2027 plan year · California
2027 Medicare Advantage plans in Sacramento County, CA
32 plans from 10 insurers for 2027. 10 general plans have a $0 monthly premium. The lowest in-network out-of-pocket limit is $295.
- 16general plans
- 10$0-premium plans
- $295lowest out-of-pocket max
- 4.5 ★top star rating
- 16Special Needs Plans
2027 Medicare Advantage plans in Sacramento County, CA
Sorted by Medicare star rating, then monthly premium and out-of-pocket limit. Premiums shown are the plan's own premium; you also keep paying your Part B premium.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) Kaiser Permanente · HMO · includes drug coverage | $29 | $6,000 | $0 | ★★★★★4.5 |
| Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) Kaiser Permanente · HMO · includes drug coverage | $99 | $3,900 | $0 | ★★★★★4.5 |
| Imperial Dynamic Plan (HMO) Imperial Health Plan of California, Inc. · HMO · includes drug coverage | $0 | $295 | $0 | ★★★★★4 |
| SCAN Classic (HMO) SCAN Health Plan · HMO · includes drug coverage | $0 | $2,900 | $450 | ★★★★★4 |
| SCAN Costco Medicare Advantage (HMO) SCAN Health Plan · HMO · includes drug coverage | $0 | $2,900 | $450 | ★★★★★4 |
| Imperial Courage Plan (HMO) Imperial Health Plan of California, Inc. · HMO · no drug coverage | $0 | $2,999 | — | ★★★★★4 |
| Blue Shield Advantage (HMO) Blue Shield of California · HMO · includes drug coverage | $19 | $3,900 | $475 | ★★★★★4 |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO) SCAN Health Plan · HMO · includes drug coverage | $19 | $4,000 | $250 | ★★★★★4 |
| Alignment Health My Choice 050 (HMO) Alignment Health Plan · HMO · includes drug coverage | $0 | $3,499 | $0 | ★★★★★3.5 |
| Alignment Health Smart 038 (HMO) Alignment Health Plan · HMO · includes drug coverage | $0 | $3,499 | $700 | ★★★★★3.5 |
| Alignment Health Honor Plus 060 (HMO) Alignment Health Plan · HMO · includes drug coverage | $7.30 | $9,850 | $700 | ★★★★★3.5 |
| Alignment Health Sutter Advantage +More (HMO) Alignment Health Plan · HMO · includes drug coverage | $21 | $4,900 | $0 | ★★★★★3.5 |
| Aetna Medicare Signature (HMO) Aetna Medicare · HMO · includes drug coverage | $0 | $2,000 | $600 | ★★★★★3 |
| Aetna Medicare Value Plus (HMO) Aetna Medicare · HMO · includes drug coverage | $0 | $2,000 | $0 | ★★★★★3 |
| AARP Medicare Advantage from UHC CA-023P (HMO-POS) UnitedHealthcare · HMO-POS · includes drug coverage | $0 | $4,450 | $685 | ★★★★★3 |
| Aetna Medicare Eagle (HMO) Aetna Medicare · HMO · no drug coverage | $0 | $4,450 | — | ★★★★★3 |
Special Needs Plans (SNPs)
Only for people who qualify: Dual-Eligible plans need both Medicare and Medicaid, Chronic Condition plans need a qualifying condition, and Institutional plans are for nursing home residents.
| Plan | Monthly premium | Out-of-pocket max | Drug deductible | Star rating |
|---|---|---|---|---|
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) Kaiser Permanente · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★4.5 |
| Imperial Senior Value (HMO C-SNP) Imperial Health Plan of California, Inc. · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $295 | $0 | ★★★★★4 |
| SCAN Balance (HMO C-SNP) SCAN Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $2,000 | $450 | ★★★★★4 |
| SCAN Strive (HMO C-SNP) SCAN Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $9,850 | $450 | ★★★★★4 |
| Imperial Flex (HMO C-SNP) Imperial Health Plan of California, Inc. · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $2.70 | $9,850 | $450 | ★★★★★4 |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP) Alignment Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $1,900 | $0 | ★★★★★3.5 |
| Alignment Health Heart & Diabetes 048 (HMO C-SNP) Alignment Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $1,990 | $0 | ★★★★★3.5 |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP) Alignment Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Wellcare Health Net Dual Align (HMO D-SNP) Wellcare · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $700 | ★★★★★3.5 |
| Alignment Health Heart & Diabetes 051 (HMO C-SNP) Alignment Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0.10 | $9,850 | $700 | ★★★★★3.5 |
| Alignment Health Clarity Plus 042 (HMO C-SNP) Alignment Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $7.30 | $9,850 | $700 | ★★★★★3.5 |
| Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) Alignment Health Plan · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $7.30 | $9,850 | $700 | ★★★★★3.5 |
| Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare · HMO C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $2,000 | $700 | ★★★★★3 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) Anthem Blue Cross · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $0 | $9,850 | $105 | ★★★★★3 |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP) UnitedHealthcare · HMO-POS C-SNP (Special Needs: Chronic or Disabling Condition) · includes drug coverage | $0 | $9,850 | $100 | ★★★★★3 |
| Molina Medicare Complete Care Plus (HMO D-SNP) Molina Healthcare of California · HMO D-SNP (Special Needs: Dual-Eligible) · includes drug coverage | $7.30 | $9,850 | $700 | ★★★★★3 |
What changed from 2026 to 2027
- 7 plans are new here for 2027.
- 13 plans offered here in 2026 aren't listed for 2027 (for example Anthem Medicare Advantage (HMO-POS), Wellcare Health Net Dual Align (HMO D-SNP), Alignment Health Honor+ Plan (HMO)). If yours is one of them, the plan should send you a notice explaining your options.
- Of the 25 plans offered both years, 5 raised the monthly premium and 6 lowered it.
Compared by plan ID. Plans that were renamed or merged into another plan may appear as new or ended.
Care quality in Sacramento County
Medicare Advantage plans use networks. Before choosing, check that the hospitals and nursing homes you'd want are in the plan's network, and how they're rated.
Other coverage options
- Stand-alone Part D drug plans in California (for people with Original Medicare)
- Medicare Advantage vs. Original Medicare
Frequently asked questions
How many Medicare Advantage plans are available in Sacramento County, CA for 2027?
32 plans from 10 insurers: 16 general plans open to anyone with Medicare Parts A and B who lives here, plus 16 Special Needs Plans for people who qualify.
Are there $0-premium Medicare Advantage plans in Sacramento County, CA?
Yes. 10 general plans have a $0 monthly plan premium for 2027. You still pay your Medicare Part B premium, and copays and coinsurance still apply.
What is the highest-rated Medicare Advantage plan in Sacramento County, CA?
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) from Kaiser Permanente has the top Medicare star rating here (4.5 stars). Star ratings are given to the insurer's contract, so several plans can share one.
Which plan has the lowest out-of-pocket maximum in Sacramento County, CA?
Imperial Dynamic Plan (HMO) caps in-network out-of-pocket costs at $295 for 2027.