Best Medicare Advantage Plans in Fresno County, CA for 2027
Every general-audience Medicare Advantage plan with drug coverage sold in Fresno County, ranked by what it could cost you in a bad year: 12 months of premiums, less any Part B giveback, plus the in-network out-of-pocket maximum.
Fresno County plans, ranked
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc. · HMO51 of 55 counties · drug deductible $0Part B giveback $15/mo · Dental up to $4,500/yr · eyewear $500/yr · hearing aids $500/yr · OTC items $480/yr | $0−$15 Part B giveback | $295 | $115 | 4★ |
| 2 | Champion Ally (HMO)Champion Heath Plan · HMO9 of 55 counties · drug deductible $0Dental up to $3,000/yr · eyewear $350/yr · OTC items $900/yr | $0 | $499 | $499 | Not rated |
| 3 | SCAN Costco Medicare Advantage (HMO)SCAN Health Plan · HMO2 of 55 counties · drug deductible $450Dental up to $2,000/yr · OTC items $460/yr | $0 | $699 | $699 | 4★ |
| 4 | SCAN Classic (HMO)SCAN Health Plan · HMO4 of 55 counties · drug deductible $450Dental up to $2,000/yr · eyewear $100/yr · OTC items $100/yr | $0 | $999 | $999 | 4★ |
| 5 | Alignment Health ONE + Walgreens 035 (HMO)Alignment Health Plan · HMO3 of 55 counties · drug deductible $0Dental · eyewear $300/yr · OTC items $180/yr | $0 | $1,300 | $1,300 | 3.5★ |
| 6 | Alignment Health + CommUnity 046 (HMO)Alignment Health Plan · HMO2 of 55 counties · drug deductible $0Dental up to $1,500/yr · eyewear $300/yr · OTC items $240/yr | $0 | $1,750 | $1,750 | 3.5★ |
| 7 | Humana Gold Plus H5619-012 (HMO)Humana · HMO2 of 55 counties · drug deductible $200Dental up to $2,000/yr · eyewear $400/yr | $0 | $2,200 | $2,200 | 4★ |
| 8 | Anthem Medicare Advantage (HMO-POS)Anthem Blue Cross · HMO-POS4 of 55 counties · drug deductible $0Dental up to $500/yr · eyewear $150/yr · hearing aids $1,500/yr · OTC items $160/yr | $0 | $3,000 | $3,000 | 3.5★ |
| 9 | Anthem Prime (HMO-POS)Anthem Blue Cross Partnership Plan · HMO-POS4 of 55 counties · drug deductible $250Preventive dental · eyewear $50/yr · hearing aids $1,500/yr | $0 | $3,000 | $3,000 | 3★ |
| 10 | Humana Gold Plus H5619-191 (HMO)Humana · HMO8 of 55 counties · drug deductible $200Dental up to $2,000/yr · eyewear $200/yr | $0 | $3,200 | $3,200 | 4★ |
| 11 | Alignment Health My Choice 050 (HMO)Alignment Health Plan · HMO19 of 55 counties · drug deductible $0Dental up to $1,200/yr · eyewear $200/yr · OTC items $1,080/yr | $0 | $3,499 | $3,499 | 3.5★ |
| 12 | Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)Kaiser Permanente · HMO5 of 55 counties · drug deductible $0Dental | $95 | $2,900 | $4,040 | 4.5★ |
| 13 | Humana Gold Plus Giveback H5619-150 (HMO)Humana · HMO7 of 55 counties · drug deductible $700Part B giveback $42/mo · Dental up to $2,000/yr · eyewear $100/yr | $0−$42 Part B giveback | $5,000 | $4,496 | 4★ |
| 14 | Kaiser Permanente Senior Advantage Basic Fresno (HMO)Kaiser Permanente · HMO5 of 55 counties · drug deductible $0Dental | $29 | $4,900 | $5,248 | 4.5★ |
| 15 | Alignment Health Advantage 001 (PPO)Alignment Health Plan · PPO6 of 55 counties · drug deductible $0Dental up to $1,000/yr · eyewear $75/yr | $70 | $4,451 | $5,291 | 4★ |
| 16 | AARP Medicare Advantage from UHC CA-0005 (HMO-POS)UnitedHealthcare · HMO-POS3 of 55 counties · drug deductible $685Preventive dental · eyewear $100/yr · hearing aids $1,000/yr | $65 | $7,150 | $7,930 | 3★ |
| 17 | Alignment Health Honor Plus 060 (HMO)Alignment Health Plan · HMO23 of 55 counties · drug deductible $700Dental up to $2,000/yr · eyewear $250/yr · OTC items $1,164/yr | $7.30 | $9,850 | $9,938 | 3.5★ |
Worst-case year = 12 × (monthly plan premium − any Part B giveback) + in-network maximum out-of-pocket. The giveback is money back on the Part B premium ($202.90 a month in 2026), which is otherwise the same for everyone, so a large one can push the worst-case year below $0; drug costs are capped separately at $2,400 in 2027. Other extras are the yearly maximums each plan filed with CMS and don’t change the order. Methodology
What changed since 2026
- Plans with drug coverage: 21 in 2026, 19 in 2027.
- $0-premium plans: 17 in 2026, 14 in 2027.
- Median in-network out-of-pocket maximum: $2,900 in 2026, $3,000 in 2027.
- 39,528 people here were in a general-audience Advantage plan in October 2026; 1,611 of them are in a plan that ends or leaves the county for 2027 and must choose again.
From our 2026 vs. 2027 Medicare Advantage study (CMS landscape, enrollment and crosswalk files).
Before you enroll, check that your doctors are in the plan’s network and how it covers your drugs in the Medicare Plan Finder. Weighing Advantage against Original Medicare with a Medigap plan? Run the county calculator.
Also sold here without drug coverage: Imperial Courage Plan (HMO), Humana USAA Honor Giveback (HMO).
Questions
How many Medicare Advantage plans are in Fresno County for 2027?
17 general-audience plans with drug coverage, 12 of them with a $0 monthly premium, compared with 21 plans and 17 $0-premium plans in 2026. Special Needs Plans aren't counted.
Which plan has the lowest worst-case cost in Fresno County?
Imperial Dynamic Plan (HMO) from Imperial Health Plan of California, Inc.: $0 a month with an in-network out-of-pocket maximum of $295, so at most about $115 for the year in premiums and in-network costs.
Do any Fresno County plans have a Part B giveback?
2 do. The largest is $42 a month off your Part B premium, from Humana Gold Plus Giveback H5619-150 (HMO).
How many Fresno County plans have 4 or more stars?
9 of 17, based on CMS's 2027 ratings of the contract behind each plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), from cms.gov; extra benefits (Part B giveback, dental, eyewear, hearing aids, over-the-counter allowance) from the CMS CY 2027 Plan Benefit Package files, cms.gov, yearly amounts as each plan filed them; star ratings from the CMS 2027 Star Ratings Data Tables (October 8, 2026), cms.gov. Ratings are per contract, so plans under the same contract share one rating. General-audience plans only: Special Needs Plans, Cost plans and employer group plans are not ranked.
- County population: 2020 Census, via the USDA Rural-Urban Continuum Codes (2023).
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. · Advertiser disclosure
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