Medicare Advantage Plans in San Joaquin County, CA:
Your Complete 2027 Guide
For 2027, residents of San Joaquin County, CA can choose from 22 Medicare Advantage plan options. Of these, 11 cost nothing beyond the Part B premium. Enrollment in the County stands at approximately 39,747, with 73% of plans achieving 4 stars or better. This page and its statistics exclude Special Needs Plans (SNPs). See Medicare Special Needs Plans available in San Joaquin County, CA. To understand how Medicare Advantage fits with your other coverage choices, explore all Medicare coverage options in San Joaquin County.
Last update: . Enrollment data last updated: October 5, 2026
* CMS rates Medicare Advantage plans annually using a 5-star system. Data sources
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. While using out-of-network doctors or hospitals usually means higher costs, PPOs may appeal to people who want more flexibility in how they access their healthcare.
- Total PPO Plans
- 5
- Average Premium
- $44.66/mo
- Beneficiaries Enrolled
- 953
- $0 Premium PPOs
- 1
- Average MOOP
- $5,910
- Most Popular PPO
- Alignment Health Balance 006 (PPO) with 411 enrollees
- PPOs Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Alignment Health Balance 006 | $93 | $2,850 | $0 | H4961 006 0 | |
| Alignment Health Advantage 001 | $70 | $4,451 | $0 | H8832 001 0 | |
| Alignment Health Balance Plus 004 | $7 | $9,850 | $700 | H8832 004 0 | |
| Humana USAA Honor Giveback | $0 | $6,500 | N/A | H5525 079 0 | |
| HumanaChoice H5525-080 | $53 | $5,900 | $700 | H5525 080 0 |
- What is the average monthly premium for PPO plans in San Joaquin?
- On average, PPO plans in San Joaquin cost $44.66 per month.
- Which PPO plan has the highest enrollment in San Joaquin?
- The most popular PPO in San Joaquin is Alignment Health Balance 006 (PPO), covering 411 beneficiaries.
- How many PPO plans in San Joaquin do not include prescription drug coverage?
- 1 PPO plans available in San Joaquin do not include Part D benefits.
Medicare Advantage HMO Plans
HMO plans are designed around a set network of doctors and hospitals. Staying within that network is usually required for coverage, but this arrangement often results in lower overall costs, including both premiums and out-of-pocket expenses, for plan members.
What is the total number of HMO plans offered in San Joaquin?
There are 17 HMO plans in 2027, covering 38,794 beneficiaries.
How much do HMO plans cost on average in San Joaquin?
The average HMO premium is $22.31, with 10 costing $0.
What is the top HMO by enrollment in San Joaquin?
Kaiser Permanente Senior Advantage Basic SnJoaq (HMO) is the most popular HMO plan in San Joaquin, with 12,991 enrollees.
What is the number of HMO plans without Part D coverage in San Joaquin?
1 HMO plans in San Joaquin do not include prescription drug coverage.
The table below shows the quality ratings for Medicare Advantage plans offered in San Joaquin County, CA for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 16 | 73% |
| 3 Stars | 6 | 27% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.89 | |
Medicare Advantage comes with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Outside the standard enrollment dates, you may qualify for a Special Enrollment Period if specific circumstances apply, including relocation or coverage loss. Learn more
Enrollment Options Explained
- Talk with a Licensed Agent: Licensed agents at HealthCompare can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Mon-Fri 8AM-10PM, Sat 9AM-8PM EST.
- Contact the Plan Provider Directly: Enrollment can also be completed by calling the plan provider’s customer service line or visiting their official website.
- Use Medicare.gov: The official Medicare website, Medicare.gov, lets you review available plans and complete enrollment online.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Stockton, Acampo, French Camp, Linden, Lockeford, Lodi, Woodbridge, Tracy, Escalon, Lathrop, Manteca, Ripon, Thornton, and all other areas of San Joaquin County, California. For a broader view of coverage choices across the state, see Medicare plan options in California.
Plans Offered through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare®, Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: CY2027 Landscape (202609.1)
- CMS.gov, Medicare Part C & D Performance — Version: 2027 Star Ratings Data Tables
- CMS.gov, Plan Benefits Package — Version: PBP Benefits-2027
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-09
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Landscape file, Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data. Enrollment counts and rankings (such as Top 3 plans by enrollment) are derived from CMS monthly enrollment files and aggregated at the county level.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
To explore how 2027 Medicare Advantage plans available in San Joaquin County compare with plans offered elsewhere, you can search the Medicare Advantage plan directory to review options nationwide using the same authoritative data sources.
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.