare Options in Stanislaus 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
- 1,465
- $0 Premium PPO Plans
- 1
- Average MOOP
- $5,590
- Top PPO by Enrollment
- Alignment Health My Choice (PPO) — 882 enrollees
- PPO Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 Stanislaus?
- PPO plans in Stanislaus cost $34.00 per month on average.
- Which PPO plan has the highest enrollment in Stanislaus?
- The most popular PPO plan in Stanislaus is Alignment Health My Choice (PPO), with 882 enrollees.
- How many PPO plans in Stanislaus do not include prescription drug coverage?
- 1 PPO plans in Stanislaus 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.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Kaiser Permanente Senior Advantage Basic Stanis | $19 | $4,900 | $0 | H0524-041-0 | |
| Kaiser Permanente Senior Advantage Enhanced Stanis | $85 | $2,500 | $0 | H0524-040-0 | |
| Alignment Health AllCare Preferred | $0 | $1,999 | $0 | H3815-011-0 | |
| 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 | $3,999 | $615 | H3815-040-0 | |
| Blue Shield Inspire | $58 | $5,300 | $425 | H0504-047-0 | |
| SCAN Classic | $0 | $799 | $250 | H5425-069-0 | |
| SCAN MyChoice | $0 | $1,299 | $250 | H5425-120-0 | |
| Sutter Senior Advantage, a SCAN Medicare Plan | $49 | $2,800 | $250 | H5425-125-0 | |
| Imperial Courage Plan | $0 | $2,999 | N/A | H5496-016-0 | |
| Imperial Dynamic Plan | $0 | $296 | $0 | H5496-012-0 | |
| Central Health Classic Care Plan III | $0 | $2,999 | $125 | H5649-023-0 | |
| Humana Gold Plus H5619-148 | $0 | $2,900 | $615 | H5619-148-0 | |
| Humana USAA Honor Giveback | $0 | $5,250 | N/A | H5619-121-0 |
What is the total number of HMO plans offered in Stanislaus?
There are 15 HMO plans in 2026, covering 37,148 enrollees.
How much do HMO plans cost in Stanislaus?
The average HMO premium in Stanislaus is $14.07 per month, with 11 plans offering $0 premiums.
What is the top HMO by enrollment in Stanislaus?
Alignment Health AllCare Preferred (HMO) is the top HMO in Stanislaus, with 10,459 enrollees.
What is the number of HMO plans without Part D coverage in Stanislaus?
2 HMO plans in Stanislaus 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
- 1
- Average Monthly Premium
- $0.00/mo
- Total HMO-POS Enrollment
- 224
- $0 Premium HMO-POS Plans
- 1
- Average MOOP
- $1,200
- Top HMO-POS by Enrollment
- Anthem Prime (HMO-POS) — 224 enrollees
- HMO-POS Plans Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Anthem Prime | $0 | $1,200 | $110 | H4161-005-0 |
What is the average monthly premium for HMO-POS plans?
HMO-POS plans in Stanislaus cost $0.00 per month on average.
Which HMO-POS plan is most popular in Stanislaus?
The most popular HMO-POS plan in Stanislaus is Anthem Prime (HMO-POS), with 224 enrollees.
How many HMO-POS plans in Stanislaus do not include drug coverage?
There are 0 HMO-POS plans in Stanislaus without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Stanislaus 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) | 12 | 60% |
| 3 Stars | 8 | 40% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 1 | 5% |
| Average Rating | 3.75 | |
* 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: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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.