County Plan Watch
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California

Medicare Advantage plans in San Luis Obispo County, CA: what changed for 2027

For 2027, San Luis Obispo County in California has 7 Medicare Advantage plans that include drug coverage, compared with 8 in 2026, according to the CMS plan landscape files.

Advantage plans with drug coverage7-1 from 2026
Advantage plans without drug coverage1-1 from 2026
Special Needs Plans9+1 from 2026
$0 premium plans with drug coverage5-2 from 2026
Median out-of-pocket limit$3,2002026: $3,200
Plans rated 4 stars or more4-1 from 2026

Companies no longer offering Advantage plans here in 2027

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.

4 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 2 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, 17,865 of the 74,786 people eligible for Medicare in San Luis Obispo County were enrolled in a Medicare Advantage or other Medicare health plan, 23.9%. A year earlier it was 17,853 of 73,196 (24.4%).

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 (7)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
Alignment Health My Choice 028 (HMO)Alignment Health PlanHMO$0$8003.5 of 5
Alignment Health My Choice 050 (HMO)Alignment Health PlanHMO$0$3,4993.5 of 5
Humana Gold Plus H5619-119 (HMO)HumanaHMO$0$8004 of 5
Humana Gold Plus H5619-191 (HMO)HumanaHMO$0$3,2004 of 5
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.HMO$0$2954 of 5
Alignment Health Honor Plus 060 (HMO)Alignment Health PlanHMO$7.30$9,8503.5 of 5
Blue Shield 65 Plus (HMO)Blue Shield of CaliforniaHMO$70.00$3,9504 of 5

Advantage plans without drug coverage for 2027 (1)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.HMONot listed$2,9994 of 5

Special Needs Plans for 2027 (9)

PlanCompanyTypeMonthly premiumIn-network out-of-pocket limitStar rating
Alignment Health Heart & Diabetes 010 (HMO C-SNP)Alignment Health PlanHMO C-SNP · Chronic or Disabling Condition$0$1,9003.5 of 5
Alignment Health Heart & Diabetes 048 (HMO C-SNP)Alignment Health PlanHMO C-SNP · Chronic or Disabling Condition$0$1,9903.5 of 5
Anthem Kidney Care (PPO C-SNP)Anthem Blue Cross and Blue ShieldPPO C-SNP · Chronic or Disabling Condition$0$9,8503 of 5
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.HMO C-SNP · Chronic or Disabling Condition$0$2954 of 5
Alignment Health Heart & Diabetes 051 (HMO C-SNP)Alignment Health PlanHMO C-SNP · Chronic or Disabling Condition$0.10$9,8503.5 of 5
Imperial Flex (HMO C-SNP)Imperial Health Plan of California, Inc.HMO C-SNP · Chronic or Disabling Condition$2.70$9,8504 of 5
Alignment Health Duals+ 030 (HMO D-SNP)Alignment Health PlanHMO D-SNP · Dual-Eligible$7.30$9,8503.5 of 5
Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)Alignment Health PlanHMO C-SNP · Chronic or Disabling Condition$7.30$9,8503.5 of 5
CenCal CareConnect (HMO D-SNP)CenCal CareConnectHMO D-SNP · Dual-Eligible$7.30$9,850Plan Too New To Be Measured

Stand-alone Part D drug plans are offered statewide: see California drug plans.

Sources

  1. Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
  2. Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
  3. 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.