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  "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/tulare.jsonld",
  "@type": "schema:Dataset",
  "name": "Atlas Commons research objects — Medicare plans in Tulare, California (CY2026)",
  "description": "CMS CY2026 Medicare Advantage and Part D plans available in Tulare, 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.",
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  "about": {
    "@type": "schema:Place",
    "name": "Tulare, California",
    "identifier": "CA-tulare"
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      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/tulare/plan-count",
      "@type": "schema:Claim",
      "name": "24 Medicare plans are available in Tulare, California for contract year 2026",
      "text": "The CMS CY2026 Medicare Landscape Files record 24 Medicare Advantage and Part D plans available in Tulare, California. Atlas Commons counted the rows; CMS published the underlying plan×county records, not this county-level total.",
      "claimType": "aggregated_fact",
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      "epistemicStatus": {
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        "value": "24 plans",
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      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/tulare/premium-range",
      "@type": "schema:Claim",
      "name": "Monthly premiums for Medicare plans in Tulare, California range from $0.00/mo to $89.00/mo (CY2026)",
      "text": "The CMS CY2026 Medicare Landscape Files publish per-plan monthly consolidated premiums for Tulare, California. Across the 24 plans with a published premium, the range is $0.00/mo to $89.00/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,
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      "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–$89.00/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 Tulare, California. Falsified if the CMS-published per-plan premium figures differ."
    },
    {
      "@id": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/tulare/star-ratings",
      "@type": "schema:Claim",
      "name": "CMS assigned star ratings to 24 of 24 Medicare plans in Tulare, California (CY2026); average overall: 3.4 stars",
      "text": "CMS issued Overall star ratings (1–5 stars) to 24 of 24 Medicare plans in Tulare, California for CY2026. The unweighted average overall star rating across rated plans is 3.4. 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": {
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        "supported": true,
        "adjudged": true,
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        "source": "CMS CY2026 Medicare Landscape Files",
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        "value": "3.4 avg overall stars (24 rated plans)",
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          "name": "CMS CY2026 Medicare Landscape Files",
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      "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 0 unrated plans in this county are not rated, not unqualified."
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      "@type": "schema:Claim",
      "name": "What these Medicare plan figures are — and are NOT — for Tulare, California (the epistemic boundary)",
      "text": "This page lists Medicare Advantage (MA) and Part D Prescription Drug Plan (PDP) plans available in Tulare, 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,
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        "groundingType": "Interpretation",
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        "sourceUrl": "https://coverage-atlas.ryanjhunter.workers.dev/coverage/medicare-plans/ca/tulare",
        "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 Tulare, California (CY2026) — all RECORDED/DETERMINATION",
      "numberOfItems": 24,
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          "position": 1,
          "item": {
            "contract_plan_id": "H0524_038",
            "plan_name": "Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "Kaiser Permanente",
            "monthly_premium_usd": 89,
            "overall_stars": 4.5,
            "moop_in_network_usd": 2900,
            "snp": "No"
          }
        },
        {
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          "item": {
            "contract_plan_id": "H0524_046",
            "plan_name": "Kaiser Permanente Senior Advantage Basic Fresno (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "Kaiser Permanente",
            "monthly_premium_usd": 24,
            "overall_stars": 4.5,
            "moop_in_network_usd": 4900,
            "snp": "No"
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        {
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          "position": 3,
          "item": {
            "contract_plan_id": "H0543_140",
            "plan_name": "AARP Medicare Advantage from UHC CA-0010 (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "UnitedHealthcare",
            "monthly_premium_usd": 89,
            "overall_stars": 4,
            "moop_in_network_usd": 6700,
            "snp": "No"
          }
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        {
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          "position": 4,
          "item": {
            "contract_plan_id": "H0544_056",
            "plan_name": "Anthem Medicare Advantage (HMO-POS)",
            "category": "MA-PD",
            "plan_type": "HMO-POS",
            "organization": "Anthem Blue Cross",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 3000,
            "snp": "No"
          }
        },
        {
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          "position": 5,
          "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"
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        },
        {
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          "position": 6,
          "item": {
            "contract_plan_id": "H4161_006",
            "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": 2900,
            "snp": "No"
          }
        },
        {
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          "position": 7,
          "item": {
            "contract_plan_id": "H4471_010",
            "plan_name": "Anthem Full Dual Advantage Aligned (HMO D-SNP)",
            "category": "SNP",
            "plan_type": "HMO D-SNP",
            "organization": "Anthem Blue Cross",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 9250,
            "snp": "No"
          }
        },
        {
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          "position": 8,
          "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"
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        {
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          "item": {
            "contract_plan_id": "H5425_101",
            "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": 699,
            "snp": "No"
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            "contract_plan_id": "H5425_102",
            "plan_name": "SCAN Balance (HMO C-SNP)",
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            "plan_type": "HMO C-SNP",
            "organization": "SCAN Health Plan",
            "monthly_premium_usd": 0,
            "overall_stars": 4,
            "moop_in_network_usd": 699,
            "snp": "No"
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        {
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          "position": 11,
          "item": {
            "contract_plan_id": "H5425_119",
            "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": 1199,
            "snp": "No"
          }
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        {
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          "position": 12,
          "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"
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        {
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          "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"
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        {
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          "position": 14,
          "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"
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          "position": 15,
          "item": {
            "contract_plan_id": "H5619_015",
            "plan_name": "Humana Gold Plus H5619-015 (HMO)",
            "category": "MA-PD",
            "plan_type": "HMO",
            "organization": "Humana",
            "monthly_premium_usd": 0,
            "overall_stars": 3,
            "moop_in_network_usd": 4500,
            "snp": "No"
          }
        },
        {
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          "position": 16,
          "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,
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        },
        {
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          "position": 17,
          "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"
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        {
          "@type": "schema:ListItem",
          "position": 18,
          "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"
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          "position": 19,
          "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"
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          "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",
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            "overall_stars": 3,
            "moop_in_network_usd": 9250,
            "snp": "No"
          }
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          "position": 21,
          "item": {
            "contract_plan_id": "H5649_028",
            "plan_name": "Central Health Classic Care Plan II (HMO)",
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            "plan_type": "HMO",
            "organization": "Central Health Medicare Plan",
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            "overall_stars": 3,
            "moop_in_network_usd": 2499,
            "snp": "No"
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          "item": {
            "contract_plan_id": "H5649_030",
            "plan_name": "Central Health Valor Care Plan (HMO)",
            "category": "MA",
            "plan_type": "HMO",
            "organization": "Central Health Medicare Plan",
            "monthly_premium_usd": "N/A",
            "overall_stars": 3,
            "moop_in_network_usd": 4400,
            "snp": "No"
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          "position": 23,
          "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"
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          "position": 24,
          "item": {
            "contract_plan_id": "H8794_018",
            "plan_name": "Kaiser Permanente Dual Complete North P18 (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"
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  ]
}