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Written by David Bynon [3], Medicare Analyst since 2012.  Last updated July 15, 2025

MedicareWire is a public-trust resource. We do not sell plans or accept payment to influence content. Here's why you can trust our data and how we operate. Also see our references and how we're building EEAT trust.

Medicare Advantage
 » 
California
 » 
San Francisco County

Guide to Medicare Advantage Plans in San Francisco County, CA for 2025

List of Plans | Plan Overview | Benefits | How to Choose | Enrollment | FAQ

There are 34 Medicare Advantage plans available in San Francisco County, CA for the 2025 plan year, including 25 plans with $0 premiums. Most plans include prescription drug coverage. These counts exclude Special Needs Plans.

Not in San Francisco County? Enter your ZIP code to see plans in your area.

  • Top 3 Plans by Enrollment:
    1. Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) — 14,216 enrollees
    2. Kaiser Permanente Senior Advantage Basic SF (HMO) — 5,129 enrollees
    3. Anthem Select (HMO-POS) — 1,746 enrollees
  • Average Monthly Premium: $12.91
  • Average Maximum Out-of-Pocket Limit: $4,391
  • Average Prescription Drug Deductible: $179.19
  • Ratings (Plan Mix): 4+ Stars: 42% · 3 Stars: 39% · Below 3: 19%
  • Plan Type Breakdown 5 PPO · 22 HMO · 7 HMO-POS

San Francisco County, California Medicare Advantage Plans

Medicare Advantage Plans in San Francisco County, CA for 2024
Plan Name Type Premium MOOP Rx Ded. Rating
Aetna Medicare Core* PPO $0 $5,900 $590
☆☆☆☆☆
Aetna Medicare Core II* PPO $46 $4,900 $590
☆☆☆☆☆
Aetna Medicare Eagle Plus* PPO $0 $6,750 N/A
☆☆☆☆☆
Kaiser Permanente Senior Advantage Alam., SF, Napa* HMO $70 $3,400 $0
☆☆☆☆☆
Kaiser Permanente Senior Advantage Basic SF* HMO $0 $6,000 $0
☆☆☆☆☆
SCAN Affirm partnered with Included LGBTQ+ Health* HMO $0 $2,600 $0
☆☆☆☆☆
SCAN Allied* HMO $0 $2,900 $0
☆☆☆☆☆
SCAN Classic* HMO $0 $2,400 $0
☆☆☆☆☆
SCAN MyChoice* HMO $0 $2,400 $0
☆☆☆☆☆
Alignment Health Harmony HMO $0 $3,400 $0
☆☆☆☆☆
Alignment Health Heroes+ HMO $0 $5,900 $590
☆☆☆☆☆
Alignment Health My Choice CalPlus HMO $0 $3,499 $0
☆☆☆☆☆
Alignment Health Platinum + Instacart HMO-POS $0 $998 $0
☆☆☆☆☆
Alignment Health Sutter Advantage HMO $48 $3,900 $0
☆☆☆☆☆
HumanaChoice H5525-055 PPO $11 $6,750 $400
☆☆☆☆☆
Imperial Courage Plan HMO $0 $2,999 N/A
☆☆☆☆☆
Imperial Dynamic Plan HMO $0 $297 $0
☆☆☆☆☆
Imperial Giveback HMO $0 $9,350 $590
☆☆☆☆☆
Imperial Traditional HMO $0 $1,499 $0
☆☆☆☆☆
AARP Medicare Advantage from UHC CA-9P HMO-POS $49 $3,400 $340
☆☆☆☆☆
Aetna Medicare Select HMO-POS $0 $2,500 $0
☆☆☆☆☆
Aetna Medicare Value Plus HMO-POS $6 $2,500 $250
☆☆☆☆☆
Anthem Medicare Advantage PPO $44 $8,850 $575
☆☆☆☆☆
Anthem Prime HMO-POS $0 $2,500 $0
☆☆☆☆☆
Anthem Select HMO-POS $0 $7,550 $0
☆☆☆☆☆
Wellcare Premium Ultra HMO $144 $9,350 $420
☆☆☆☆☆
Wellcare Simple Focus HMO $0 $6,750 $420
☆☆☆☆☆
Aetna Medicare Plus HMO-POS $0 $3,400 $590
☆☆☆☆☆
CCHP Senior Program HMO $21 $6,700 $0
☆☆☆☆☆
CCHP Senior Value Program HMO $0 $7,550 $0
☆☆☆☆☆
Central Health Classic Care Plan II HMO $0 $2,499 $100
☆☆☆☆☆
Central Health Premier Plan I HMO $0 $2,999 $100
☆☆☆☆☆
Central Health Valor Care Plan HMO $0 $4,999 N/A
☆☆☆☆☆
Advantage Care HMO $0 $1,900 $0
☆☆☆☆☆
**Certain PFFS, MSA, and HMO-POS plans have a combined in and out-of-network maximum. Limits are detailed on the plan pages.
📊 At a Glance: Medicare Advantage in San Francisco County
Average Monthly Premium
$12.91
Plans with $0 Premium
25
Average MOOP Limit
$4,391 ($9,350 max. in 2025)
Average Rx Deductible
$179.19
Plans Without Drug Coverage
4 (standalone California Part D plans)
Plans with 5-Star Ratings
No 5-star plans available.
Stars  Ratings (Plan Mix)
4+ Stars: 42% · 3 Stars: 39% · Below 3: 19%
Plans Available
34 (excluding San Francisco County SNP plans)
Plan Type Breakdown
5 PPO · 22 HMO · 7 HMO-POS
Countywide Enrollments
35,144 (excluding SNP plans)
Top 3 Plans by Enrollment
1. Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO) — 14,216 enrollees
2. Kaiser Permanente Senior Advantage Basic SF (HMO) — 5,129 enrollees
3. Anthem Select (HMO-POS) — 1,746 enrollees

Data Sources: CY2025 Landscape, PBP Benefits, Star Ratings Data, Monthly Enrollment by CPSC, and SimpleMaps U.S. Counties. Enrollment data last updated April 7, 2025. County demographic data last updated April 5, 2025.

Understanding Your Medicare Advantage Options

Medicare Advantage Plans, also known as Medicare Part C, are private health plans that provide all-in-one coverage, including Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). On top of the core benefits, many of the plans in San Francisco County throw in some nice extras - think prescription drug coverage, dental, vision, and wellness programs - making them a solid choice for those in San Francisco County looking for something more than Original Medicare.

🏥 Health Maintenance Organization (HMO) Plans

HMO plan members must use the plan's network of doctors and hospitals in San Francisco County, and typically need a referral to see a specialist. Some Medicare Advantage HMO Plans may have lower costs but offer less flexibility in choosing healthcare providers. There are 26,712 residents enrolled in HMO plans in this county. The most popular plan is Kaiser Permanente Senior Advantage Alam., SF, Napa .

🔓 Preferred Provider Organization (PPO)

A PPO allows more flexibility in choosing healthcare providers, with the option to see specialists without referrals, though often at a higher cost. Medicare Advantage PPOs usually have higher premiums and out-of-pocket expenses. There are 1,453 San Francisco County residents enrolled in PPO plans. The most popular of these plans by enrollments is Aetna Medicare Core .

🔀 Health Maintenance Organization Point of Sale (HMO-POS)

Medicare HMO-POS plans are a type of HMO that offers a little more flexibility. Like a regular HMO, you typically use the plan's network of doctors and hospitals for care, usually requiring a referral to see specialists. However, an HMO-POS plan lets you receive certain healthcare services outside of the network at a higher cost. There are 6,979 residents enrolled in HMO-POS plans in this San Francisco County. The most popular plan by enrollments is Anthem Select .

If you qualify for Original Medicare or Medicare Advantage in San Francisco County but don't know where to begin, we have licensed insurance agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions (Mon-Fri 5am-6pm, Sat 6am-5pm PST) and help you get enrolled. There's no obligation.

Advantages of Enrolling in Medicare Advantage

Enrolling in a Medicare Advantage Plan can offer significant benefits compared to Original Medicare. These plans provide all-in-one coverage, including hospital and medical insurance, and often come with added perks like drug coverage, dental care, and wellness programs. With a Medicare Advantage Plan, you can access a wider range of services while potentially reducing your overall healthcare costs.

Below are some of the key benefits you can enjoy in San Francisco County with a Medicare Advantage Plan:

🧑‍⚕️Coordinated Care

Plans often include care coordination services, which help you manage your healthcare across different providers and services.

💸 Cost Savings

Many plans have low or $0 premiums and offer capped out-of-pocket costs, providing financial protection against high medical expenses.

🧾 Comprehensive Coverage

Includes Medicare Part A, Part B, and often Part D (prescription drug coverage), along with additional benefits like dental, vision, and hearing.

🧘 Wellness Programs

Many Yavapai County plans offer free gym memberships, wellness programs, and preventive care services. You need to stay healthy, right?

Tips for Selecting a Medicare Advantage Plan

Choosing the right Medicare Advantage Plan out of the 34 plans available in San Francisco County requires careful consideration of several key factors:

🏥1. Provider Network

Verify that your current doctors and preferred hospitals are included in the plan's network. Access to your healthcare providers can significantly impact your care experience.

💊 2. Prescription Drug Coverage

Make sure the plan covers your medications, particularly if you have specific prescriptions you rely on regularly.

💰 3. Costs

Examine the plan's premiums, copayments, and out-of-pocket limits. Compare these costs against your budget to avoid unexpected expenses.

🎁 4. Additional Benefits

Consider what extra services, such as dental, vision, or wellness programs, are important to you, and check if the plan offers them.

⭐ 5. Plan Ratings

Look into the plan's star ratings, which provide insight into the plan's overall quality and member satisfaction.

Learn more about the basics of comparing Medicare Advantage Plans.

Medicare Advantage Enrollment Periods

Making sense of Medicare Advantage enrollment periods can seem overwhelming, but it's worth the effort for better health coverage. Missing these key dates could delay your coverage or limit your plan choices for 2025 in San Francisco County.

📅 Initial Enrollment Period (IEP)

This is your first opportunity to enroll in a Medicare Advantage Plan when you first become eligible for Medicare. Your Initial Enrollment Period lasts for seven months, starting three months before your 65th birthday.

🗓️ Annual Enrollment Period (AEP)

Occurs every year from October 15 to December 7. During the Annual Enrollment Period, you can switch, drop, or join a Medicare Advantage Plan.

🔁 Open Enrollment Period (OEP)

From January 1 to March 31, you can switch Medicare Advantage plans or return to Original Medicare if you’re already enrolled in a Medicare Advantage Plan.

For more detailed information on the enrollment periods and how to enroll, visit our comprehensive guide on Medicare Advantage Plan Enrollment.

Frequently Asked Questions

What are the most popular Medicare Advantage plan types in San Francisco County?

Based on the 2025 plan data, PPO plans are the most common in San Francisco County. The full breakdown of plan types is: 5 PPO · 22 HMO · 7 HMO-POS.

How much can I expect to pay out of pocket for Medicare Advantage plans?

The average maximum out-of-pocket limit (MOOP) in San Francisco County is $4,391 for 2025.

Do any Medicare Advantage plans in San Francisco County have 5-star ratings?

No 5-star rated Medicare Advantage plans are available in San Francisco County for the 2025 plan year. However, 42% of plans have a rating of 4 stars or higher.

What is the average monthly premium for Medicare Advantage plans in San Francisco County?

The average monthly premium for Medicare Advantage plans in San Francisco County is $12.91. A total of 25 offer $0 premiums, though costs vary by plan type and benefits.

More About These Plans

Carrier Plans Offered

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

Master Plan Pages by Plan ID

The plan pages listed in the table above have been modified for localization to help consumers identify plans available in their area. Most plans are available in multiple areas. The following list of plan IDs link to each plan's master page.

H5521 425, H5521 581, H5521 369, H0524 032, H0524 060, H5425 107, H5425 118, H5425 019, H5425 121, H3815 031, H3815 043, H3815 007, H3815 016, H3815 023, H5525 055, H5496 016, H5496 012, H5496 014, H5496 007, H0543 191, H0523 070, H0523 076, H8552 029, H4161 004, H0544 069, H0562 009, H0562 097, H4982 007, H0571 001, H0571 007, H5649 028, H5649 023, H5649 030, H3274 005

Plan Availability

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 San Francisco, and all other areas of San Francisco County, California, including the following zip codes: 94102, 94103, 94104, 94105, 94107, 94108, 94109, 94110, 94111, 94112, 94114, 94115, 94116, 94117, 94118, 94119, 94120, 94121, 94122, 94123, 94124, 94125, 94126, 94127, 94129, 94130, 94131, 94132, 94133, 94134, 94137, 94139, 94140, 94141, 94142, 94143, 94144, 94145, 94146, 94147, 94151, 94158, 94159, 94160, 94161, 94163, 94164, 94172, 94177, 94188, 94501, 94920.

Citations & References
  • Medicare.gov, "Understanding Medicare Advantage Plans", Last Accessed 19 March, 2025
  • UHC.com, "What are Special Needs Plans?", Last Accessed 19 March, 2025
  • Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?", Last Accessed 19 March, 2025
  • Plan and enrollment data provided by the Centers for Medicare & Medicaid Services (CMS)
  • Data processed and interpreted by MedicareWire.com editorial team.
  • Read our methodology and sourcing policy.

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On This Page

  • List of Plans
  • Plan Overview
  • Benefits
  • How to Choose
  • Enrollment

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[3]About the Author

David Bynon is a Medicare analyst, published author, and U.S. Navy veteran with over 40 years of experience in cryptology, cybersecurity, and healthcare systems. Since founding MedicareWire in 2012, he has delivered independent, data-driven Medicare research to help seniors make informed, confident decisions.

David is also the founder of TrustPublishing.com and the inventor of the Memory-First Publishing and Semantic Digest protocols.

Connect with David on LinkedIn or view his Amazon Author Profile. His latest book, Why Medicare Advantage Plans Are Bad, is available on Amazon.

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