Call SelectQuote
Work with one of our licensed insurance agents to get answers to your Medicare questions, unbiased comparisons of coverage and resources to simplify the entire process. Call 1-833-574-3011 (TTY: 1-877-486-2048) to get started.
Get More From a Medicare Advantage Plan
An alternative to Original Medicare, Medicare Advantage plans can be beneficial to many. Let SelectQuote help you decide whether a Medicare Advantage plan is a good fit for you. It’s free, and there’s no obligation to enroll.

Medicare Advantage (Part C) plans provide an alternative to Original Medicare in California by combining hospital insurance (Part A) and medical insurance (Part B) with additional coverages like prescription drug (Part D) coverage into a single plan. For 2026, many California Medicare Advantage plans feature a $0 monthly premium and incorporate the $2,100 out-of-pocket maximum on Part D prescription drugs. Because provider networks and extra benefits vary drastically by your specific California ZIP code, comparing local carriers is essential to ensure you do not overpay for coverage.
Total Medicare Enrollment: More than 7 million Californians are enrolled in Medicare, with over half choosing a Medicare Advantage plan.
Plan Options: For 2026, beneficiaries have access to over 400 Medicare Advantage plans statewide, though availability varies by ZIP code.
Affordability: In California, over 95% of people with Medicare have access to a Medicare Advantage plan with a $0 monthly premium.
A Medicare Advantage plan (Medicare Part C) serves as an alternative to Original Medicare. Private insurance companies approved by Medicare administer these plans, which are legally required to cover the exact same inpatient hospital (Part A) and outpatient medical (Part B) services as the federal program.
However, Medicare Advantage plans typically include additional benefits that Original Medicare lacks, such as routine dental, vision, and wellness allowances. Plan choices may be structured as a Medicare Advantage Prescription Drug (MAPD) plan, which integrates your pharmacy benefits into your main health plan. For the 2026 plan year, these plans include a federal safeguard: a $2,100 out-of-pocket maximum cap on prescription drug expenses. Once your out-of-pocket spending on covered medications hits $2,100, your plan pays 100% of your drug costs for the rest of the year.
California is home to the largest Medicare Advantage market in the country, giving residents access to distinct network designs tailored to different lifestyles:
Health Maintenance Organizations (HMOs): California features a wide urban HMO market. In high-population hubs such as Los Angeles, San Diego, and the San Francisco Bay Area, major carriers operate highly integrated networks. Under an HMO framework, primary care coordination is standard: you select a primary care provider (PCP) who oversees your day-to-day medical needs and provides formal referrals for specialists. This structured model helps keep monthly plan premiums and copays significantly lower.
Preferred Provider Organizations (PPOs): If you split your time between regions, travel frequently, or live in a more rural part of the state (like the Central Valley or northern mountain counties), a PPO offers greater flexibility. PPO plans grant you the freedom to see out-of-network specialists or visit doctors nationwide who participate in Medicare without needing a primary care referral. While you will typically pay slightly higher cost-sharing when you go outside the preferred network, you are never restricted by network boundaries.
Carrier | Plan Types Available in CA | |
HMO, PPO, D-SNP, C-SNP | Strong footprint across major California regions | |
HMO, PPO | Highly rated for PPO flexibility | |
HMO, PPO | Competitive $0 premium offerings | |
HMO, PPO, D-SNP | Extensive provider network | |
Alignment Health Plan | HMO, PPO, C-SNP | California-based, with targeted chronic condition support |
Source: CMS Part C and D Performance Data
CMS Star Ratings are evaluated annually by the Centers for Medicare & Medicaid Services (CMS). Ratings and plan availability can vary significantly by California county.
Because private insurance companies manage Medicare Advantage plan options, plan availability is hyper-local. Carrier networks, official Medicare Star Ratings, and your monthly out-of-pocket costs can vary by county or ZIP code.
Here is how the private insurance landscape shapes up across California’s three most populous regions:
Los Angeles County: As the largest population center in the state, Los Angeles County features the highest density of plan availability and options. Beneficiaries have access to an extensive selection of plans, including specialized Dual-Eligible Special Needs Plans (D-SNPs) tailored for individuals who require closely coordinated medical care and maximum cost savings.
San Diego County: This region offers competitive plan options from both local and national insurance companies. Beneficiaries can shop a mix of HMO and PPO networks, making it easier to find an option that balances additional wellness benefits with access to your preferred local medical groups.
Orange County: Known for a high concentration of high-quality, highly rated Medicare Advantage plan networks, Orange County residents enjoy strong provider access. Insurers compete heavily here, resulting in comprehensive benefit packages and stable plan networks.
Disclaimer: Medicare Advantage plan availability, premiums, and provider networks in California vary by county and ZIP code. County-level descriptions are based on general Medicare market trends, population distribution, and typical rural vs. urban plan availability patterns. Actual plan options and benefits are determined by each insurance carrier and may change annually.
Annual Enrollment Period (AEP) | October 15 to December 7: This is the primary fall window for any current Medicare beneficiary to switch or adjust coverage. During this time, you can transition from Original Medicare to a Medicare Advantage plan, swap between different Part C policies, or change your standalone Part D prescription drug coverage. All changes take effect on January 1.
Medicare Advantage Open Enrollment Period (OEP) | January 1 to March 31: If you are already enrolled in a private Medicare Advantage plan on January 1, this dedicated winter timeline provides a one-time opportunity to adjust your choice. You can switch to a completely different Medicare Advantage plan or return to Original Medicare (with the option to add a standalone Part D policy).
Special Enrollment Period (SEP) | Occurs Based on Qualifying Events: You may qualify to change your coverage outside standard enrollment timelines if you experience specific qualifying life events. Common triggers for California residents include relocating permanently to a new county within the state, losing existing employer-sponsored medical coverage, or newly qualifying for state Medicaid benefits.
Yes. Even if you select a California Medicare Advantage plan with a $0 monthly premium, you are still required to pay the standard Medicare Part B premium, which is set by the federal government at $202.90 per month for the 2026 plan year.
Yes. If you qualify for both Medicare and Medi-Cal (California's Medicaid program), you are generally eligible to enroll in a Dual-Eligible Special Needs Plan (D-SNP). These specialized plans coordinate your state and federal benefits, often resulting in $0 premiums, $0 copays, and extra dental or over-the-counter credits.
Most Californians can only change plans during the fall Annual Enrollment Period (October 15 to December 7) or the Medicare Advantage Open Enrollment Period (January 1 to March 31). However, you may qualify for a Special Enrollment Period (SEP) to make a mid-year switch if you experience a life change, such as moving out of your plan's service county, losing job-based insurance, or newly qualifying for Medi-Cal.
Medicare Advantage plans can be beneficial for many, but they do limit you to a specific network and service area. If you prefer broader flexibility, you can choose to stay enrolled in Original Medicare and purchase an additional Medicare Supplement Insurance (Medigap) plan instead.
Medicare Supplement plans in California work alongside your federal benefits to help cover remaining out-of-pocket expenses, like deductibles and coinsurance. Because these plans supplement Original Medicare rather than replacing it, they carry no network restrictions. You can visit any doctor, specialist, or hospital nationwide, provided they participate in Medicare.
With more than 40 years of experience guiding our customers through insurance options, SelectQuote makes shopping for insurance stress-free. Our licensed insurance agents compare options from a dozen recognized insurance carriers in minutes, providing clear, objective data so you can make your choice with confidence. We’ll also provide ongoing support during key enrollment windows, ensuring you stay informed about changes to your area’s Medicare Advantage plan network and availability.
A+ BBB Rating: Our long-term commitment to customer service standards and consumer trust is backed by our A+ accreditation with the Better Business Bureau.
Excellent on Trustpilot: Thousands of customers have rated our straightforward, hassle-free process "Excellent" on Trustpilot, where we maintain a highly rated status.
Localized Expertise: Our licensed insurance agents understand the specific county-by-county network rules across California, helping you align your plan perfectly with your favorite neighborhood providers.
Work with one of our licensed insurance agents to get answers to your Medicare questions, unbiased comparisons of coverage and resources to simplify the entire process. Call 1-833-574-3011 (TTY: 1-877-486-2048) to get started.
If you’re pressed for time, complete this form and a member of our team will call you at your selected time.