Top-Rated Medicare Advantage Plans in Sacramento (Sacramento County) for 2027
Kaiser Permanente, SCAN Health Plan and Imperial Health Plan of California, Inc. have 2027 plans in Sacramento County rated 4 stars or higher by Medicare in the 2027 CMS Star Ratings.
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2027 CMS Star Ratings
Top-rated Medicare Advantage plans in Sacramento County (2027 CMS Star Ratings)
Of the 32 Medicare Advantage plans offered in Sacramento County for 2027, 0 are rated 5 stars, 3 are rated 4.5 stars and 9 are rated 4 stars in the 2027 CMS Star Ratings.
Sacramento County includes Sacramento, Elk Grove, Folsom, Citrus Heights and Rancho Cordova. Plans are approved for the whole county, so the same plans are offered in each of them.
| Plan | Insurer | Plan type | 2027 overall rating |
|---|---|---|---|
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) | Kaiser Permanente | HMO D-SNP | 4.5 out of 5 |
| Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) | Kaiser Permanente | HMO | 4.5 out of 5 |
| Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) | Kaiser Permanente | HMO | 4.5 out of 5 |
| Blue Shield Advantage (HMO) | Blue Shield of California | HMO | 4 out of 5 |
| Imperial Dynamic Plan (HMO) | Imperial Health Plan of California, Inc. | HMO | 4 out of 5 |
| Imperial Flex (HMO C-SNP) | Imperial Health Plan of California, Inc. | HMO C-SNP | 4 out of 5 |
| Imperial Senior Value (HMO C-SNP) | Imperial Health Plan of California, Inc. | HMO C-SNP | 4 out of 5 |
| SCAN Balance (HMO C-SNP) | SCAN Health Plan | HMO C-SNP | 4 out of 5 |
| SCAN Classic (HMO) | SCAN Health Plan | HMO | 4 out of 5 |
| SCAN Costco Medicare Advantage (HMO) | SCAN Health Plan | HMO | 4 out of 5 |
| SCAN Strive (HMO C-SNP) | SCAN Health Plan | HMO C-SNP | 4 out of 5 |
| Sutter Senior Advantage, a SCAN Medicare Plan (HMO) | SCAN Health Plan | HMO | 4 out of 5 |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP | 3.5 out of 5 |
| Alignment Health Clarity Plus 042 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP | 3.5 out of 5 |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP | 3.5 out of 5 |
| Alignment Health Heart & Diabetes 048 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP | 3.5 out of 5 |
| Alignment Health Heart & Diabetes 051 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP | 3.5 out of 5 |
| Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP) | Alignment Health Plan | HMO C-SNP | 3.5 out of 5 |
| Alignment Health Honor Plus 060 (HMO) | Alignment Health Plan | HMO | 3.5 out of 5 |
| Alignment Health My Choice 050 (HMO) | Alignment Health Plan | HMO | 3.5 out of 5 |
| Alignment Health Smart 038 (HMO) | Alignment Health Plan | HMO | 3.5 out of 5 |
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | HMO | 3.5 out of 5 |
| Imperial Courage Plan (HMO) | Imperial Health Plan of California, Inc. | HMO | 3.5 out of 5 (health plan rating) |
| Wellcare Health Net Dual Align (HMO D-SNP) | Centene (WellCare) | HMO D-SNP | 3.5 out of 5 |
| AARP Medicare Advantage from UHC CA-023P (HMO-POS) | UnitedHealthcare | HMO-POS | 3 out of 5 |
| Aetna Medicare Chronic Care (HMO C-SNP) | Aetna (CVS Health) | HMO C-SNP | 3 out of 5 |
| Aetna Medicare Eagle (HMO) | Aetna (CVS Health) | HMO | 3 out of 5 (health plan rating) |
| Aetna Medicare Signature (HMO) | Aetna (CVS Health) | HMO | 3 out of 5 |
| Aetna Medicare Value Plus (HMO) | Aetna (CVS Health) | HMO | 3 out of 5 |
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Elevance Health (Anthem) | HMO D-SNP | 3 out of 5 |
| Molina Medicare Complete Care Plus (HMO D-SNP) | Molina Healthcare of California | HMO D-SNP | 3 out of 5 |
| UHC Complete Care Support CA-8AP (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP | 3 out of 5 |
A plan without Part D drug coverage has no overall rating; its Part C summary rating (health plan rating) is shown instead, as CMS does.
Compare plans for your ZIP code in Medicare's Plan Finder on Medicare.gov.
What Medicare Star Ratings measure
CMS rates every Medicare Advantage contract from 1 to 5 stars each year. For 2027, the health plan (Part C) rating looks at five areas: staying healthy (screenings, tests and vaccines), managing chronic (long-term) conditions, members' experience with the plan, member complaints and changes in the plan's performance, and the plan's customer service. A plan with drug coverage is also rated on four drug plan (Part D) areas: customer service, member complaints and changes in performance, members' experience, and drug safety and accuracy of drug pricing.
The scores come from member surveys, information plans and providers report, and Medicare's own data such as complaints and appeals. The overall rating combines the health and drug plan measures; a plan without drug coverage has a Part C summary rating instead. Ratings are given per contract, so every plan under the same contract carries the same stars.
The 5-star Special Enrollment Period
Medicare's 5-star Special Enrollment Period lets you switch, once, to a plan with a 5-star overall rating that is offered where you live, outside the usual enrollment periods. For plans rated 5 stars for 2027, it runs from December 8, 2026 through November 30, 2027.
In Sacramento County, no plan has a 5-star overall rating for 2027, so this window does not apply here; the Annual Enrollment Period, October 15 through December 7, does.
If you switch from a plan with drug coverage to a 5-star plan without it, you could lose your drug coverage, so check before you switch.
Every year, Medicare evaluates plans based on a 5-star rating system.
These ratings are CMS's, not ours, and we do not recommend plans. A rating does not tell you whether a plan covers your doctors and drugs or what it charges.
Source: CMS 2027 Star Ratings Data Tables (Summary Ratings), released October 8, 2026; plans offered: CMS CY2027 Medicare Advantage Landscape file.
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