2027 Medicare plans in San Francisco County, CA
The Medicare Advantage and Part D drug plans sold in San Francisco County, California for 2027 in CMS's plan data, with each plan's premium, out-of-pocket maximum and star rating. Open enrollment for 2027 runs October 15 to December 7, 2026.
At a glance
- 56 plans from 15 insurance companies
- Medicare Advantage plans with drug coverage: 22, premiums $0 to $105 a month; 10 have a $0 premium
- Part D drug plans: 10, premiums $5.30 to $252.60 a month
- Plans with a CMS star rating of 4 or more: 19
Compare these plans for your prescriptions
Enter your ZIP code and add your prescriptions to see each plan's estimated yearly cost, including your drugs, next to Cost Plus Drugs prices.
Compare plans with my prescriptionsMedicare Advantage plans with drug coverage (22)
| Plan | Premium per month | Out-of-pocket max | Stars |
|---|---|---|---|
| Aetna Medicare Signature Extra (HMO)Aetna Medicare · HMO · drug deductible $400 | $0 | $3,600 | ★ 3.0 |
| Alignment Health My Choice 050 (HMO)Alignment Health Plan · HMO · drug deductible $0 | $0 | $3,499 | ★ 3.5 |
| Alignment Health Platinum + Instacart 016 (HMO-POS)Alignment Health Plan · HMO-POS · drug deductible $0 | $0 | $1,100 | ★ 3.5 |
| Anthem Prime (HMO-POS)Anthem Blue Cross Partnership Plan · HMO-POS · drug deductible $440 | $0 | $2,500 | ★ 3.0 |
| Anthem Select (HMO-POS)Anthem Blue Cross · HMO-POS · drug deductible $160 | $0 | $7,550 | ★ 3.5 |
| CCHP Senior Value Program (HMO)CCHP (Chinese Community Health Plan) · HMO · drug deductible $0 | $0 | $3,500 | ★ 3.0 |
| Central Health Harmony 031 (HMO)Alignment Health Plan · HMO · drug deductible $0 | $0 | $3,400 | ★ 3.5 |
| Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc. · HMO · drug deductible $0 | $0 | $295 | ★ 4.0 |
| SCAN Allied (HMO)SCAN Health Plan · HMO · drug deductible $75 | $0 | $2,900 | ★ 4.0 |
| SCAN Classic (HMO)SCAN Health Plan · HMO · drug deductible $450 | $0 | $2,500 | ★ 4.0 |
| SCAN Costco Medicare Advantage (HMO)SCAN Health Plan · HMO · drug deductible $450 | $2 | $2,500 | ★ 4.0 |
| SCAN Inclusive (HMO)SCAN Health Plan · HMO · drug deductible $250 | $2 | $2,500 | ★ 4.0 |
| Alignment Health Honor Plus 060 (HMO)Alignment Health Plan · HMO · drug deductible $700 | $7.30 | $9,850 | ★ 3.5 |
| Aetna Medicare Signature (HMO)Aetna Medicare · HMO · drug deductible $700 | $10 | $3,900 | ★ 2.5 |
| Kaiser Permanente Senior Advantage Basic SF (HMO)Kaiser Permanente · HMO · drug deductible $0 | $28 | $6,000 | ★ 4.5 |
| Wellcare Low Premium Focus (HMO)Wellcare · HMO · drug deductible $700 | $30.50 | $9,250 | ★ 3.5 |
| CCHP Senior Program (HMO)CCHP (Chinese Community Health Plan) · HMO · drug deductible $0 | $38 | $3,000 | ★ 3.0 |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO)SCAN Health Plan · HMO · drug deductible $0 | $49 | $4,900 | ★ 4.0 |
| Alignment Health Sutter Advantage +More (HMO)Alignment Health Plan · HMO · drug deductible $0 | $50 | $4,900 | ★ 3.5 |
| AARP Medicare Advantage from UHC CA-9 (HMO-POS)UnitedHealthcare · HMO-POS · drug deductible $685 | $71 | $5,900 | ★ 3.0 |
| HumanaChoice H5525-087 (PPO)Humana · PPO · drug deductible $700 | $96 | $7,150 | ★ 4.0 |
| Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)Kaiser Permanente · HMO · drug deductible $0 | $105 | $3,900 | ★ 4.5 |
Medicare Advantage plans without drug coverage (3)
| Plan | Premium per month | Out-of-pocket max | Stars |
|---|---|---|---|
| Aetna Medicare Eagle (HMO)Aetna Medicare · HMO | $0 | $4,450 | ★ 3.0 |
| Humana USAA Honor Giveback (PPO)Humana · PPO | $0 | $6,500 | ★ 4.0 |
| Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc. · HMO | $0 | $2,999 | ★ 4.0 |
Special Needs Plans (only for people who qualify) (21)
| Plan | Premium per month | Out-of-pocket max | Stars |
|---|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO · drug deductible $700 | $0 | $3,600 | ★ 3.0 |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP)Alignment Health Plan · HMO · drug deductible $700 | $0 | $9,850 | ★ 3.5 |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP)Alignment Health Plan · HMO · drug deductible $0 | $0 | $1,900 | ★ 3.5 |
| Alignment Health Heart & Diabetes 048 (HMO C-SNP)Alignment Health Plan · HMO · drug deductible $0 | $0 | $1,990 | ★ 3.5 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue Cross · HMO · drug deductible $105 | $0 | $9,850 | ★ 3.0 |
| CCHP Senior Select Program (HMO D-SNP)CCHP (Chinese Community Health Plan) · HMO · drug deductible $700 | $0 | $9,850 | ★ 3.0 |
| Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc. · HMO · drug deductible $0 | $0 | $295 | ★ 4.0 |
| Kaiser Permanente Dual Complete North P19 (HMO D-SNP)Kaiser Permanente · HMO · drug deductible $700 | $0 | $9,850 | ★ 4.5 |
| Premier Care (HMO I-SNP)Align Senior Care · HMO · drug deductible $50 | $0 | $1,900 | Not rated |
| SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO · drug deductible $450 | $0 | $1,900 | ★ 4.0 |
| SCAN Strive (HMO C-SNP)SCAN Health Plan · HMO · drug deductible $450 | $0 | $9,850 | ★ 4.0 |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP)UnitedHealthcare · HMO-POS · drug deductible $100 | $0 | $9,850 | ★ 3.0 |
| Wellcare Health Net Dual Liberty (HMO D-SNP)Wellcare · HMO · drug deductible $700 | $0 | $9,850 | ★ 3.5 |
| Wellcare Specialty Simple Focus (HMO C-SNP)Wellcare · HMO · drug deductible $700 | $0 | $9,250 | ★ 3.5 |
| Alignment Health Heart & Diabetes 051 (HMO C-SNP)Alignment Health Plan · HMO · drug deductible $700 | $0.10 | $9,850 | ★ 3.5 |
| Imperial Flex (HMO C-SNP)Imperial Health Plan of California, Inc. · HMO · drug deductible $450 | $2.70 | $9,850 | ★ 4.0 |
| Alignment Health Clarity Plus 042 (HMO C-SNP)Alignment Health Plan · HMO · drug deductible $700 | $7.30 | $9,850 | ★ 3.5 |
| Alignment Health Duals+ 030 (HMO D-SNP)Alignment Health Plan · HMO · drug deductible $700 | $7.30 | $9,850 | ★ 3.5 |
| Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)Alignment Health Plan · HMO · drug deductible $700 | $7.30 | $9,850 | ★ 3.5 |
| Senior Care (HMO I-SNP)Align Senior Care · HMO · drug deductible $700 | $7.30 | $9,850 | Not rated |
| SFHP Care Plus (HMO D-SNP)San Francisco Health Plan · HMO · drug deductible $700 | $7.30 | $9,850 | Not rated |
Part D drug plans (to add to Original Medicare) (10)
| Plan | Premium per month | Drug deductible | Stars |
|---|---|---|---|
| Wellcare Value Script (PDP)Wellcare · PDP | $5.30 | $700 | ★ 3.0 |
| Wellcare Classic (PDP)Wellcare · PDP | $7.30 | $700 | ★ 3.0 |
| HealthSpring Assurance Rx (PDP)Blue Cross and Blue Shield of IL, NM, OK, TX · PDP | $9.30 | $700 | ★ 2.5 |
| Humana Basic Rx Plan (PDP)Humana · PDP | $118.30 | $700 | ★ 4.5 |
| Humana Value Rx Plan (PDP)Humana · PDP | $130.30 | $687 | ★ 4.5 |
| AARP Medicare Rx Saver from UHC (PDP)UnitedHealthcare · PDP | $170.80 | $700 | ★ 3.0 |
| Humana Premier Rx Plan (PDP)Humana · PDP | $191.20 | $350 | ★ 4.5 |
| Blue Shield Rx Plus (PDP)Blue Shield of California · PDP | $210 | $700 | ★ 2.5 |
| AARP Medicare Rx Preferred from UHC (PDP)UnitedHealthcare · PDP | $242.60 | $300 | ★ 3.0 |
| Blue Shield Rx Enhanced (PDP)Blue Shield of California · PDP | $252.60 | $200 | ★ 2.5 |
Sorted by monthly premium. The lowest premium isn't always the lowest total cost: drug costs, copays and the out-of-pocket maximum matter too.
Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.