Medicare plans in San Francisco County, CA
51 plans are approved for San Francisco County, and 35 of them have no monthly premium. 47 carry a CMS star rating.
51.7% of the 160,461 people eligible for Medicare in San Francisco County are already in a Medicare Advantage plan (September 2026). Across California it is 51.5%, and across the country 51.6% — summed by us from the county counts CMS published.
All plans · Medicare Advantage · Special Needs Plans · Part D drug plans
Across these 51 plans the median monthly premium here is $0.00, the median out-of-pocket cap $4,900, and the median star rating 4.0 (medians are ours; every figure in the table is as CMS published it).
| Plan | Premium a month | Most you can pay a year | Drug deductible | Stars | Enrolled here |
|---|---|---|---|---|---|
| Aetna Medicare Eagle (PPO) Aetna Medicare · PPO |
$0 | $6,750 | Not published | 4.5/5 | 87 |
| Aetna Medicare Signature (PPO) Aetna Medicare · PPO |
$0 | $6,750 | $615 | 4.5/5 | 728 |
| Alignment Health Heart & Diabetes (HMO C-SNP) Alignment Health Plan · HMO C-SNP |
$0 | $1,499 | $0 | 4.0/5 | 57 |
| Alignment Health Platinum + Instacart (HMO-POS) Alignment Health Plan · HMO-POS |
$0 | $998 | $0 | 4.0/5 | 777 |
| Alignment Health CalPlusDuals (HMO D-SNP) Alignment Health Plan · HMO D-SNP |
$0 | $9,250 | $615 | 4.0/5 | 120 |
| Alignment Health Harmony (HMO) Alignment Health Plan · HMO |
$0 | $3,400 | $0 | 4.0/5 | 138 |
| Alignment Health Heart & Diabetes Care (HMO C-SNP) Alignment Health Plan · HMO C-SNP |
$0 | $1,990 | $0 | 4.0/5 | 44 |
| Alignment Health My Choice CalCare (HMO) Alignment Health Plan · HMO |
$0 | $3,499 | $0 | 4.0/5 | 353 |
| Alignment Health Honor+ Plan (HMO) Alignment Health Plan · HMO |
$0 | $9,250 | $615 | 4.0/5 | 67 |
| SCAN Classic (HMO) SCAN Health Plan · HMO |
$0 | $1,499 | $250 | 4.0/5 | 2,503 |
| SCAN Strive (HMO C-SNP) SCAN Health Plan · HMO C-SNP |
$0 | $9,250 | $250 | 4.0/5 | 1,388 |
| SCAN Balance (HMO C-SNP) SCAN Health Plan · HMO C-SNP |
$0 | $1,499 | $250 | 4.0/5 | 342 |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) SCAN Health Plan · HMO |
$0 | $1,499 | $250 | 4.0/5 | 42 |
| SCAN Allied (HMO) SCAN Health Plan · HMO |
$0 | $1,999 | $250 | 4.0/5 | 1,491 |
| SCAN MyChoice (HMO) SCAN Health Plan · HMO |
$0 | $1,999 | $250 | 4.0/5 | 54 |
| Kaiser Permanente Dual Complete North P19 (HMO D-SNP) Kaiser Permanente · HMO D-SNP |
$0 | $9,250 | $615 | 4.0/5 | 3,754 |
| Wellcare Specialty Simple Focus (HMO C-SNP) Wellcare · HMO C-SNP |
$0 | $9,250 | $615 | 3.5/5 | 43 |
| Imperial Senior Value (HMO C-SNP) Imperial Health Plan of California, Inc. · HMO C-SNP |
$0 | $296 | $0 | 3.5/5 | 39 |
| Imperial Dynamic Plan (HMO) Imperial Health Plan of California, Inc. · HMO |
$0 | $296 | $0 | 3.5/5 | 399 |
| Imperial Courage Plan (HMO) Imperial Health Plan of California, Inc. · HMO |
$0 | $2,999 | Not published | 3.5/5 | Fewer than 11 |
| Humana USAA Honor Giveback (PPO) Humana · PPO |
$0 | $6,500 | Not published | 3.5/5 | 11 |
| Aetna Medicare Signature Extra (HMO-POS) Aetna Medicare · HMO-POS |
$0 | $3,600 | $300 | 3.0/5 | 954 |
| Anthem Select (HMO-POS) Anthem Blue Cross · HMO-POS |
$0 | $7,550 | $160 | 3.0/5 | 1,161 |
| CCHP Senior Select Program (HMO D-SNP) CCHP (Chinese Community Health Plan) · HMO D-SNP |
$0 | $3,400 | $615 | 3.0/5 | 3,758 |
| CCHP Senior Value Program (HMO) CCHP (Chinese Community Health Plan) · HMO |
$0 | $3,500 | $0 | 3.0/5 | 489 |
| Anthem Prime (HMO-POS) Anthem Blue Cross Partnership Plan · HMO-POS |
$0 | $2,500 | $0 | 3.0/5 | 1,884 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) Anthem Blue Cross · HMO D-SNP |
$0 | $9,250 | $615 | 3.0/5 | 9,625 |
| Aetna Medicare Signature (HMO) Aetna Medicare · HMO |
$0 | $3,900 | $615 | 3.0/5 | 230 |
| Central Health Classic Care Plan IV (HMO) Central Health Medicare Plan · HMO |
$0 | $2,499 | $100 | 3.0/5 | 340 |
| Central Health Dual Access Plan (HMO D-SNP) Central Health Medicare Plan · HMO D-SNP |
$0 | $9,250 | $550 | 3.0/5 | 46 |
| Central Health Embrace Care Plan (HMO C-SNP) Central Health Medicare Plan · HMO C-SNP |
$0 | $1,800 | $615 | 3.0/5 | 76 |
| Central Health Embrace Choice Plan (HMO C-SNP) Central Health Medicare Plan · HMO C-SNP |
$0 | $9,250 | $615 | 3.0/5 | 38 |
| Central Health Valor Care Plan (HMO) Central Health Medicare Plan · HMO |
$0 | $4,400 | Not published | 3.0/5 | Fewer than 11 |
| Premier Care (HMO I-SNP) Align Senior Care · HMO I-SNP |
$0 | $1,900 | $0 | Not enough data to rate | Fewer than 11 |
| Advantage Care (HMO) Align Senior Care · HMO |
$0 | $1,900 | $0 | Not enough data to rate | Fewer than 11 |
| Alignment Health Heart & Diabetes Choice (HMO C-SNP) Alignment Health Plan · HMO C-SNP |
$0.70 | $9,250 | $615 | 4.0/5 | 41 |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP) UnitedHealthcare · HMO-POS C-SNP |
$8.90 | $9,250 | $615 | 4.0/5 | 71 |
| Alignment Health Heart & Diabetes CalPlus (HMO C-SNP) Alignment Health Plan · HMO C-SNP |
$12.00 | $9,250 | $615 | 4.0/5 | 113 |
| Alignment Health BreathEasy (HMO C-SNP) Alignment Health Plan · HMO C-SNP |
$12.00 | $9,250 | $615 | 4.0/5 | 11 |
| Alignment Health Clarity (HMO C-SNP) Alignment Health Plan · HMO C-SNP |
$12.00 | $9,250 | $615 | 4.0/5 | Fewer than 11 |
| Wellcare Dual Liberty (HMO D-SNP) Wellcare · HMO D-SNP |
$12.00 | $9,250 | $425 | 3.5/5 | 1,238 |
| Senior Care (HMO I-SNP) Align Senior Care · HMO I-SNP |
$12.00 | $9,250 | $615 | Not enough data to rate | Fewer than 11 |
| SFHP Care Plus (HMO D-SNP) San Francisco Health Plan · HMO D-SNP |
$12.00 | $9,250 | $615 | Too new to be rated | 1,225 |
| Kaiser Permanente Senior Advantage Basic SF (HMO) Kaiser Permanente · HMO |
$19.00 | $6,000 | $0 | 4.5/5 | 6,283 |
| CCHP Senior Program (HMO) CCHP (Chinese Community Health Plan) · HMO |
$21.00 | $3,000 | $0 | 3.0/5 | 776 |
| Wellcare Low Premium (HMO) Wellcare · HMO |
$33.00 | $9,250 | $615 | 3.5/5 | 1,151 |
| Alignment Health Sutter Advantage +More (HMO) Alignment Health Plan · HMO |
$48.00 | $4,900 | $0 | 4.0/5 | 491 |
| Aetna Medicare Enhanced (PPO) Aetna Medicare · PPO |
$63.00 | $5,900 | $615 | 4.5/5 | 183 |
| HumanaChoice H5525-087 (PPO) Humana · PPO |
$67.00 | $6,750 | $615 | 3.5/5 | 101 |
| AARP Medicare Advantage from UHC CA-9 (HMO-POS) UnitedHealthcare · HMO-POS |
$69.00 | $4,900 | $440 | 4.0/5 | 853 |
| Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) Kaiser Permanente · HMO |
$99.00 | $3,900 | $0 | 4.5/5 | 13,802 |
Plan types: HMO: Health Maintenance Organization — you use the plan's own network of doctors and hospitals, and usually need a referral to see a specialist. HMO-POS: HMO with a point-of-service option — an HMO that also lets you use some services out of network, at a higher cost. PPO: Preferred Provider Organization — you can see any Medicare provider, and pay less inside the plan's network. D-SNP: Dual-eligible Special Needs Plan — only for people who have both Medicare and Medicaid. C-SNP: Chronic-condition Special Needs Plan — only for people with a specific condition the plan names, such as diabetes or heart failure. I-SNP: Institutional Special Needs Plan — only for people living in a nursing facility, or who need that level of care at home.
Get told when this changes
Plans arriving in or leaving San Francisco County, and premiums moving, when CMS republishes.
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Nearby and related
Largest California counties by plans on offer: Los Angeles County (121) · Orange County (104) · San Bernardino County (98) · San Diego County (93) · Riverside County (91) · Santa Clara County (46)
Counties selling the same plans: Alameda County (24 of these 51 plans) · San Mateo County (20 of these 51 plans) · Santa Clara County (20 of these 51 plans) · Sacramento County (19 of these 51 plans) · Marin County (18 of these 51 plans) · Orange County (17 of these 51 plans) · San Joaquin County (17 of these 51 plans) · Yolo County (17 of these 51 plans)
All California counties · What changed recently
CMS files as loaded on 17 September 2026. Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file as published in the September 2026 release. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. The only figures we calculate are the averages and medians marked as ours, from those same files. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.