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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
Click the highlighted Medicare Plan below for enrollment details
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#1 Astiva Health
(Premier HMO) 		 $355 Astiva Health
(Premier HMO) 		 $720 Align Senior Care
(Advantage Care HMO)  		 $1,375
#2 Central Health Medicare
(Classic Care HMO) 		 $383 Imperial Health
(Dynamic HMO)   		 $920 Astiva Health
(Premier HMO) 		 $1,504
#3 Anthem
(Medicare Advantage HMO)  		 $421 Align Senior Care
(Advantage Care HMO)  		 $1,285 Imperial Health
(Dynamic HMO)  		 $1,764
#4 Imperial Health
(Dynamic HMO)  		 $435 Anthem
(Medicare Advantage HMO)   		 $1,382 Anthem
(Medicare Advantage HMO)   		 $2,504
#5 Alignment Health Plan
(Health Harmony HMO) 		 $555 Alignment Health Plan
(Health Harmony HMO)  		 $1,635 SCAN
(Classic HMO)   		 $2,599
#6 Align Senior Care
(Advantage Care HMO) 		 $655 SCAN
(Classic HMO)   		 $1,831 Alignment Health Plan
(Health Harmony HMO)  		 $2,777
#7 United Healthcare
(AARP Medicare Advantage HMO) 		 $756 Central Health Medicare
(Classic Care HMO)  		 $1,991 Central Health Medicare
(Classic Care HMO)  		 $4,074
#8 Kaiser Permanente
(Senior Advantage HMO-$15) 		 $785 United Healthcare
(AARP Medicare Advantage HMO)  		 $2,335 United Healthcare
(AARP Medicare Advantage HMO)  		 $4,810
#9 SCAN
(Classic HMO)  		 $809 Kaiser Permanente
(Senior Advantage HMO-$15)  		 $2,965 Aetna
(Medicare Enhanced HMO-$65)  		 $7,373
#10 Blue Shield
(Inspire HMO-$58)		 $2,123 Blue Shield
(Inspire HMO-$58) 		 $4,258 Blue Shield
(Inspire HMO-$58) 		 $7,625
#11 Aetna
(Medicare Enhanced HMO-$65) 		 $2,296 Aetna
(Medicare Enhanced HMO-$65)  		 $5,055 Kaiser Permanente
(Senior Advantage HMO-$15)  		 $16,995
  Average: All Plans $870 Average: All Plans $2,216 Average: All Plans $4,851

*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 ($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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