Home › Agent Hub › Agent Tools › Medicare plans by county › California › Fresno County
Agent Tools
Medicare plans in Fresno County, CA — 2026
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 2026, Fresno County, California has 57 Medicare plans (18 Medicare Advantage with drug coverage, 3 without, 12 standalone Part D, 24 Special Needs) from 15 carriers. 30 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $199.
Market snapshot
- Residents 65 and older
- 131,488
- Residents 60–64, aging in over the next five years
- 50,983
- Medicare eligibles
- 163,221
- Medicare Advantage penetration
- 48.8%
- Plans per 1,000 residents 65+
- 0.4
Carriers by number of plans
- Alignment Health Plan — 11 plans
- Humana — 8 plans
- Champion Heath Plan — 7 plans
- Central Health Medicare Plan — 5 plans
- Kaiser Permanente — 4 plans
- SCAN Health Plan — 4 plans
- Imperial Health Plan of California, Inc. — 3 plans
- UnitedHealthcare — 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 Senior Advantage Basic Fresno (HMO) (H0524-046-0) | Kaiser Permanente | MA-PD | HMO | $24 | $0 | $4,900 | 4.5 |
|---|
| Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) (H0524-038-0) | Kaiser Permanente | MA-PD | HMO | $89 | $0 | $2,900 | 4.5 |
|---|
| Alignment Health CommUnity (HMO) (H3815-046-0) | Alignment Health Plan | MA-PD | HMO | $0 | $0 | $999 | 4.0 |
|---|
| Alignment Health Heart & Diabetes (HMO C-SNP) (H3815-010-0) | Alignment Health Plan | SNP | HMO C-SNP | $0 | $0 | $1,499 | 4.0 |
|---|
| Alignment Health Heart & Diabetes Care (HMO C-SNP) (H3815-048-0) | Alignment Health Plan | SNP | HMO C-SNP | $0 | $0 | $1,990 | 4.0 |
|---|
| Alignment Health Honor+ Plan (HMO) (H3815-052-0) | Alignment Health Plan | MA-PD | HMO | $0 | $615 | $9,250 | 4.0 |
|---|
| Alignment Health My Choice CalCare (HMO) (H3815-050-0) | Alignment Health Plan | MA-PD | HMO | $0 | $0 | $3,499 | 4.0 |
|---|
| Alignment Health the ONE + Walgreens (HMO) (H3815-035-0) | Alignment Health Plan | MA-PD | HMO | $0 | $0 | $999 | 4.0 |
|---|
| Kaiser Permanente Dual Complete North P18 (HMO D-SNP) (H8794-018-0) | Kaiser Permanente | SNP | HMO D-SNP | $0 | $615 | $9,250 | 4.0 |
|---|
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) (H8794-002-0) | Kaiser Permanente | SNP | HMO D-SNP | $0 | $0 | $9,250 | 4.0 |
|---|
Showing 10 of 57 plans.
Nearby counties
Agent Tools
About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2026; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS September 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.