{ "@context": { "schema": "https://schema.org/", "au": "https://coverage-atlas.ryanjhunter.workers.dev/vocab/agent-native#", "@vocab": "https://schema.org/", "claims": { "@id": "au:claims", "@container": "@list" }, "epistemicStatus": "au:epistemicStatus", "occurred": "au:occurred", "supported": "au:supported", "adjudged": "au:adjudged", "operative": "au:operative", "grounding": "au:grounding", "groundingType": "au:groundingType", "adjudicator": "au:adjudicator", "source": "au:source", "sourceUrl": "au:sourceUrl", "value": "au:value", "claimType": "au:claimType", "reviewStatus": "au:reviewStatus", "commercialInfluence": "au:commercialInfluence", "falsifier": "au:falsifier" }, "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/stanislaus.jsonld", "@type": "schema:Dataset", "name": "Atlas Commons research objects — Medicare plans in Stanislaus, California (CY2026)", "description": "CMS CY2026 Medicare Advantage and Part D plans available in Stanislaus, California: plan count (AGGREGATED), premium range (RECORDED from CMS Landscape Files), CMS star ratings (DETERMINATION — CMS-issued institutional quality rating), and epistemic boundary (INTERPRETATION). Premiums are base plan premiums; actual cost depends on Part B premium, IRMAA, and LIS. Star ratings are CMS quality scores. This surface informs; it does not rank or advise. Use medicare.gov/plan-compare to enroll. CC0.", "license": "https://creativecommons.org/publicdomain/zero/1.0/", "isPartOf": "https://coverage-atlas.ryanjhunter.workers.dev/", "rdfs:isDefinedBy": "https://coverage-atlas.ryanjhunter.workers.dev/vocab/agent-native", "seeAlso": "https://agenticu.ryanjhunter.workers.dev/commons/the-research-object", "about": { "@type": "schema:Place", "name": "Stanislaus, California", "identifier": "CA-stanislaus" }, "claims": [ { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/stanislaus/plan-count", "@type": "schema:Claim", "name": "38 Medicare plans are available in Stanislaus, California for contract year 2026", "text": "The CMS CY2026 Medicare Landscape Files record 38 Medicare Advantage and Part D plans available in Stanislaus, California. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total.", "claimType": "aggregated_fact", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": true, "supported": true, "adjudged": false, "operative": true }, "grounding": { "groundingType": "Aggregation", "source": "CMS CY2026 Medicare Landscape Files", "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information", "value": "38 plans", "adjudicator": null }, "falsifier": "occurred=TRUE: a faithful COUNT/SUM/total over the named record set that introduces NO modeling choice — it IS the case in the record. adjudged=FALSE: Atlas Commons computed the aggregate; CMS CY2026 Medicare Landscape Files published the underlying records, NOT this figure. Re-count it from the named source to verify. Distinct from a median/ratio/index (which picks a population, weighting, denominator, or threshold — a constructed statistic → 'derived', occurred=FALSE) and from an authority-published total (→ 'recorded', adjudged=TRUE)." }, { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/stanislaus/premium-range", "@type": "schema:Claim", "name": "Monthly premiums for Medicare plans in Stanislaus, California range from $0.00/mo to $85.00/mo (CY2026)", "text": "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Stanislaus, California. Across the 38 plans with a published premium, the range is $0.00/mo to $85.00/mo. These are the plan's base monthly premium — your actual cost depends on income-related adjustments (IRMAA), any applicable Low Income Subsidy (LIS/Extra Help), and your Part B premium. A $0 plan premium does not mean $0 total cost.", "claimType": "official_fact", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": true, "supported": true, "adjudged": true, "operative": true }, "grounding": { "groundingType": "SourceCitation", "source": "CMS CY2026 Medicare Landscape Files", "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information", "value": "$0.00/mo–$85.00/mo monthly consolidated premium", "adjudicator": { "name": "CMS CY2026 Medicare Landscape Files", "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information" } }, "falsifier": "Verify in the CMS CY2026 Medicare Landscape Files for Stanislaus, California. Falsified if the CMS-published per-plan premium figures differ." }, { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/stanislaus/star-ratings", "@type": "schema:Claim", "name": "CMS assigned star ratings to 36 of 38 Medicare plans in Stanislaus, California (CY2026); average overall: 3.7 stars", "text": "CMS issued Overall star ratings (1–5 stars) to 36 of 38 Medicare plans in Stanislaus, California for CY2026. The unweighted average overall star rating across rated plans is 3.7. Star ratings are CMS quality scores — an institutional determination, not a measured event. A higher rating reflects better performance across CMS quality measures. Ratings cover the contract's overall performance, not this county specifically; a plan may be available in your county with a rating earned across its full service area.", "claimType": "regulatory_determination", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": false, "supported": true, "adjudged": true, "operative": true }, "grounding": { "groundingType": "AdjudicativeAct", "source": "CMS CY2026 Medicare Landscape Files", "sourceUrl": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information", "value": "3.7 avg overall stars (36 rated plans)", "adjudicator": { "name": "CMS CY2026 Medicare Landscape Files", "url": "https://www.cms.gov/medicare/health-drug-plans/medicare-advantage/plan-information/plan-information" } }, "falsifier": "Verify CMS star ratings for these contract IDs at the CMS Medicare Plan Finder or the CMS star ratings dataset. Falsified if the CMS-published ratings for these contracts differ. Note: PDP-only plans and newly contracted plans may not have an overall star rating — the 2 unrated plans in this county are not rated, not unqualified." }, { "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/stanislaus/boundary", "@type": "schema:Claim", "name": "What these Medicare plan figures are — and are NOT — for Stanislaus, California (the epistemic boundary)", "text": "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Stanislaus, California for CY2026, with their CMS-published base premiums and CMS star ratings. The premiums shown are the PLAN's base monthly premium — your actual monthly cost depends on the Part B premium (deducted from Social Security for most enrollees), income-related premium adjustments (IRMAA), and any Low Income Subsidy (Extra Help). A star rating is CMS's quality score for the plan's overall performance — a higher rating is generally better, but the \"best\" plan depends on your specific prescriptions, preferred doctors, and budget. This surface informs and compares; it does NOT rank plans, recommend a \"best\" plan, or account for your individual situation. To compare plans with your specific drugs and providers and to enroll, use the official Medicare Plan Finder at medicare.gov/plan-compare. For free, unbiased help, contact your State Health Insurance Assistance Program (SHIP) or call 1-800-MEDICARE (1-800-633-4227).", "claimType": "interpretation", "reviewStatus": "current", "commercialInfluence": false, "epistemicStatus": { "occurred": false, "supported": true, "adjudged": false, "operative": true }, "grounding": { "groundingType": "Interpretation", "source": "Coverage Atlas framing (over the CMS facts above)", "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/stanislaus", "value": "plan list + base premiums + CMS star ratings; NOT net cost or a ranking", "adjudicator": null }, "falsifier": "occurred=FALSE (a framing) and adjudged=FALSE (the atlas's reading, not a CMS verdict) — the LOWEST-warrant claim here." } ], "hasPart": [ { "@type": "schema:ItemList", "name": "Medicare plans in Stanislaus, California (CY2026) — all RECORDED/DETERMINATION", "numberOfItems": 38, "itemListElement": [ { "@type": "schema:ListItem", "position": 1, "item": { "contract_plan_id": "H0504_047", "plan_name": "Blue Shield Inspire (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Blue Shield of California", "monthly_premium_usd": 58, "overall_stars": 4, "moop_in_network_usd": 5300, "snp": "No" } }, { "@type": "schema:ListItem", "position": 2, "item": { "contract_plan_id": "H0524_040", "plan_name": "Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Kaiser Permanente", "monthly_premium_usd": 85, "overall_stars": 4.5, "moop_in_network_usd": 2500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 3, "item": { "contract_plan_id": "H0524_041", "plan_name": "Kaiser Permanente Senior Advantage Basic Stanis (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Kaiser Permanente", "monthly_premium_usd": 19, "overall_stars": 4.5, "moop_in_network_usd": 4900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 4, "item": { "contract_plan_id": "H3561_008", "plan_name": "Wellcare Health Net Dual Align (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Wellcare", "monthly_premium_usd": 12, "overall_stars": 3.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 5, "item": { "contract_plan_id": "H3815_010", "plan_name": "Alignment Health Heart & Diabetes (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Alignment Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 1499, "snp": "No" } }, { "@type": "schema:ListItem", "position": 6, "item": { "contract_plan_id": "H3815_011", "plan_name": "Alignment Health AllCare Preferred (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Alignment Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 1999, "snp": "No" } }, { "@type": "schema:ListItem", "position": 7, "item": { "contract_plan_id": "H3815_030", "plan_name": "Alignment Health CalPlusDuals (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Alignment Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 8, "item": { "contract_plan_id": "H3815_039", "plan_name": "Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Alignment Health Plan", "monthly_premium_usd": 12, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 9, "item": { "contract_plan_id": "H3815_040", "plan_name": "Alignment Health smartHMO (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Alignment Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 3999, "snp": "No" } }, { "@type": "schema:ListItem", "position": 10, "item": { "contract_plan_id": "H3815_041", "plan_name": "Alignment Health BreathEasy (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Alignment Health Plan", "monthly_premium_usd": 12, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 11, "item": { "contract_plan_id": "H3815_042", "plan_name": "Alignment Health Clarity (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Alignment Health Plan", "monthly_premium_usd": 12, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 12, "item": { "contract_plan_id": "H3815_048", "plan_name": "Alignment Health Heart & Diabetes Care (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Alignment Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 1990, "snp": "No" } }, { "@type": "schema:ListItem", "position": 13, "item": { "contract_plan_id": "H3815_050", "plan_name": "Alignment Health My Choice CalCare (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Alignment Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 3499, "snp": "No" } }, { "@type": "schema:ListItem", "position": 14, "item": { "contract_plan_id": "H3815_051", "plan_name": "Alignment Health Heart & Diabetes Choice (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Alignment Health Plan", "monthly_premium_usd": 0.7, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 15, "item": { "contract_plan_id": "H3815_052", "plan_name": "Alignment Health Honor+ Plan (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Alignment Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 16, "item": { "contract_plan_id": "H4161_005", "plan_name": "Anthem Prime (HMO-POS)", "category": "MA-PD", "plan_type": "HMO-POS", "organization": "Anthem Blue Cross Partnership Plan", "monthly_premium_usd": 0, "overall_stars": 3, "moop_in_network_usd": 1200, "snp": "No" } }, { "@type": "schema:ListItem", "position": 17, "item": { "contract_plan_id": "H4961_001", "plan_name": "Alignment Health My Choice (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Alignment Health Plan", "monthly_premium_usd": 77, "overall_stars": 4, "moop_in_network_usd": 4200, "snp": "No" } }, { "@type": "schema:ListItem", "position": 18, "item": { "contract_plan_id": "H4961_006", "plan_name": "Alignment Health Balance (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Alignment Health Plan", "monthly_premium_usd": 41, "overall_stars": 4, "moop_in_network_usd": 2850, "snp": "No" } }, { "@type": "schema:ListItem", "position": 19, "item": { "contract_plan_id": "H5425_069", "plan_name": "SCAN Classic (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "SCAN Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 799, "snp": "No" } }, { "@type": "schema:ListItem", "position": 20, "item": { "contract_plan_id": "H5425_070", "plan_name": "SCAN Balance (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "SCAN Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 750, "snp": "No" } }, { "@type": "schema:ListItem", "position": 21, "item": { "contract_plan_id": "H5425_098", "plan_name": "SCAN Strive (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "SCAN Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 22, "item": { "contract_plan_id": "H5425_120", "plan_name": "SCAN MyChoice (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "SCAN Health Plan", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 1299, "snp": "No" } }, { "@type": "schema:ListItem", "position": 23, "item": { "contract_plan_id": "H5425_125", "plan_name": "Sutter Senior Advantage, a SCAN Medicare Plan (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "SCAN Health Plan", "monthly_premium_usd": 49, "overall_stars": 4, "moop_in_network_usd": 2800, "snp": "No" } }, { "@type": "schema:ListItem", "position": 24, "item": { "contract_plan_id": "H5496_005", "plan_name": "Imperial Senior Value (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Imperial Health Plan of California, Inc.", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 296, "snp": "No" } }, { "@type": "schema:ListItem", "position": 25, "item": { "contract_plan_id": "H5496_012", "plan_name": "Imperial Dynamic Plan (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Imperial Health Plan of California, Inc.", "monthly_premium_usd": 0, "overall_stars": 3.5, "moop_in_network_usd": 296, "snp": "No" } }, { "@type": "schema:ListItem", "position": 26, "item": { "contract_plan_id": "H5496_016", "plan_name": "Imperial Courage Plan (HMO)", "category": "MA", "plan_type": "HMO", "organization": "Imperial Health Plan of California, Inc.", "monthly_premium_usd": "N/A", "overall_stars": 3.5, "moop_in_network_usd": 2999, "snp": "No" } }, { "@type": "schema:ListItem", "position": 27, "item": { "contract_plan_id": "H5525_079", "plan_name": "Humana USAA Honor Giveback (PPO)", "category": "MA", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": "N/A", "overall_stars": 3.5, "moop_in_network_usd": 6500, "snp": "No" } }, { "@type": "schema:ListItem", "position": 28, "item": { "contract_plan_id": "H5525_080", "plan_name": "HumanaChoice H5525-080 (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Humana", "monthly_premium_usd": 40, "overall_stars": 3.5, "moop_in_network_usd": 5900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 29, "item": { "contract_plan_id": "H5619_121", "plan_name": "Humana USAA Honor Giveback (HMO)", "category": "MA", "plan_type": "HMO", "organization": "Humana", "monthly_premium_usd": "N/A", "overall_stars": 3, "moop_in_network_usd": 5250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 30, "item": { "contract_plan_id": "H5619_148", "plan_name": "Humana Gold Plus H5619-148 (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Humana", "monthly_premium_usd": 0, "overall_stars": 3, "moop_in_network_usd": 2900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 31, "item": { "contract_plan_id": "H5649_023", "plan_name": "Central Health Classic Care Plan III (HMO)", "category": "MA-PD", "plan_type": "HMO", "organization": "Central Health Medicare Plan", "monthly_premium_usd": 0, "overall_stars": 3, "moop_in_network_usd": 2999, "snp": "No" } }, { "@type": "schema:ListItem", "position": 32, "item": { "contract_plan_id": "H5649_024", "plan_name": "Central Health Dual Access Plan (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Central Health Medicare Plan", "monthly_premium_usd": 0, "overall_stars": 3, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 33, "item": { "contract_plan_id": "H5649_025", "plan_name": "Central Health Embrace Care Plan (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Central Health Medicare Plan", "monthly_premium_usd": 0, "overall_stars": 3, "moop_in_network_usd": 1900, "snp": "No" } }, { "@type": "schema:ListItem", "position": 34, "item": { "contract_plan_id": "H5649_026", "plan_name": "Central Health Embrace Choice Plan (HMO C-SNP)", "category": "SNP", "plan_type": "HMO C-SNP", "organization": "Central Health Medicare Plan", "monthly_premium_usd": 0, "overall_stars": 3, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 35, "item": { "contract_plan_id": "H5734_001", "plan_name": "Advantage D-SNP (HMO) (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)", "monthly_premium_usd": 2.8, "overall_stars": "Not rated", "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 36, "item": { "contract_plan_id": "H8552_028", "plan_name": "Anthem Kidney Care (PPO C-SNP)", "category": "SNP", "plan_type": "PPO C-SNP", "organization": "Anthem Blue Cross Life and Health Insurance Company", "monthly_premium_usd": 0, "overall_stars": 2.5, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 37, "item": { "contract_plan_id": "H8794_020", "plan_name": "Kaiser Permanente Dual Complete North P20 (HMO D-SNP)", "category": "SNP", "plan_type": "HMO D-SNP", "organization": "Kaiser Permanente", "monthly_premium_usd": 0, "overall_stars": 4, "moop_in_network_usd": 9250, "snp": "No" } }, { "@type": "schema:ListItem", "position": 38, "item": { "contract_plan_id": "H8832_003", "plan_name": "Alignment Health Freedom (PPO)", "category": "MA-PD", "plan_type": "PPO", "organization": "Alignment Health Plan", "monthly_premium_usd": 12, "overall_stars": "Not rated", "moop_in_network_usd": 8500, "snp": "No" } } ] } ] }