San Francisco County, California — 2026 Medicare Advantage plans
51 individual Medicare Advantage plan segments from 13 parent organizations are filed for San Francisco 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
51plans filed −5 vs prior year
35with a $0 premium +3 vs prior year
$4,900median in-network MOOP +$500 vs prior year
26on 4-star or better contracts
32report comprehensive dental
45report an OTC allowance
Quick filters:
| Plan | Type | Premium | In-network MOOP | Part D deductible | Star rating | OTC allowance | Supplemental benefits reported |
|---|---|---|---|---|---|---|---|
| Advantage Care (HMO) Curana Health Holdings, LLC · H3274-005-000 · SoB | HMO | $0 | $1,900 | $0 | Not rated | Reported | Comprehensive dental Vision exam Eyewear Transportation OTC allowance |
| Aetna Medicare Signature (HMO) CVS Health Corporation · H4982-007-000 · SoB ✓ | HMO | $0 | $3,900 | $615 | 3.0out of 5 stars, Average | — | Comprehensive dental Vision exam Eyewear Hearing aids |
| Aetna Medicare Signature (PPO) CVS Health Corporation · H5521-425-000 · SoB ✓ | PPO | $0 | $6,750 | $615 | 4.5out of 5 stars, Above average | — | Vision exam Eyewear Hearing aids |
| Aetna Medicare Signature Extra (HMO-POS) CVS Health Corporation · H0523-070-000 · SoB ✓ | HMO-POS | $0 | $3,600 | $300 | 3.0out of 5 stars, Average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Alignment Health CalPlusDuals (HMO D-SNP) Alignment Healthcare USA, LLC · H3815-030-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $80 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| Alignment Health Harmony (HMO) Alignment Healthcare USA, LLC · H3815-031-000 · SoB ✓ | HMO | $0 | $3,400 | $0 | 4.0out of 5 stars, Above average | $30 | Vision exam Eyewear Hearing aids Transportation OTC allowance |
| 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 Platinum + Instacart (HMO-POS) Alignment Healthcare USA, LLC · H3815-016-000 · SoB ✓ | HMO-POS | $0 | $998 | $0 | 4.0out of 5 stars, Above average | $30 | Preventive dental Comprehensive dental 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 Prime (HMO-POS) Elevance Health, Inc. · H4161-004-000 · SoB ✓ | HMO-POS | $0 | $2,500 | $0 | 3.0out of 5 stars, Average | $67 | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Anthem Select (HMO-POS) Elevance Health, Inc. · H0544-069-000 · SoB ✓ | HMO-POS | $0 | $7,550 | $160 | 3.0out of 5 stars, Average | — | Vision exam Transportation |
| CCHP Senior Select Program (HMO D-SNP) Chinese Hospital Association · H0571-005-000 · SoB | HMO D-SNP | $0 | $3,400 | $615 | 3.0out of 5 stars, Average | $15 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| CCHP Senior Value Program (HMO) Chinese Hospital Association · H0571-007-000 · SoB | HMO | $0 | $3,500 | $0 | 3.0out of 5 stars, Average | $30 | Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Central Health Classic Care Plan IV (HMO) Molina Healthcare, Inc. · H5649-018-000 · SoB ✓ | HMO | $0 | $2,499 | $100 | 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. · H5649-025-004 · SoB ✓ | HMO C-SNP | $0 | $1,800 | $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. · H5649-026-004 · 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 |
| 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 P19 (HMO D-SNP) Kaiser Foundation Health Plan, Inc. · H8794-019-000 · SoB ✓ | HMO D-SNP | $0 | $9,250 | $615 | 4.0out of 5 stars, Above average | $75 | Vision exam Eyewear OTC allowance |
| Premier Care (HMO I-SNP) Curana Health Holdings, LLC · H3274-002-000 · SoB | HMO I-SNP | $0 | $1,900 | $0 | Not rated | Reported | Comprehensive dental Vision exam Eyewear Transportation OTC allowance |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) SCAN Group · H5425-107-000 · SoB | HMO | $0 | $1,499 | $250 | 4.0out of 5 stars, Above average | $60 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN Allied (HMO) SCAN Group · H5425-118-000 · SoB | HMO | $0 | $1,999 | $250 | 4.0out of 5 stars, Above average | $155 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN Balance (HMO C-SNP) SCAN Group · H5425-106-000 · SoB | HMO C-SNP | $0 | $1,499 | $250 | 4.0out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN Classic (HMO) SCAN Group · H5425-019-000 · SoB | HMO | $0 | $1,499 | $250 | 4.0out of 5 stars, Above average | $70 | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals |
| SCAN MyChoice (HMO) SCAN Group · H5425-121-000 · SoB | HMO | $0 | $1,999 | $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 |
| Wellcare Specialty Simple Focus (HMO C-SNP) Centene Corporation · H0562-138-000 · SoB ✓ | HMO C-SNP | $0 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| 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 |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP) UnitedHealth Group, Inc. · H0543-249-000 · SoB ✓ | HMO-POS C-SNP | $8.90 | $9,250 | $615 | 4.0out of 5 stars, Above average | Reported | Vision exam Eyewear Hearing aids OTC allowance |
| 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 |
| SFHP Care Plus (HMO D-SNP) SAN FRANCISCO HEALTH AUTHORITY · H8051-001-000 · SoB | HMO D-SNP | $12 | $9,250 | $615 | Not rated | $150 | Vision exam Eyewear Hearing aids OTC allowance |
| Senior Care (HMO I-SNP) Curana Health Holdings, LLC · H3274-001-000 · SoB | HMO I-SNP | $12 | $9,250 | $615 | Not rated | Reported | Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Wellcare Dual Liberty (HMO D-SNP) Centene Corporation · H3561-009-000 · SoB ✓ | HMO D-SNP | $12 | $9,250 | $425 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids OTC allowance |
| Kaiser Permanente Senior Advantage Basic SF (HMO) Kaiser Foundation Health Plan, Inc. · H0524-060-000 · SoB ✓ | HMO | $19 | $6,000 | $0 | 4.5out of 5 stars, Above average | Reported | Vision exam OTC allowance |
| CCHP Senior Program (HMO) Chinese Hospital Association · H0571-001-000 · SoB | HMO | $21 | $3,000 | $0 | 3.0out of 5 stars, Average | $30 | Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Wellcare Low Premium (HMO) Centene Corporation · H0562-097-000 · SoB ✓ | HMO | $33 | $9,250 | $615 | 3.5out of 5 stars, Average | Reported | Vision exam Eyewear Hearing aids Transportation OTC allowance |
| Alignment Health Sutter Advantage +More (HMO) Alignment Healthcare USA, LLC · H3815-023-000 · SoB ✓ | HMO | $48 | $4,900 | $0 | 4.0out of 5 stars, Above average | $15 | Vision exam Eyewear OTC allowance |
| Aetna Medicare Enhanced (PPO) CVS Health Corporation · H5521-581-000 · SoB ✓ | PPO | $63 | $5,900 | $615 | 4.5out of 5 stars, Above average | $30 | Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| HumanaChoice H5525-087 (PPO) Humana Inc. · H5525-087-000 · SoB | PPO | $67 | $6,750 | $615 | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| AARP Medicare Advantage from UHC CA-9 (HMO-POS) UnitedHealth Group, Inc. · H0543-191-000 · SoB ✓ | HMO-POS | $69 | $4,900 | $440 | 4.0out of 5 stars, Above average | Reported | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids OTC allowance |
| Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) Kaiser Foundation Health Plan, Inc. · H0524-032-000 · SoB ✓ | HMO | $99 | $3,900 | $0 | 4.5out of 5 stars, Above average | Reported | Vision exam OTC allowance |
| Aetna Medicare Eagle (PPO) CVS Health Corporation · H5521-369-000 · SoB ✓ | PPO | — | $6,750 | — | 4.5out of 5 stars, Above average | $75 | Comprehensive dental Vision exam Eyewear Hearing aids 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 (PPO) Humana Inc. · H5525-079-000 · SoB ✓ | PPO | — | $6,500 | — | 3.5out of 5 stars, Average | — | Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals |
| 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 San Francisco 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 51 San Francisco 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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