Medicare Advantage
Got an ANOC in the Mail? Here's Your Next Step
Orange County has 92 Medicare Advantage plans for 2027. Compared with 2026, 21 plans are not coming back, 28 are new, and 32 continuing plans changed in some way you should check before December 7, 19 of them under a new name. This guide covers what those numbers mean for Santa Ana, not which plan to pick.
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SANTA ANA, Calif. — If you have a Medicare Advantage plan in Santa Ana, this fall's mail is worth opening carefully. Federal filings for the 2027 plan year show 21 Medicare Advantage plans leaving Orange County after 2026, 28 new plans coming in, and 19 plans keeping the same idea but changing names. Two carriers, Central Health Medicare Plan and Providence Medicare Advantage Plans, will not offer Medicare Advantage plans in the county next year, and a new carrier, VillageHealth, is entering.
Key takeaways
- Twenty-one Medicare Advantage plans are leaving Orange County after 2026, and every affected member gets a Special Enrollment Period that runs through the end of February 2027.
- Central Health Medicare Plan and Providence Medicare Advantage Plans will not offer plans in the county for 2027; a new carrier, VillageHealth, is entering.
- Watch your mail for the Annual Notice of Change (ANOC) by late September — 32 continuing plans have a change to premium, deductible, plan type or name.
- The Annual Enrollment Period runs Oct. 15 – Dec. 7, and the Medicare Advantage Open Enrollment Period runs Jan. 1 – March 31 for a second look.
Santa Ana is in Orange County, and Medicare plan availability is set at the county level. That means these county-wide changes apply to Santa Ana residents, too.
What is changing in Orange County for 2027
Comparing the 2026 and 2027 CMS Medicare Advantage Landscape files for Orange County, here is the picture:
- 21 plans are leaving after 2026
- 28 plans are new for 2027
- 19 plans are renamed (same plan, new name)
- 32 continuing plans have at least one change to premium, deductible, plan type or name — the specifics live in each plan's Annual Notice of Change
- 64 plans are continuing without those flagged changes
The table below lists every Medicare Advantage plan in the county, so you can look up your plan by name.
Plans that will not be offered in 2027
If you are enrolled in one of the plans below, your coverage in that plan ends Dec. 31, 2026. You will not be automatically kept in Medicare Advantage — you need to pick a new plan or return to Original Medicare.
Plans leaving Orange County after 2026:
- Aetna Medicare Eagle (PPO)
- Aetna Medicare Enhanced (PPO)
- Aetna Medicare Signature (PPO)
- Alignment Health Advantage PPO (PPO)
- Alignment Health Honor+ Plan (HMO)
- Alignment Health My Choice Select (HMO)
- Alignment Health the ONE (HMO)
- Astiva Health Premier Plan (HMO)
- Wellcare Giveback (HMO)
- Central Health Classic Care Plan I (HMO)
- Central Health Dual Access Plan (HMO D-SNP)
- Central Health Embrace Care Plan (HMO C-SNP)
- Central Health Embrace Choice Plan (HMO C-SNP)
- Central Health Medicare Plan (HMO)
- Central Health Part B Savings Plan (HMO)
- Central Health Valor Care Plan (HMO)
- Champion Select (HMO-POS C-SNP)
- Kaiser Permanente Dual Complete South P1 (HMO D-SNP)
- Providence Medicare Sycamore + Rx (HMO)
- SCAN Affirm partnered with Included LGBTQ+ Health (HMO)
- SCAN MyChoice (HMO)
Two whole carriers — Central Health Medicare Plan and Providence Medicare Advantage Plans — will not offer Medicare Advantage plans in the county next year. If either has been your plan, you will get a non-renewal letter from the carrier.
Plans that are new for 2027
These plans did not exist in Orange County in 2026 and will be available to enroll in during the Annual Enrollment Period. VillageHealth is a carrier new to the county:
- Aetna Medicare Chronic Care (HMO C-SNP)
- Aetna Medicare Eagle (HMO)
- Alignment Health Heart & Diabetes Plus 044 (HMO C-SNP)
- Alignment Health Honor Plus 060 (HMO)
- Alignment Health Platinum Preferred 004 (HMO)
- Alignment Health Platinum Preferred+ 005 (HMO)
- Central Health Harmony 001 (HMO)
- Central Health Harmony Plus 002 (HMO C-SNP)
- Astiva Health C-SNP Bloom (HMO C-SNP)
- Astiva Health C-SNP Fountain (HMO C-SNP)
- Blue Shield Advantage (HMO)
- Champion Anwell (HMO)
- Champion Compass (HMO C-SNP)
- Champion Home (HMO C-SNP)
- Champion Secure (HMO C-SNP)
- Clever Care Breathe Select+ (HMO C-SNP)
- Clever Care Total Choice+ (HMO C-SNP)
- Humana Gold Plus H3767-002 (HMO)
- Imperial Flex (HMO C-SNP)
- CareMore Health Plan by SCAN (HMO)
- SCAN Ansim Care (HMO C-SNP)
- SCAN Baekse (HMO)
- SCAN Costco Medicare Advantage (HMO)
- SCAN Inclusive (HMO)
- SCAN Select (HMO)
- AARP Medicare Advantage from UHC CA-46 (HMO-POS)
- SCAN DaVita Dialysis Care (HMO-POS C-SNP) — from VillageHealth
- SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP) — from VillageHealth
Plans that are being renamed
These are the same plans as in 2026, but they will show up in the 2027 shopping tools under a new name. If your plan is on this list, that alone is not a reason to switch — but you should still read your ANOC to see if anything else changed.
- Aetna Medicare Prime (HMO) — was Aetna Medicare Prime (HMO-POS)
- Aetna Medicare Signature Legacy (HMO) — was Aetna Medicare Signature (HMO)
- Alignment Health Balance 033 (HMO C-SNP) — was Alignment Health Balance (HMO C-SNP)
- 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 051 (HMO C-SNP) — was Alignment Health Heart & Diabetes Choice (HMO C-SNP)
- Alignment Health Heart & Diabetes 054 (HMO C-SNP) — was Alignment Health Heart & Diabetes Care (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 001 (HMO) — was Alignment Health My Choice (HMO)
- Alignment Health My Choice 050 (HMO) — was Alignment Health My Choice CalCare (HMO)
- Alignment Health Platinum + Instacart 008 (HMO) — was Alignment Health Platinum + Instacart (HMO)
- Alignment Health Smart 013 (HMO) — was Alignment Health smartHMO (HMO)
- Alignment Health Smart 047 (HMO) — was Alignment Health smartSavings (HMO)
- Alignment Health ValorCare 053 (HMO) — was Alignment Health ValorCare (HMO)
- Wellcare Health Net Dual Liberty (HMO D-SNP) — was Wellcare Dual Liberty (HMO D-SNP)
- AARP Medicare Advantage from UHC CA-33P (HMO-POS) — was AARP Medicare Advantage from UHC CA-43 (HM
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
By the numbers
How people get Medicare in Orange County
(MA penetration in Orange County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
What changes next year
Medicare Advantage plans leaving or changing in Orange County for 2027
Santa Ana is in Orange County. Comparing CMS’s 2026 and 2027 Landscape files for the county:
Plans not offered in Orange County for 2027
| Plan | Carrier | Type |
|---|---|---|
| Aetna Medicare Eagle (PPO) | Aetna (CVS Health) | PPO |
| Aetna Medicare Enhanced (PPO) | Aetna (CVS Health) | PPO |
| Aetna Medicare Signature (PPO) | Aetna (CVS Health) | PPO |
| Alignment Health Advantage PPO (PPO) | Alignment Health Plan | PPO |
| Alignment Health Honor+ Plan (HMO) | Alignment Health Plan | HMO |
| Alignment Health My Choice Select (HMO) | Alignment Health Plan | HMO |
| Alignment Health the ONE (HMO) | Alignment Health Plan | HMO |
| Astiva Health Premier Plan (HMO) | Astiva Health | HMO |
| Wellcare Giveback (HMO) | Centene (WellCare) | HMO |
| Central Health Classic Care Plan I (HMO) | Central Health Medicare Plan | HMO |
| Central Health Dual Access Plan (HMO D-SNP) | Central Health Medicare Plan | HMO D-SNP |
| Central Health Embrace Care Plan (HMO C-SNP) | Central Health Medicare Plan | HMO C-SNP |
| Central Health Embrace Choice Plan (HMO C-SNP) | Central Health Medicare Plan | HMO C-SNP |
| Central Health Medicare Plan (HMO) | Central Health Medicare Plan | HMO |
| Central Health Part B Savings Plan (HMO) | Central Health Medicare Plan | HMO |
| Central Health Valor Care Plan (HMO) | Central Health Medicare Plan | HMO |
| Champion Select (HMO-POS C-SNP) | Champion Heath Plan | HMO-POS C-SNP |
| Kaiser Permanente Dual Complete South P1 (HMO D-SNP) | Kaiser Permanente | HMO D-SNP |
| Providence Medicare Sycamore + Rx (HMO) | Providence Medicare Advantage Plans | HMO |
| SCAN Affirm partnered with Included LGBTQ+ Health (HMO) | SCAN Health Plan | HMO |
| SCAN MyChoice (HMO) | SCAN Health Plan | HMO |
Plans new to Orange County for 2027
| Plan | Carrier | Type |
|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna (CVS Health) | HMO C-SNP |
| Aetna Medicare Eagle (HMO) | Aetna (CVS Health) | HMO |
| Alignment Health Heart & Diabetes Plus 044 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Honor Plus 060 (HMO) | Alignment Health Plan | HMO |
| Alignment Health Platinum Preferred 004 (HMO) | Alignment Health Plan | HMO |
| Alignment Health Platinum Preferred+ 005 (HMO) | Alignment Health Plan | HMO |
| Central Health Harmony 001 (HMO) | Alignment Health Plan | HMO |
| Central Health Harmony Plus 002 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP |
| Astiva Health C-SNP Bloom (HMO C-SNP) | Astiva Health | HMO C-SNP |
| Astiva Health C-SNP Fountain (HMO C-SNP) | Astiva Health | HMO C-SNP |
| Blue Shield Advantage (HMO) | Blue Shield of California | HMO |
| Champion Anwell (HMO) | Champion Heath Plan | HMO |
| Champion Compass (HMO C-SNP) | Champion Heath Plan | HMO C-SNP |
| Champion Home (HMO C-SNP) | Champion Heath Plan | HMO C-SNP |
| Champion Secure (HMO C-SNP) | Champion Heath Plan | HMO C-SNP |
| Clever Care Breathe Select+ (HMO C-SNP) | Clever Care Health Plan | HMO C-SNP |
| Clever Care Total Choice+ (HMO C-SNP) | Clever Care Health Plan | HMO C-SNP |
| Humana Gold Plus H3767-002 (HMO) | Humana | HMO |
| Imperial Flex (HMO C-SNP) | Imperial Health Plan of California, Inc. | HMO C-SNP |
| CareMore Health Plan by SCAN (HMO) | SCAN Health Plan | HMO |
| SCAN Ansim Care (HMO C-SNP) | SCAN Health Plan | HMO C-SNP |
| SCAN Baekse (HMO) | SCAN Health Plan | HMO |
| SCAN Costco Medicare Advantage (HMO) | SCAN Health Plan | HMO |
| SCAN Inclusive (HMO) | SCAN Health Plan | HMO |
| SCAN Select (HMO) | SCAN Health Plan | HMO |
| AARP Medicare Advantage from UHC CA-46 (HMO-POS) | UnitedHealthcare | HMO-POS |
| SCAN DaVita Dialysis Care (HMO-POS C-SNP) | VillageHealth | HMO-POS C-SNP |
| SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP) | VillageHealth | HMO-POS C-SNP |
Plans continuing under a new name
| Plan | Carrier | Type |
|---|---|---|
| Aetna Medicare Prime (HMO) (was Aetna Medicare Prime (HMO-POS)) | Aetna (CVS Health) | HMO-POS |
| Aetna Medicare Signature Legacy (HMO) (was Aetna Medicare Signature (HMO)) | Aetna (CVS Health) | HMO |
| Alignment Health Balance 033 (HMO C-SNP) (was Alignment Health Balance (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP) (was Alignment Health BreathEasy (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Clarity Plus 042 (HMO C-SNP) (was Alignment Health Clarity (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP) (was Alignment Health Heart & Diabetes (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes 051 (HMO C-SNP) (was Alignment Health Heart & Diabetes Choice (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes 054 (HMO C-SNP) (was Alignment Health Heart & Diabetes Care (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) (was Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)) | Alignment Health Plan | HMO C-SNP |
| Alignment Health My Choice 001 (HMO) (was Alignment Health My Choice (HMO)) | Alignment Health Plan | HMO |
| Alignment Health My Choice 050 (HMO) (was Alignment Health My Choice CalCare (HMO)) | Alignment Health Plan | HMO |
| Alignment Health Platinum + Instacart 008 (HMO) (was Alignment Health Platinum + Instacart (HMO)) | Alignment Health Plan | HMO |
| Alignment Health Smart 013 (HMO) (was Alignment Health smartHMO (HMO)) | Alignment Health Plan | HMO |
| Alignment Health Smart 047 (HMO) (was Alignment Health smartSavings (HMO)) | Alignment Health Plan | HMO |
| Alignment Health ValorCare 053 (HMO) (was Alignment Health ValorCare (HMO)) | Alignment Health Plan | HMO |
| Wellcare Health Net Dual Liberty (HMO D-SNP) (was Wellcare Dual Liberty (HMO D-SNP)) | Centene (WellCare) | HMO D-SNP |
| AARP Medicare Advantage from UHC CA-33P (HMO-POS) (was AARP Medicare Advantage from UHC CA-43 (HMO-POS)) | UnitedHealthcare | HMO-POS |
| AARP Medicare Advantage Giveback from UHC CA-31P (HMO-POS) (was AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS)) | UnitedHealthcare | HMO-POS |
| AARP Medicare Advantage Patriot No Rx CA-MA1P (HMO-POS) (was AARP Medicare Advantage Patriot No Rx CA-MA01 (HMO-POS)) | UnitedHealthcare | HMO-POS |
Carriers with no plans in Orange County for 2027: Central Health Medicare Plan, Providence Medicare Advantage Plans
Carriers new to Orange County for 2027: VillageHealth
“Changing” means the plan’s 2027 record differs from 2026 on premium, drug deductible, plan type or name; the details are in the Annual Notice of Change your plan mails by September 30. If your plan is not offered for 2027, you can choose another during the Annual Enrollment Period (October 15 to December 7) and you also get a Special Enrollment Period that runs through the end of February. Source: CMS MA Landscape Source Files. No plan is ranked or recommended.
The choices, by type
How the Medicare Advantage choices in Santa Ana break down for 2026
Carriers offering plans in Orange County, alphabetically, with the number of plans each offers:
- Aetna (CVS Health) 7 plans
- Align Senior Care 3 plans
- Alignment Health Plan 17 plans
- Astiva Health 4 plans
- Blue Shield of California 4 plans
- CalOptima Health OneCare 1 plan
- Centene (WellCare) 6 plans
- Central Health Medicare Plan 7 plans
- Champion Heath Plan 7 plans
- Clever Care Health Plan 4 plans
- Elevance Health (Anthem) 12 plans
- Humana 7 plans
- Imperial Health Plan of California, Inc. 3 plans
- Kaiser Permanente 4 plans
- Providence Medicare Advantage Plans 1 plan
- SCAN Health Plan 10 plans
- UnitedHealthcare 7 plans
HMO plans use a network and usually a primary-care doctor; HMO-POS plans add some out-of-network coverage; PPO plans cover out-of-network care at a higher share; PFFS plans pay any provider that accepts the plan’s terms; Special Needs Plans serve people who are dual-eligible (D-SNP), have certain conditions (C-SNP) or live in an institution (I-SNP). Source: CMS Landscape Source File. No plan is ranked or recommended here.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
Explore
The parts of Medicare
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.
Also for Santa Ana
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This page was last updated: October 1, 2026.