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Tulare County, California — 2026 Medicare Advantage plans

Contract year 2026 · data updated October 01, 2026 · source files

24 individual Medicare Advantage plan segments from 8 parent organizations are filed for Tulare 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
24plans filed −1 vs prior year
20with a $0 premium +3 vs prior year
$3,700median in-network MOOP −$1,200 vs prior year
8on 4-star or better contracts
14report comprehensive dental
21report an OTC allowance

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PlanTypePremiumIn-network MOOPPart D deductibleStar ratingOTC allowanceSupplemental benefits reported
Anthem Full Dual Advantage Aligned (HMO D-SNP)
Elevance Health, Inc. · H4471-010-002 · SoB ✓
HMO D-SNP$0$9,250$6153.0out of 5 stars, AverageReportedPreventive 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$02.5out of 5 stars, Below average$60Preventive 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$03.0out of 5 stars, Average$90Preventive 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$03.0out of 5 stars, Average$42Vision exam Eyewear Hearing aids OTC allowance
Central Health Classic Care Plan II (HMO)
Molina Healthcare, Inc. · H5649-028-000 · SoB ✓
HMO$0$2,499$1103.0out of 5 stars, AverageReportedVision 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$5503.0out of 5 stars, AverageReportedVision 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$6153.0out of 5 stars, AverageReportedVision 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$6153.0out of 5 stars, AverageReportedPreventive dental Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
Humana Gold Plus H5619-015 (HMO)
Humana Inc. · H5619-015-000 · SoB ✓
HMO$0$4,500$6153.0out of 5 stars, AverageReportedPreventive 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$6153.0out of 5 stars, Average—Preventive dental Comprehensive dental Vision exam Eyewear Hearing aids Meals
Imperial Dynamic Plan (HMO)
Imperial Health Plan of California · H5496-012-000 · SoB
HMO$0$296$03.5out of 5 stars, Average$140Preventive 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$03.5out of 5 stars, Average$130Preventive 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$6154.0out of 5 stars, Above average$75Vision exam Eyewear OTC allowance
SCAN Balance (HMO C-SNP)
SCAN Group · H5425-102-000 · SoB
HMO C-SNP$0$699$2504.0out of 5 stars, Above average$35Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
SCAN Classic (HMO)
SCAN Group · H5425-101-000 · SoB
HMO$0$699$2504.0out of 5 stars, Above average$110Comprehensive dental Vision exam Eyewear Hearing aids Transportation OTC allowance Meals
SCAN MyChoice (HMO)
SCAN Group · H5425-119-000 · SoB
HMO$0$1,199$2504.0out of 5 stars, Above averageReportedComprehensive 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$2504.0out of 5 stars, Above average$110Comprehensive dental Vision exam Eyewear Transportation OTC allowance Meals
Wellcare Health Net Dual Align (HMO D-SNP)
Centene Corporation · H3561-008-000 · SoB ✓
HMO D-SNP$12$9,250$5553.5out of 5 stars, AverageReportedVision exam Eyewear Hearing aids OTC allowance
Kaiser Permanente Senior Advantage Basic Fresno (HMO)
Kaiser Foundation Health Plan, Inc. · H0524-046-000 · SoB ✓
HMO$24$4,900$04.5out of 5 stars, Above averageReportedVision exam OTC allowance
AARP Medicare Advantage from UHC CA-0010 (HMO-POS)
UnitedHealth Group, Inc. · H0543-140-000 · SoB ✓
HMO-POS$89$6,700$6004.0out of 5 stars, Above averageReportedVision exam Hearing aids OTC allowance
Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
Kaiser Foundation Health Plan, Inc. · H0524-038-000 · SoB ✓
HMO$89$2,900$04.5out of 5 stars, Above averageReportedVision 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$75Preventive 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 Tulare County?

Shows the tier, prior-authorization / step-therapy / quantity-limit flags and tier cost sharing for every plan above, plus the 12 stand-alone Part D plans in the California region. From the CMS monthly formulary file.

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 24 Tulare County plans as CSVEvery column on this page plus the 14 benefit flags and published allowances — part of Pro, $99/month or $990/year.

Pro data Free 10-row sample

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