Providence is a faith-based nonprofit health system — one of the largest in the nation. In California, Providence Medicare Advantage plans primarily serve Northern California communities with integrated care through Providence hospitals and clinics.
For 2026, Providence Health Plan has earned a 4 out of 5 star CMS rating. Plans are available as HMO, PPO with monthly premiums from $0–$59 and annual out-of-pocket maximums between $3,400–$6,700.
To find out if Providence Health Plan is the right plan for you, call All Seniors Foundation at (818) 581-4101 for a free comparison against every carrier in your county.
Providence Health Plan at a Glance — 2026
| Detail | Providence Health Plan |
|---|---|
| CMS Star Rating | 4 / 5 |
| Plan Types | HMO, PPO |
| Monthly Premium | $0–$59 |
| Annual OOP Max | $3,400–$6,700 |
| Part B Giveback | Not available |
| Dental | Comprehensive |
| Vision | Comprehensive |
| Hearing | Comprehensive |
| Fitness | SilverSneakers |
| Counties | Humboldt, Sonoma, Mendocino |
Benefits Beyond Original Medicare
Providence Health Plan plans include supplemental benefits that Original Medicare does not cover:
- Dental — Comprehensive coverage including preventive and restorative services
- Vision — Comprehensive coverage with annual eye exams and eyewear
- Hearing — Comprehensive coverage including hearing exams and hearing aids
- Fitness — SilverSneakers program at no extra cost
- Prescription Drugs — Part D coverage with the Inflation Reduction Act $2,000 annual cap and $35/month insulin cap
- Transportation — Rides to medical appointments
- Telehealth — Virtual doctor visits from home
For a full comparison of supplemental benefits across carriers, see our dental, vision, and hearing benefits guide.
Find out if Providence Health Plan covers your doctors and medications: (818) 581-4101 — free, no obligation, licensed in California.
Who Is Providence Health Plan Best For?
Providence Health Plan is a strong choice for seniors who value this carrier’s specific strengths. However, the best plan depends on your doctors, medications, and preferences. The best way to decide is to call for a free plan comparison.
If you need PPO flexibility or a Part B Giveback benefit, other carriers may be a better fit. If you have both Medicare and Medi-Cal, ask us about D-SNP and PACE program options.
Counties Served
Providence Health Plan is available in: Humboldt, Sonoma, Mendocino.
See our county pages: Los Angeles, Orange County, San Diego, Sacramento, San Francisco, Alameda, Fresno.
How to Enroll
Enroll during your Initial Enrollment Period, the Annual Enrollment Period (Oct 15 – Dec 7), the Open Enrollment Period (Jan 1 – Mar 31), or a Special Enrollment Period. Call (818) 581-4101 and we handle everything.
Frequently Asked Questions
How much does Providence Health Plan cost?
Premiums range from $0–$59. Many plans have $0 premiums. OOP max: $3,400–$6,700. You still pay Medicare Part B ($202.90/month in 2026).
Can I keep my doctor?
Depends on network participation. We can check your doctors across every plan — free.
Does Providence Health Plan cover dental?
Dental: Comprehensive. Vision: Comprehensive. Hearing: Comprehensive. See our full benefits comparison.