Medicare Advantage plans in Sacramento County, CA: what changed for 2027
For 2027, Sacramento County in California has 14 Medicare Advantage plans that include drug coverage, compared with 19 in 2026, according to the CMS plan landscape files.
Companies no longer offering Advantage plans here in 2027
- Elevance Health, Inc.
- Molina Healthcare, Inc.
If you are in one of their plans, you should have received a notice. You can choose a new plan during Open Enrollment, and special enrollment rules can apply when a plan leaves your area.
Companies newly offering Advantage plans here in 2027
- California Physicians' Service
10 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 4 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.
How many people here are in Medicare Advantage
In October 2026, 187,591 of the 298,056 people eligible for Medicare in Sacramento County were enrolled in a Medicare Advantage or other Medicare health plan, 62.9%. A year earlier it was 180,694 of 290,746 (62.1%).
CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
Advantage plans with drug coverage for 2027 (14)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage from UHC CA-023P (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $4,450 | 3 of 5 |
| Aetna Medicare Signature (HMO) | Aetna Medicare | HMO | $0 | $2,000 | 3 of 5 |
| Aetna Medicare Value Plus (HMO) | Aetna Medicare | HMO | $0 | $2,000 | 3 of 5 |
| Alignment Health My Choice 050 (HMO) | Alignment Health Plan | HMO | $0 | $3,499 | 3.5 of 5 |
| Alignment Health Smart 038 (HMO) | Alignment Health Plan | HMO | $0 | $3,499 | 3.5 of 5 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | HMO | $0 | $295 | 4 of 5 |
| SCAN Classic (HMO) | SCAN Health Plan | HMO | $0 | $2,900 | 4 of 5 |
| SCAN Costco Medicare Advantage (HMO) | SCAN Health Plan | HMO | $0 | $2,900 | 4 of 5 |
| Alignment Health Honor Plus 060 (HMO) | Alignment Health Plan | HMO | $7.30 | $9,850 | 3.5 of 5 |
| Blue Shield Advantage (HMO) | Blue Shield of California | HMO | $19.00 | $3,900 | 4 of 5 |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO) | SCAN Health Plan | HMO | $19.00 | $4,000 | 4 of 5 |
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | HMO | $21.00 | $4,900 | 3.5 of 5 |
| Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) | Kaiser Permanente | HMO | $29.00 | $6,000 | 4.5 of 5 |
| Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) | Kaiser Permanente | HMO | $99.00 | $3,900 | 4.5 of 5 |
Advantage plans without drug coverage for 2027 (2)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Eagle (HMO) | Aetna Medicare | HMO | Not listed | $4,450 | 3 of 5 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | HMO | Not listed | $2,999 | 4 of 5 |
Special Needs Plans for 2027 (16)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna Medicare | HMO C-SNP · Chronic or Disabling Condition | $0 | $2,000 | 3 of 5 |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 3.5 of 5 |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP · Chronic or Disabling Condition | $0 | $1,900 | 3.5 of 5 |
| Alignment Health Heart & Diabetes 048 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP · Chronic or Disabling Condition | $0 | $1,990 | 3.5 of 5 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3 of 5 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | HMO C-SNP · Chronic or Disabling Condition | $0 | $295 | 4 of 5 |
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) | Kaiser Permanente | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 4.5 of 5 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | HMO C-SNP · Chronic or Disabling Condition | $0 | $2,000 | 4 of 5 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | HMO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 4 of 5 |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP · Chronic or Disabling Condition | $0 | $9,850 | 3 of 5 |
| Wellcare Health Net Dual Align (HMO D-SNP) | Wellcare | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3.5 of 5 |
| Alignment Health Heart & Diabetes 051 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP · Chronic or Disabling Condition | $0.10 | $9,850 | 3.5 of 5 |
| Imperial Flex (HMO C-SNP) | Imperial Health Plan of California, Inc. | HMO C-SNP · Chronic or Disabling Condition | $2.70 | $9,850 | 4 of 5 |
| Alignment Health Clarity Plus 042 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP · Chronic or Disabling Condition | $7.30 | $9,850 | 3.5 of 5 |
| Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP · Chronic or Disabling Condition | $7.30 | $9,850 | 3.5 of 5 |
| Molina Medicare Complete Care Plus (HMO D-SNP) | Molina Healthcare of California | HMO D-SNP · Dual-Eligible | $7.30 | $9,850 | 3 of 5 |
Stand-alone Part D drug plans are offered statewide: see California drug plans.
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.