San Jose - Santa Clara 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          # Indicates Part B premium 'giveback' Plans
Click the Senior Choice Gold Award highlighted Medicare Plan for enrollment details    
RANK If your health is EXCELLENT
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Click here to view health status details		 If your health is FAIR
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Click here to view health status details		 If your health is POOR
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#1 Alignment Health Plan
(Smart HMO)  #		 $0 Alignment Health Plan
(Smart HMO)  #		 $684 Imperial Health
(Dynamic HMO)  #		 $1,472
#2 Imperial Health
(Dynamic HMO)  #		 $180 Imperial Health
(Dynamic HMO)  #		 $685 SCAN
(Costco HMO)  		 $1,801
#3 Astiva Health
(Premier HMO) 		 $280 Astiva Health
(Premier HMO) 		 $1,020 Astiva Health
(Premier HMO) 		 $2,886
#4 SCAN
(Costco HMO)  		 $743 SCAN
(Costco HMO)   		 $1,352 Alignment Health Plan
(Smart HMO)  #		 $3,125
#5 Kaiser Permanente
(Senior Advantage HMO-$27)  		 $775 Kaiser Permanente
(Senior Advantage HMO-$27)		 $3,511 Aetna
(Medicare Signature HMO-$102)		 $6,885
#6 Blue Shield
(Inspire HMO-$61)		 $1,469 Blue Shield
(Inspire HMO-$61)		 $3,588 Blue Shield
(Inspire HMO-$61)		 $7,095
#7 Aetna
(Medicare Signature HMO-$102)		 $2,123 Aetna
(Medicare Signature HMO-$102)		 $4,699 Kaiser Permanente
(Senior Advantage HMO-$27)		 $8,418
  Average: All Plans $796   $2,220   $4,526

*Annual estimated costs (out-of-pocket expenses) include applicable 2027 plan copayments, deductibles, and premiums as posted on Medicare Plan Finder (www.Medicare.gov). Medicare Part B monthly premiums ($202.90 in 2026 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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