Medicare Advantage

Medicare Advantage in Sacramento for 2027: 13 plans leaving, 7 new, and one carrier exiting

Sacramento County has 23 Medicare Advantage plans for 2027. Compared with 2026, 13 plans are not coming back, 7 are new, and 14 continuing plans changed in some way you should check before December 7, 9 of them under a new name. This guide covers what those numbers mean for Sacramento, not which plan to pick.

SACRAMENTO — If you have a Medicare Advantage plan in Sacramento, this fall's mail is worth opening carefully. According to CMS's 2027 Medicare Advantage Landscape file, 13 plans offered in Sacramento County this year will not return in 2027, seven new plans are coming in, and nine plans are being renamed. One carrier, Central Health Medicare Plan, will not offer Medicare Advantage in the county next year, and Blue Shield of California is entering as a new carrier.

Sacramento is in Sacramento County, where these county-level plan changes apply. The Annual Enrollment Period runs October 15 through December 7, so this is the window to review your plan's Annual Notice of Change (ANOC) and decide whether to stay put or switch.

What's changing in Sacramento County for 2027

Here are the numbers, drawn from a year-over-year comparison of CMS's 2026 and 2027 MA Landscape files for Sacramento County:

• 13 plans leaving after 2026
• 7 plans new for 2027
• 9 plans renamed
• 14 plans with a change on file (premium, deductible, type or name)
• 16 plans continuing unchanged on those fields

The table on this page lists every 2026 plan in Sacramento County. Use it alongside the ANOC that your carrier mailed in late September, which spells out how your specific plan is changing.

Plans that will not be offered in 2027

The following Medicare Advantage plans available in Sacramento County in 2026 will not be renewed for 2027:

• Aetna Medicare Eagle (PPO)
• Aetna Medicare Enhanced (PPO)
• Aetna Medicare Signature (PPO)
• Alignment Health Honor+ Plan (HMO)
• Alignment Health My Choice (PPO)
• Wellcare Health Net Dual Align (HMO D-SNP)
• Central Health Classic Care Plan III (HMO)
• Central Health Embrace Care Plan (HMO C-SNP)
• Central Health Embrace Choice Plan (HMO C-SNP)
• Central Health Valor Care Plan (HMO)
• Anthem Medicare Advantage (HMO-POS)
• Anthem Prime (HMO-POS)
• SCAN MyChoice (HMO)

If your plan is on this list, you should receive a non-renewal notice from your carrier. You are not automatically enrolled in another plan. You have choices: pick a new Medicare Advantage plan, or return to Original Medicare and consider a stand-alone Part D drug plan (and, if eligible, a Medigap policy).

Central Health Medicare Plan will not offer Medicare Advantage plans in Sacramento County in 2027, so all four of its current plans are on the leaving list.

Plans that are new for 2027

Seven Medicare Advantage plans are being added in Sacramento County for 2027:

• Aetna Medicare Chronic Care (HMO C-SNP)
• Aetna Medicare Eagle (HMO)
• Alignment Health Honor Plus 060 (HMO)
• Blue Shield Advantage (HMO) — from Blue Shield of California, a new carrier in the county
• Wellcare Health Net Dual Align (HMO D-SNP)
• Imperial Flex (HMO C-SNP)
• SCAN Costco Medicare Advantage (HMO)

Several of these are Chronic Condition Special Needs Plans (C-SNPs), which are limited to people with specific conditions. Others are open more broadly. Availability doesn't tell you whether a plan fits your doctors, drugs or budget — check the network and drug list before you enroll.

Plans that were renamed

A rename doesn't mean the plan is gone; it just has a new label on the CMS file. The renamed plans in Sacramento County are:

• Aetna Medicare Value Plus (HMO) — was Aetna Medicare Value Plus (HMO-POS)
• Alignment Health BreathEasy Plus 041 (HMO C-SNP) — was Alignment Health BreathEasy (HMO C-SNP)
• Alignment Health Clarity Plus 042 (HMO C-SNP) — was Alignment Health Clarity (HMO C-SNP)
• Alignment Health Heart & Diabetes 010 (HMO C-SNP) — was Alignment Health Heart & Diabetes (HMO C-SNP)
• Alignment Health Heart & Diabetes 048 (HMO C-SNP) — was Alignment Health Heart & Diabetes Care (HMO C-SNP)
• Alignment Health Heart & Diabetes 051 (HMO C-SNP) — was Alignment Health Heart & Diabetes Choice (HMO C-SNP)
• Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) — was Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)
• Alignment Health My Choice 050 (HMO) — was Alignment Health My Choice CalCare (HMO)
• Alignment Health Smart 038 (HMO) — was Alignment Health smartHMO (HMO)

If your card arrives with a different plan name, don't panic — but do read the ANOC, because renames are sometimes paired with other adjustments.

What to do if your plan is leaving

Members of plans that are not being renewed for 2027 get a Special Enrollment Period (SEP) that runs through the end of February 2027. That gives you time beyond the December 7 deadline, but there are good reasons to act during Annual Enrollment instead:

1. Read the non-renewal letter. It confirms coverage ends December 31, 2026, and explains your options. 2. Make a short list of what you can't lose. Your primary care doctor, key specialists, prescription drugs and preferred pharmacy. 3. Compare on medicare.gov. The Plan Finder lets you enter your drugs and pharmacies and see 2027 plans available in your ZIP code. 4. If you switch during AEP (by Dec. 7), coverage starts January 1 with no gap. If you use the SEP through February, coverage starts the first of the month after you enroll. 5. Consider Original Medicare + Part D. In California, Medigap enrollment rules differ from most states, so check with your local SHIP (HICAP) before deciding.

A few 2026–2027 program facts worth knowing

These apply whether your plan is changing or not:

• The Part D annual out-of-pocket cap is $2,100 in 2026 and $2,400 in 2027.
• The Part D maximum deductible is $615 for 2026 and $700 for 2027.
• The old "donut hole" coverage gap has been gone since 2025 — Part D now has three phases.
• The Medicare Prescription Payment Plan lets you spread your drug costs across the year in monthly bills, at no extra charge.
• IRMAA surcharges for higher-income enrollees begin above $109,000 in income for a single filer in 2026.
• Annual Enrollment Period: October 15 – December 7. Medicare Advantage Open Enrollment: January 1 – March 31.