Plan year 2027 · San Francisco County, CA
Medicare Advantage plans leaving San Francisco County, California in 2027
3 carriers are pulling plans from San Francisco County for 2027: Aetna, Central Health and Align Senior Care.
Step 1 · Check your plan
Is your plan leaving San Francisco County?
Tap your plan to see its 2027 status in San Francisco County, or type its name.
Is your plan one of these?
Showing the 8 largest of 9 changing plans. Don't see yours? Type it below.
3 carriers are changing coverage in San Francisco County for 2027: 8 plan terminations and 1 service area reduction. Roughly 1,498 members in San Francisco County are affected. 49 Medicare Advantage plans were offered here in 2026; 44 are offered for 2027. If you're enrolled in one of the plans below, you'll need to pick a new plan for January 1, 2027.
Carriers with changes in San Francisco County
- Aetna3 terminations998 membersAetna Medicare Enhanced (PPO) · Aetna Medicare Signature (PPO) · Aetna Medicare Eagle (PPO)
- Central Health5 terminations500 membersCentral Health Valor Care Plan (HMO) · Central Health Embrace Choice Plan (HMO C-SNP) · Central Health Embrace Care Plan (HMO C-SNP) …
- Align Senior Care1 service area reductionAdvantage Care (HMO)
Every affected plan in San Francisco County
Sorted by carrier. Effective dates are for the 2027 plan year.
| Carrier | Plan | What's changing | Effective | What members must do |
|---|---|---|---|---|
| Aetna Medicare | Aetna Medicare Eagle (PPO) H5521-369 · PPO | Termination | January 1, 2027 | Choose a new plan before the deadline. |
| Aetna Medicare | Aetna Medicare Enhanced (PPO) H5521-581 · PPO | Termination | January 1, 2027 | Choose a new plan before the deadline. |
| Aetna Medicare | Aetna Medicare Signature (PPO) H5521-425 · PPO | Termination | January 1, 2027 | Choose a new plan before the deadline. |
| Align Senior Care | Advantage Care (HMO) H3274-005 · HMO | Service Area Reduction | January 1, 2027 | Confirm whether your county is still covered. |
| Central Health Medicare Plan | Central Health Classic Care Plan IV (HMO) H5649-018 · HMO | Termination | January 1, 2027 | Choose a new plan before the deadline. |
| Central Health Medicare Plan | Central Health Dual Access Plan (HMO D-SNP) H5649-024 · HMO D-SNP | Termination | January 1, 2027 | Choose a new plan before the deadline. |
| Central Health Medicare Plan | Central Health Embrace Care Plan (HMO C-SNP) H5649-025 · HMO C-SNP | Termination | January 1, 2027 | Choose a new plan before the deadline. |
| Central Health Medicare Plan | Central Health Embrace Choice Plan (HMO C-SNP) H5649-026 · HMO C-SNP | Termination | January 1, 2027 | Choose a new plan before the deadline. |
| Central Health Medicare Plan | Central Health Valor Care Plan (HMO) H5649-030 · HMO | Termination | January 1, 2027 | Choose a new plan before the deadline. |
Plans available in San Francisco County for 2027
Losing a plan does not mean losing options. 44 Medicare Advantage plans from 12 carriers are offered in San Francisco County, California for 2027. 26 have a $0 monthly premium, and 6 are D-SNP plans for people with both Medicare and Medicaid.
| Plan | Type | Monthly premium |
|---|---|---|
| Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare$0/moHMO C-SNP | HMO C-SNP | $0 |
| Aetna Medicare Eagle (HMO)Aetna Medicare$0/moHMO | HMO | $0 |
| Aetna Medicare Signature Extra (HMO)Aetna Medicare$0/moHMO | HMO | $0 |
| Alignment Health BreathEasy Plus 041 (HMO C-SNP)Alignment Health Plan$0/moHMO C-SNP | HMO C-SNP | $0 |
| Alignment Health Heart & Diabetes 010 (HMO C-SNP)Alignment Health Plan$0/moHMO C-SNP | HMO C-SNP | $0 |
Showing the 5 lowest-premium of 44 available plans. 2027 star ratings are published by CMS in early October 2026. Premiums shown are the consolidated Part C + D monthly premium.
Dates that matter
Your ANOC letter arrives
Carriers must mail the Annual Notice of Change — and non-renewal notices — before enrollment opens.
Annual Enrollment Period
Pick your 2027 plan. Coverage you choose starts January 1, 2027.
How it works →Special Enrollment Period
Members of terminated plans get extra time to choose a new Medicare Advantage or Part D plan.
How it works →Guaranteed-issue Medigap window
Losing your plan gives you the right to buy select Medigap policies with no health questions.
Medicare Advantage Open Enrollment
Already in a Medicare Advantage plan on January 1? You can make one change: switch plans or go back to Original Medicare.
How it works →
Step 2 · Tell us where to send your options
Your 2027 options in San Francisco County
Step 3 · Choose your path
You're all set.
Both options are free. Either way, your information stays with our office.
Where else these carriers are leaving in California
Aetna
Central Health
Align Senior Care
ZIP codes in San Francisco County
These changes apply to Medicare Advantage members living in San Francisco County, including these ZIP codes:
94102, 94103, 94104, 94105, 94107, 94108, 94109, 94110, 94111, 94112, 94114, 94115, 94116, 94117, 94118, 94121, 94122, 94123, 94124, 94127, 94129, 94130, 94131, 94132, 94133, 94134, 94158, 94188