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  1. 🏠
  2. Medicare Options
  3. California
  4. Madera County

Your Medicare Coverage Options in Madera County, CA

This page explains all Medicare coverage options available to residents of Madera County, California, including Original Medicare, Medicare Advantage, Part D, Medigap, and local assistance.

Medicare Options at a Glance

Medicare coverage options in Madera County, California center on a few primary paths, each designed for different priorities like provider flexibility, cost control, and care coordination. These include:

  • Original Medicare: Ideal for nationwide provider access without network restrictions.
  • Medicare Advantage: Combines coverage into one plan, often with lower premiums and added benefits.
  • Part D: Adds prescription drug coverage to Original Medicare.
  • Medigap: Helps reduce out-of-pocket costs and improve predictability.
  • SNPs: Designed for people with specific health conditions or eligibility requirements.
  • Other Options: May include VA benefits, employer or retiree plans, and local assistance programs.

Each option operates differently. Comparing how they work is essential to selecting the right Medicare coverage in Madera County.

Each of these options works differently. Understanding how they compare is the key to choosing the right Medicare coverage in Yavapai County.

Medicare Advantage Options in Madera County

Medicare Advantage plans in Madera County combine hospital and medical coverage into a private plan option, often with prescription drug coverage and extra benefits. Availability, plan type, and out-of-pocket limits vary by county.

Medicare Advantage Snapshot Madera County
Total Medicare Advantage plans 21
$0 premium plans 17
HMO plans 17
PPO plans 1
Plans with drug coverage 18
Lowest MOOP $199
Highest MOOP $9,250
Highest Part B giveback $56.50

Top PPO Plans by Enrollments

Plan CMS Rating Enrollment
Alignment Health Advantage PPO 0.0 ★ 3,711

Top HMO Plans by Enrollments

Plan CMS Rating Enrollment
Imperial Dynamic Plan 3.5 ★ 45,983
Alignment Health My Choice CalCare 4.0 ★ 16,235
Humana Gold Plus H5619-148 3.0 ★ 14,498

Top HMO-POS Plans by Enrollments

Plan CMS Rating Enrollment
Anthem Prime 3.0 ★ 3,167
AARP Medicare Advantage from UHC CA-0005 4.0 ★ 1,540
Anthem Medicare Advantage 3.0 ★ 1,463

Medicare Advantage coverage varies based on network structure, inclusion of drug benefits, and maximum out-of-pocket costs each year. Many beneficiaries begin with these plans for their all-in-one coverage and added perks, but provider access and plan rules play a key role in the decision.

See Medicare Advantage plans in Madera County

Medicare Part D Options in Madera County

Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.

Top Basic Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Classic $6.20 $615 564,972
HealthSpring Assurance Rx $0.00 $615 548,885
SilverScript Choice $103.60 $615 164,484

Top Enhanced Coverage Plans by Enrollments

Plan Premium Deductible Enrollment
Wellcare Value Script $5.70 $615 459,030
AARP Medicare Rx Preferred from UHC $165.40 $130 154,077
HealthSpring Extra Rx $70.60 $615 46,657

The right Part D plan depends more on drug coverage and pharmacy access than the total number of plans, with cost at your preferred pharmacy being a key factor.

See Medicare Part D plans in California

Medigap Options in Madera County

Medigap plans work with Original Medicare and help pay deductibles, copayments, and coinsurance. Unlike Medicare Advantage, Medigap does not replace Original Medicare and usually requires separate Part D coverage for prescriptions.

Sample data across 22 insurers shows monthly premiums starting around $34 and exceeding $1,368 depending on plan type and pricing structure. Even when coverage is identical, differences in rating methods and discounts can lead to wide variation across insurers.

Medigap Snapshot Madera County
Works with Original Medicare Yes
Includes prescription drug coverage No
Requires separate Part D plan Usually yes
Best fit for Beneficiaries who want broad provider access and predictable cost sharing

For residents of Madera, Medigap is often considered by people who want the flexibility to use providers nationwide who accept Medicare without relying on local Medicare Advantage networks.

Sample Plan G Pricing in California

Plan G typically ranges from $148 to $1,189.

Carrier Plan Low High
AARP - UnitedHealthcare G $173 $374
Allstate G $256 $773
Humana G $214 $765
Mutual of Omaha G $187 $616

Sample Plan N Pricing in California

Plan N typically ranges from $114 to $912.

Carrier Plan Low High
AARP - UnitedHealthcare N $146 $317
Allstate N $202 $611
Humana N $155 $564
Mutual of Omaha N $139 $454

Explore all Medicare Supplement plans in California for more details.

Special Needs Plans (SNPs) in Madera County

Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.

SNP Snapshot Madera County
Total SNP plans 24
D-SNP plans 6
C-SNP plans 18
I-SNP plans 0

Top D-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Anthem Full Dual Advantage Aligned 3.0 ★ 101,144
Kaiser Permanente Dual Complete North P2 4.0 ★ 27,042
Humana Gold Plus SNP-DE H5619-038 3.0 ★ 5,067

Top C-SNP Plans by Enrollments

Plan CMS Rating Enrollment
Alignment Health Heart & Diabetes CalPlus 4.0 ★ 28,425
Alignment Health Heart & Diabetes Choice 4.0 ★ 11,035
Central Health Embrace Care Plan 3.0 ★ 7,521

In Madera, SNP options are limited to individuals who meet specific eligibility criteria. While not a general option, they play an important role for beneficiaries with Medicaid or certain chronic health needs.

See Special Needs Plans in Madera County

VA Benefits and Medicare Assistance in Madera County

Beneficiaries may also have access to coverage or support options outside traditional Medicare plan types, such as VA benefits, employer or retiree plans, and counseling services.

Additional Support Options Madera County
VA health coverage may coordinate with Medicare Yes
SHIP / local counseling availability HICAP
Local help resource Health Insurance Counseling and Advocacy Program

Choosing the Best Medicare Coverage for You in Madera County

Choosing Medicare coverage comes down to how you want to receive care, manage costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.

Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.

Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.

Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.

The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.

To explore your options in more detail, start by reviewing available plans and coverage types in Madera County.

  • CMS.gov, Medicare Advantage & Special Needs Plan 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

County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "What's Medicare Drug Coverage (Part D)?" — Last accessed May 1, 2026
  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed May 7, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
  • Medicare.gov, "What Is Medigap and How Does It Work?" — Last accessed May 6, 2026

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.

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.

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