Modesto & Stanislaus County Comparisons

   

   
Annual estimated out-of-pocket costs for Medicare Advantage Plan members*
All Plans below include Medicare Part D - Drug Benefits    Indicates $0 Premium Plans
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#1 Central Health 
(Classic Care HMO) 		 $393 Imperial Health
(Dynamic HMO) 		 $920 Imperial Health
(Dynamic HMO) 		 $1,764
#2 Imperial Health
(Dynamic HMO) 		 $435 SCAN Health Plan
(Classic HMO)   		 $1,581 SCAN Health Plan
(Classic HMO)   		 $1,898
#3 Anthem Blue Cross
(Prime HMO)  		 $562 Central Health 
(Classic Care HMO) 		 $1,991 Anthem Blue Cross
(Prime HMO)  		 $2,919
#4 Humana 
(Gold Plus HMO) 		 $795 Humana 
(Gold Plus HMO) 		 $2,219 Humana 
(Gold Plus HMO) 		 $3,807
#5 SCAN Health Plan
(Classic HMO)   		 $809 Anthem Blue Cross
(Prime HMO)  		 $2,329 Central Health 
(Classic Care HMO) 		 $4,209
#6 Alignment Health Plan
(Smart HMO)  		 $900 Alignment Health Plan
(Smart HMO)  		 $2,590 Alignment Health Plan
(Smart HMO)  		 $4,682
#7 Kaiser Permanente
(Senior Advantage Basic HMO-$19)		 $985 Kaiser Permanente
(Senior Advantage Basic HMO-$19)		 $2,781 Blue Shield
(Inspire HMO)  		 $6,896
#8 Blue Shield
(Inspire HMO)  		 $1,568 Blue Shield
(Inspire HMO)  		 $3,591 Kaiser Permanente
(Senior Advantage Basic HMO-$19)		 $16,043
  Average: All Plans $806 Average: All Plans $2,250 Average: All Plans $5,277

*Annual estimated costs (out-of-pocket expenses) include applicable 2026 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($185 in 2025 for most beneficiaries) are not included.  Estimated costs may be greater for beneficiaries who are late enrolling for Medicare Part D (prescription drug) coverage or lower for beneficiaries with limited income and resources who may be eligible for low-income subsidies.  Estimates do not include cost-sharing for additional popular benefits provided by some plans, e.g., eyewear, hearing aids, transportation.  

The information contained herein is neither guaranteed nor intended to represent actual enrollee experiences for any Medicare plan. HealthMetrix Research Inc. does not endorse or recommend specific Medicare plans. 

Medicare has neither reviewed nor endorsed this information.  The Senior Choice Gold Award is not given by Medicare.

This is not a complete listing of plans available in your service area.  For a complete listing, please contact 1-800-MEDICARE or consult www.Medicare.gov. 

(TTY users should call 1-877-486-2048, 24 hours a day/7 days a week or consult www.Medicare.gov.) 

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