Madera County, California — 2026 Medicare Advantage plans
45 individual Medicare Advantage plan segments from 10 parent organizations are filed for Madera County for 2026, per CMS public files. This page reports what was filed; it does not rank or recommend plans.
CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources
45plans filed −4 vs prior year
33with a $0 premium +1 vs prior year
$4,201median in-network MOOP −$699 vs prior year
19on 4-star or better contracts
31report comprehensive dental
32report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| Alignment Health CommUnity (HMO) Alignment Healthcare USA, LLC · H3815-046-000 · SoB ✓ | HMO | $0 | $999 | $0 | 4.0out of 5 stars, Above average | $25 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health Heart & Diabetes (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-010-000 · SoB ✓ | HMO C-SNP | $0 | $1,499 | $0 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Transportation OTC allowance Meals |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-048-000 · SoB ✓ | HMO C-SNP | $0 | $1,990 | $0 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Transportation OTC allowance Meals |
| Alignment Health Honor+ Plan (HMO) Alignment Healthcare USA, LLC · H3815-052-000 · SoB ✓ | HMO | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $100 | Comprehensive dental Vision exam Eyewear Transportation OTC allowance Meals |
| Alignment Health My Choice CalCare (HMO) Alignment Healthcare USA, LLC · H3815-050-000 · SoB ✓ | HMO | $0 | $3,499 | $0 | 4.0out of 5 stars, Above average | $100 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health the ONE + Walgreens (HMO) Alignment Healthcare USA, LLC · H3815-035-000 · SoB ✓ | HMO | $0 | $999 | $0 | 4.0out of 5 stars, Above average | $25 | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) Elevance Health, Inc. · H4471-010-002 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Kidney Care (PPO C-SNP) Elevance Health, Inc. · H8552-028-000 · SoB ✓ | PPO C-SNP | $0 | $9,250 | $0 | 2.5out of 5 stars, Below average | $60 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Anthem Medicare Advantage (HMO-POS) Elevance Health, Inc. · H0544-056-000 · SoB ✓ | HMO-POS | $0 | $3,000 | $0 | 3.0out of 5 stars, Average | $90 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Anthem Prime (HMO-POS) Elevance Health, Inc. · H4161-006-000 · SoB ✓ | HMO-POS | $0 | $2,900 | $0 | 3.0out of 5 stars, Average | $42 | Vision exam Eyewear Hearing aids OTC allowance |
| Central Health Classic Care Plan II (HMO) Molina Healthcare, Inc. · H5649-028-000 · SoB ✓ | HMO | $0 | $2,499 | $110 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Central Health Dual Access Plan (HMO D-SNP) Molina Healthcare, Inc. · H5649-024-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $550 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Central Health Embrace Care Plan (HMO C-SNP) Molina Healthcare, Inc. · H5649-025-002 · SoB ✓ | HMO C-SNP | $0 | $1,900 | $615 | 3.0out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Central Health Embrace Choice Plan (HMO C-SNP) Molina Healthcare, Inc. · H5649-026-002 · SoB ✓ | HMO C-SNP | $0 | $9,250 | $615 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Champion Advantage (HMO-POS C-SNP) Champion Health Plans-USA, LLC. · H6170-001-000 · SoB ✓ | HMO-POS C-SNP | $0 | $499 | $0 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Champion Ally (HMO) Champion Health Plans-USA, LLC. · H6170-007-000 · SoB ✓ | HMO | $0 | $199 | $0 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Champion Care (HMO C-SNP) Champion Health Plans-USA, LLC. · H6170-008-000 · SoB ✓ | HMO C-SNP | $0 | $199 | $0 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Champion Connect (HMO-POS C-SNP) Champion Health Plans-USA, LLC. · H6170-002-000 · SoB ✓ | HMO-POS C-SNP | $0 | $9,250 | $615 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Humana Gold Plus Giveback H5619-150 (HMO) Humana Inc. · H5619-150-000 · SoB ✓ | HMO | $0 | $5,000 | $0 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Humana Gold Plus H5619-012 (HMO) Humana Inc. · H5619-012-000 · SoB ✓ | HMO | $0 | $2,200 | $615 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Humana Gold Plus H5619-148 (HMO) Humana Inc. · H5619-148-000 · SoB ✓ | HMO | $0 | $2,900 | $615 | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP) Humana Inc. · H5619-038-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $490 | 3.0out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| Imperial Dynamic Plan (HMO) Imperial Health Plan of California · H5496-012-000 · SoB | HMO | $0 | $296 | $0 | 3.5out of 5 stars, Average | $140 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Imperial Senior Value (HMO C-SNP) Imperial Health Plan of California · H5496-005-000 · SoB | HMO C-SNP | $0 | $296 | $0 | 3.5out of 5 stars, Average | $130 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Kaiser Permanente Dual Complete North P18 (HMO D-SNP) Kaiser Foundation Health Plan, Inc. · H8794-018-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $75 | Vision exam Eyewear OTC allowance |
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) Kaiser Foundation Health Plan, Inc. · H8794-002-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $0 | 4.0out of 5 stars, Above average | $50 | Vision exam Eyewear OTC allowance |
| SCAN Balance (HMO C-SNP) SCAN Group · H5425-102-000 · SoB | HMO C-SNP | $0 | $699 | $250 | 4.0out of 5 stars, Above average | $35 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN Classic (HMO) SCAN Group · H5425-101-000 · SoB | HMO | $0 | $699 | $250 | 4.0out of 5 stars, Above average | $110 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN MyChoice (HMO) SCAN Group · H5425-119-000 · SoB | HMO | $0 | $1,199 | $250 | 4.0out of 5 stars, Above average | Reported | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance Meals |
| SCAN Strive (HMO C-SNP) SCAN Group · H5425-098-000 · SoB | HMO C-SNP | $0 | $9,250 | $250 | 4.0out of 5 stars, Above average | $110 | Comprehensive dental Vision exam Eyewear Transportation OTC allowance Meals |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-051-000 · SoB ✓ | HMO C-SNP | $0.70 | $9,250 | $615 | 4.0out of 5 stars, Above average | $100 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Champion Select (HMO-POS C-SNP) Champion Health Plans-USA, LLC. · H6170-003-000 · SoB ✓ | HMO-POS C-SNP | $8.40 | $499 | $615 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Alignment Health BreathEasy (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-041-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | 4.0out of 5 stars, Above average | $124 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health Clarity (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-042-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | 4.0out of 5 stars, Above average | $124 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) Alignment Healthcare USA, LLC · H3815-039-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | 4.0out of 5 stars, Above average | $129 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Champion Choice (HMO C-SNP) Champion Health Plans-USA, LLC. · H6170-009-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Champion Plus (HMO C-SNP) Champion Health Plans-USA, LLC. · H6170-010-000 · SoB ✓ | HMO C-SNP | $12 | $9,250 | $615 | Not rated | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation |
| Wellcare CalViva Health Dual Align (HMO D-SNP) Centene Corporation · H3561-007-000 · SoB | HMO D-SNP | $12 | $9,250 | $555 | 3.5out of 5 stars, Average | — | none reported |
| Kaiser Permanente Senior Advantage Basic Fresno (HMO) Kaiser Foundation Health Plan, Inc. · H0524-046-000 · SoB ✓ | HMO | $24 | $4,900 | $0 | 4.5out of 5 stars, Above average | Reported | Vision exam OTC allowance |
| Alignment Health Advantage PPO (PPO) Alignment Healthcare USA, LLC · H8832-001-000 · SoB ✓ | PPO | $45 | $4,201 | $0 | Not rated | $10 | Preventive dental Comprehensive dental Vision exam Eyewear OTC allowance |
| AARP Medicare Advantage from UHC CA-0005 (HMO-POS) UnitedHealth Group, Inc. · H0543-035-000 · SoB ✓ | HMO-POS | $59 | $6,700 | $440 | 4.0out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids |
| Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) Kaiser Foundation Health Plan, Inc. · H0524-038-000 · SoB ✓ | HMO | $89 | $2,900 | $0 | 4.5out of 5 stars, Above average | Reported | Vision exam OTC allowance |
| Central Health Valor Care Plan (HMO) Molina Healthcare, Inc. · H5649-030-000 · SoB ✓ | HMO | — | $4,400 | — | 3.0out of 5 stars, Average | — | Vision exam Eyewear Hearing aids Meals |
| Humana USAA Honor Giveback (HMO) Humana Inc. · H5619-121-000 · SoB ✓ | HMO | — | $5,250 | — | 3.0out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids |
| Imperial Courage Plan (HMO) Imperial Health Plan of California · H5496-016-000 · SoB | HMO | — | $2,999 | — | 3.5out of 5 stars, Average | $75 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.
How to read this table
Yes — the plan's approved bid reports the benefit. No — the bid reports it is not offered. — — CMS did not publish a value for this field; that is not the same as No. Reported under an allowance column means the benefit is offered but CMS published no dollar amount. Premium is the CMS consolidated monthly premium (Part C + Part D). MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating in the CMS file used for this build. SNP plans (D-SNP, C-SNP, I-SNP) are limited to people who meet the plan's eligibility rules. A plan's own Summary of Benefits and Evidence of Coverage govern the details.
Click a column header to sort. On small screens the Part D deductible and OTC columns are hidden; open a plan for the full record.
Is a drug covered by plans in Madera County?
Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.
Download all 45 Madera County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.
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