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Medicare plans in Fresno County, CA — 2027
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2027, Fresno County, California has 52 Medicare plans (17 Medicare Advantage with drug coverage, 2 without, 10 standalone Part D, 23 Special Needs) from 13 carriers. 31 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $295.
What changed vs 2026
- 5 fewer plans than 2026
- Carriers entered: Anthem Blue Cross and Blue Shield
- Carriers exited: Aetna Medicare, Anthem Blue Cross Life and Health Insurance Company, Central Health Medicare Plan
- $0-premium plans down 2
- Average star rating up 0.2
Market snapshot
- Residents 65 and older
- 131,488
- Residents 60–64, aging in over the next five years
- 50,983
- Medicare eligibles
- 163,635
- Medicare Advantage penetration
- 48.9%
- Plans per 1,000 residents 65+
- 0.4
Carriers by number of plans
- Alignment Health Plan — 11 plans
- Champion Health Plan — 9 plans
- Humana — 8 plans
- Imperial Health Plan of California, Inc. — 4 plans
- SCAN Health Plan — 4 plans
- Kaiser Permanente — 3 plans
- UnitedHealthcare — 3 plans
- Wellcare — 3 plans
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| Kaiser Permanente Dual Complete North P18 (HMO D-SNP) (H8794-018-0) | Kaiser Permanente | SNP | HMO D-SNP | $0 | $700 | $9,850 | 4.5 |
| Kaiser Permanente Senior Advantage Basic Fresno (HMO) (H0524-046-0) | Kaiser Permanente | MA-PD | HMO | $29 | $0 | $4,900 | 4.5 |
| Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) (H0524-038-0) | Kaiser Permanente | MA-PD | HMO | $95 | $0 | $2,900 | 4.5 |
| Humana Basic Rx Plan (PDP) (S5884-114-0) | Humana | PDP | PDP | $118.30 | $700 | 4.5 | |
| Humana Value Rx Plan (PDP) (S5884-211-0) | Humana | PDP | PDP | $130.30 | $687 | 4.5 | |
| Humana Premier Rx Plan (PDP) (S5884-178-0) | Humana | PDP | PDP | $191.20 | $350 | 4.5 | |
| Humana Gold Plus Giveback H5619-150 (HMO) (H5619-150-0) | Humana | MA-PD | HMO | $0 | $700 | $5,000 | 4.0 |
| Humana Gold Plus H5619-012 (HMO) (H5619-012-0) | Humana | MA-PD | HMO | $0 | $200 | $2,200 | 4.0 |
| Humana Gold Plus H5619-191 (HMO) (H5619-191-1) | Humana | MA-PD | HMO | $0 | $200 | $3,200 | 4.0 |
| Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) (H5619-038-0) | Humana | SNP | HMO D-SNP | $0 | $700 | $9,850 | 4.0 |
Showing 10 of 52 plans.
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.