2026 Medicare Advantage Plans in Tulare County, CA
Last update: . Enrollment data updated: June 13, 2026
In Tulare County, CA, there are 14 Medicare Advantage plans available for 2026. Of these, 11 offer a $0 monthly premium, and about 36% 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 Tulare County, CA. Or explore all Medicare Options available in Tulare County, CA.
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
- 11
- Average Monthly Premium
- $10.27/mo
- Total HMO Enrollment
- 11,108
- $0 Premium HMO Plans
- 9
- Average MOOP
- $2,958
- Top HMO by Enrollment
- Humana Gold Plus H5619-148 (HMO) — 4,675 enrollees
- HMO Plans Without Drug Coverage
- 3
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Senior Advantage Basic Fresno | $24 | $4,900 | $0 | H0524-046-0 | |
| Kaiser Permanente Senior Advantage Enhanced Fresno | $89 | $2,900 | $0 | H0524-038-0 | |
| SCAN Classic | $0 | $699 | $250 | H5425-101-0 | |
| SCAN MyChoice | $0 | $1,199 | $250 | H5425-119-0 | |
| 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 II | $0 | $2,499 | $110 | H5649-028-0 | |
| Central Health Valor Care Plan | $0 | $4,400 | N/A | H5649-030-0 | |
| Humana Gold Plus H5619-015 | $0 | $4,500 | $615 | H5619-015-0 | |
| 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 average monthly premium for HMO plans?
- HMO plans in Tulare cost $10.27 per month on average.
- Which HMO plan is most popular in Tulare?
- The most popular HMO plan in Tulare is Humana Gold Plus H5619-148 (HMO), with 4,675 enrollees.
- How many HMO plans in Tulare do not include drug coverage?
- There are 3 HMO plans in Tulare without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 3
- Average Monthly Premium $29.67/mo
- Total HMO-POS Enrollment 2,689
- $0 Premium HMO-POS Plans 2
- Average MOOP $4,200
- Top HMO-POS by Enrollment Anthem Prime (HMO-POS) — 1,167 enrollees
- HMO-POS Plans Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC CA-0010 | $89 | $6,700 | $600 | H0543-140-0 | |
| Anthem Medicare Advantage | $0 | $3,000 | $0 | H0544-056-0 | |
| Anthem Prime | $0 | $2,900 | $0 | H4161-006-0 |
What is the total number of HMO-POS plans in Tulare?
There are 3 HMO-POS plans in 2026, covering 2,689 enrollees.
How much do HMO-POS plans cost in Tulare?
The average HMO-POS premium in Tulare is $29.67 per month, with 2 plans offering $0 premiums.
What is the leading HMO-POS plan in Tulare?
Anthem Prime (HMO-POS) is the top HMO-POS in Tulare, with 1,167 enrollees.
What is the number of HMO-POS plans without Part D coverage in Tulare?
0 HMO-POS plans in Tulare do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Tulare 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) | 5 | 36% |
| 3 Stars | 9 | 64% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.5 | |
* 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 June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 25 May, 2025
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Data provenance documentation is maintained in alignment 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.