CMS Contract Year 2027 exact county directory

Medicare plans in Fresno County, California

48 exact segment-backed medical plan records are listed for this county in the current CMS release.

48medical records
14organizations
39whole-county records
9partial records

Exact county discovery

Plans with exact segment geography

These results are limited to medical plan segments whose CMS Landscape geography names this county. Contract-wide service areas and standalone Part D records are not expanded into county cards.

Plan yearContract Year 2027
Plan typesHMO (35) · HMOPOS (5) · Local PPO (2) · National Pace (6)
Part D pathCalifornia plan directory

County snapshot

Reported cost context by plan type

Descriptive summaries of the primary county cohort; they are not plan recommendations.

39whole-county plans in the comparison cohort
10organizations in the comparison cohort
22SNP plans
37plans with drug coverage reported
HMO 37 · PPO 2whole-county plan-type mix; HMO includes HMOPOS and PPO includes Local/Regional PPO

HMO plans

37 whole-county
Monthly premium
Median $0 · range $0–$65
Based on 37 of 37 whole-county HMO plans with a reported value.
In-network MOOP
Median $3,499 · range $295–$9,850
Based on 37 of 37 whole-county HMO plans with a reported value.

PPO plans

2 whole-county
Monthly premium
Not enough reported values
Based on 2 of 2 whole-county PPO plans with a reported value. At least 3 reported values are required for a range.
In-network MOOP
Not enough reported values
Based on 2 of 2 whole-county PPO plans with a reported value. At least 3 reported values are required for a range.

Primary statistics use current-year medical records with exact plan_segment geography and a whole-county relationship. Partial-county records are shown separately below and are excluded here. Contract-scope records, standalone Part D plans, and employer/group-only relationships are not part of this county comparison. Missing or unreported values remain outside each metric denominator. Confirm benefits, eligibility, and service area in official Medicare or plan materials.

Showing all 48 exact medical plan records.

Exact segment records

Medical plans reported for the whole county

39 records
H3815-046-000 HMO
Exact segment geography

Alignment Health + CommUnity 046 (HMO)

Alignment Health Plan

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$1,750 in-network
Drug coverage
Reported
H3815-046-000 — Open exact plan page
H8832-001-000 Local PPO
Exact segment geography

Alignment Health Advantage 001 (PPO)

Alignment Health Plan

Prescription-drug coverage reported
Premium
$70 / month
MOOP
$4,451 in-network
Drug coverage
Reported
H8832-001-000 — Open exact plan page
H3815-041-000 HMO
Exact segment geography

Alignment Health BreathEasy Plus 041 (HMO C-SNP)

Alignment Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3815-041-000 — Open exact plan page
H3815-042-000 HMO
Exact segment geography

Alignment Health Clarity Plus 042 (HMO C-SNP)

Alignment Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$7.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3815-042-000 — Open exact plan page
H3815-010-000 HMO
Exact segment geography

Alignment Health Heart & Diabetes 010 (HMO C-SNP)

Alignment Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$1,900 in-network
Drug coverage
Reported
H3815-010-000 — Open exact plan page
H3815-048-000 HMO
Exact segment geography

Alignment Health Heart & Diabetes 048 (HMO C-SNP)

Alignment Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$1,990 in-network
Drug coverage
Reported
H3815-048-000 — Open exact plan page
H3815-051-000 HMO
Exact segment geography

Alignment Health Heart & Diabetes 051 (HMO C-SNP)

Alignment Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0.10 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3815-051-000 — Open exact plan page
H3815-039-000 HMO
Exact segment geography

Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)

Alignment Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$7.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3815-039-000 — Open exact plan page
H3815-060-000 HMO
Exact segment geography

Alignment Health Honor Plus 060 (HMO)

Alignment Health Plan

Prescription-drug coverage reported
Premium
$7.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3815-060-000 — Open exact plan page
H3815-050-000 HMO
Exact segment geography

Alignment Health My Choice 050 (HMO)

Alignment Health Plan

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$3,499 in-network
Drug coverage
Reported
H3815-050-000 — Open exact plan page
H3815-035-000 HMO
Exact segment geography

Alignment Health ONE + Walgreens 035 (HMO)

Alignment Health Plan

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$1,300 in-network
Drug coverage
Reported
H3815-035-000 — Open exact plan page
H4471-010-002 HMO
Exact segment geography

Anthem Full Dual Advantage Aligned (HMO D-SNP)

Anthem Blue Cross

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H4471-010-002 — Open exact plan page
H0544-056-000 HMOPOS
Exact segment geography

Anthem Medicare Advantage (HMO-POS)

Anthem Blue Cross

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$3,000 in-network
Drug coverage
Reported
H0544-056-000 — Open exact plan page
H4909-030-000 Local PPO
Exact segment geography

Anthem Kidney Care (PPO C-SNP)

Anthem Blue Cross and Blue Shield

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H4909-030-000 — Open exact plan page
H4161-006-000 HMOPOS
Exact segment geography

Anthem Prime (HMO-POS)

Anthem Blue Cross Partnership Plan

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$3,000 in-network
Drug coverage
Reported
H4161-006-000 — Open exact plan page
H6170-001-000 HMOPOS
Exact segment geography

Champion Advantage (HMO-POS C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$999 in-network
Drug coverage
Reported
H6170-001-000 — Open exact plan page
H6170-007-000 HMO
Exact segment geography

Champion Ally (HMO)

Champion Heath Plan

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$499 in-network
Drug coverage
Reported
H6170-007-000 — Open exact plan page
H6170-008-000 HMO
Exact segment geography

Champion Care (HMO C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$499 in-network
Drug coverage
Reported
H6170-008-000 — Open exact plan page
H6170-009-000 HMO
Exact segment geography

Champion Choice (HMO C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$2.60 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H6170-009-000 — Open exact plan page
H6170-015-000 HMO
Exact segment geography

Champion Compass (HMO C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$999 in-network
Drug coverage
Reported
H6170-015-000 — Open exact plan page
H6170-002-000 HMOPOS
Exact segment geography

Champion Connect (HMO-POS C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H6170-002-000 — Open exact plan page
H6170-016-000 HMO
Exact segment geography

Champion Home (HMO C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H6170-016-000 — Open exact plan page
H6170-010-000 HMO
Exact segment geography

Champion Plus (HMO C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$7.30 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H6170-010-000 — Open exact plan page
H6170-017-000 HMO
Exact segment geography

Champion Secure (HMO C-SNP)

Champion Heath Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H6170-017-000 — Open exact plan page
H5619-150-000 HMO
Exact segment geography

Humana Gold Plus Giveback H5619-150 (HMO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$5,000 in-network
Drug coverage
Reported
H5619-150-000 — Open exact plan page
H5619-012-000 HMO
Exact segment geography

Humana Gold Plus H5619-012 (HMO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$2,200 in-network
Drug coverage
Reported
H5619-012-000 — Open exact plan page
H5619-191-001 HMO
Exact segment geography

Humana Gold Plus H5619-191 (HMO)

Humana

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$3,200 in-network
Drug coverage
Reported
H5619-191-001 — Open exact plan page
H5619-038-000 HMO
Exact segment geography

Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)

Humana

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5619-038-000 — Open exact plan page
H5496-016-000 HMO
Exact segment geography

Imperial Courage Plan (HMO)

Imperial Health Plan of California, Inc.

Premium
$0 / month
MOOP
$2,999 in-network
Drug coverage
Not reported
H5496-016-000 — Open exact plan page
H5496-012-000 HMO
Exact segment geography

Imperial Dynamic Plan (HMO)

Imperial Health Plan of California, Inc.

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$295 in-network
Drug coverage
Reported
H5496-012-000 — Open exact plan page
H5496-017-000 HMO
Exact segment geography

Imperial Flex (HMO C-SNP)

Imperial Health Plan of California, Inc.

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$2.70 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5496-017-000 — Open exact plan page
H5496-005-000 HMO
Exact segment geography

Imperial Senior Value (HMO C-SNP)

Imperial Health Plan of California, Inc.

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$295 in-network
Drug coverage
Reported
H5496-005-000 — Open exact plan page
H5425-102-000 HMO
Exact segment geography

SCAN Balance (HMO C-SNP)

SCAN Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$999 in-network
Drug coverage
Reported
H5425-102-000 — Open exact plan page
H5425-136-000 HMO
Exact segment geography

SCAN Costco Medicare Advantage (HMO)

SCAN Health Plan

Prescription-drug coverage reported
Premium
$0 / month
MOOP
$699 in-network
Drug coverage
Reported
H5425-136-000 — Open exact plan page
H5425-098-000 HMO
Exact segment geography

SCAN Strive (HMO C-SNP)

SCAN Health Plan

Chronic or Disabling ConditionPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H5425-098-000 — Open exact plan page
H0543-035-000 HMOPOS
Exact segment geography

AARP Medicare Advantage from UHC CA-0005 (HMO-POS)

UnitedHealthcare

Prescription-drug coverage reported
Premium
$65 / month
MOOP
$7,150 in-network
Drug coverage
Reported
H0543-035-000 — Open exact plan page
H3561-007-000 HMO
Exact segment geography

Wellcare CalViva Health Dual Align (HMO D-SNP)

Wellcare

Dual-EligiblePrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H3561-007-000 — Open exact plan page

Additional verification required

Partial-county plans — verify availability

9 records

CMS marks these exact plan-segment relationships as serving only part of the county. Confirm eligibility, service area, and enrollment rules in current official plan materials or Medicare.

H7656-001-000 National Pace
Exact segment geography

BoldAge PACE - Dual (PACE)

BoldAge PACE

Partial county — verify availabilityPrescription-drug coverage reported
Premium
Not reported
MOOP
Not reported
Drug coverage
Reported
H7656-001-000 — Open exact plan page
H7656-002-000 National Pace
Exact segment geography

BoldAge PACE - Medicare Only (PACE)

BoldAge PACE

Partial county — verify availabilityPrescription-drug coverage reported
Premium
Not reported
MOOP
Not reported
Drug coverage
Reported
H7656-002-000 — Open exact plan page
H9592-001-000 National Pace
Exact segment geography

Innovative Integrated Health (PACE)

Innovative Integrated Health Inc.

Partial county — verify availabilityPrescription-drug coverage reported
Premium
Not reported
MOOP
Not reported
Drug coverage
Reported
H9592-001-000 — Open exact plan page
H9592-002-000 National Pace
Exact segment geography

Innovative Integrated Health (PACE)

Innovative Integrated Health Inc.

Partial county — verify availabilityPrescription-drug coverage reported
Premium
Not reported
MOOP
Not reported
Drug coverage
Reported
H9592-002-000 — Open exact plan page
H8794-018-000 HMO
Exact segment geography

Kaiser Permanente Dual Complete North P18 (HMO D-SNP)

Kaiser Permanente

Dual-EligiblePartial county — verify availabilityPrescription-drug coverage reported
Premium
$0 / month
MOOP
$9,850 in-network
Drug coverage
Reported
H8794-018-000 — Open exact plan page
H0524-046-000 HMO
Exact segment geography

Kaiser Permanente Senior Advantage Basic Fresno (HMO)

Kaiser Permanente

Partial county — verify availabilityPrescription-drug coverage reported
Premium
$29 / month
MOOP
$4,900 in-network
Drug coverage
Reported
H0524-046-000 — Open exact plan page
H0524-038-000 HMO
Exact segment geography

Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)

Kaiser Permanente

Partial county — verify availabilityPrescription-drug coverage reported
Premium
$95 / month
MOOP
$2,900 in-network
Drug coverage
Reported
H0524-038-000 — Open exact plan page
H2384-001-000 National Pace
Exact segment geography

WelbeHealth Fresno, Visalia (Alt. Care Setting) (PACE)

WelbeHealth

Partial county — verify availabilityPrescription-drug coverage reported
Premium
Not reported
MOOP
Not reported
Drug coverage
Reported
H2384-001-000 — Open exact plan page
H2384-002-000 National Pace
Exact segment geography

WelbeHealth Fresno, Visalia (Alt. Care Setting) (PACE)

WelbeHealth

Partial county — verify availabilityPrescription-drug coverage reported
Premium
Not reported
MOOP
Not reported
Drug coverage
Reported
H2384-002-000 — Open exact plan page

Source and scope

How this county directory is built

This page uses the CMS Contract Year 2027 PBP benefits, Landscape, and aligned MA service-area data. County identity comes from exact contract, plan, and segment geography; stable FIPS or SSA values are used only for source-backed identity and route disambiguation.

Contract-level geography and standalone Part D geography remain available through state, carrier, and contract directories rather than being presented as exact county plan cards. Medicare Plan Lookup is an independent quick-reference tool.