Central Health Valor Care Plan (HMO)
The Central Health Valor Care Plan (HMO) is a 2026 HMO Medicare Advantage plan from Central Health Medicare Plan with a 3-star CMS rating. It may include allowances for vision and part b giveback. It's available in 16 counties across 1 state.
Reviewed by the Medicare Advocates team · 2026 plan year · sourced from CMS data
Offered in 16 counties across 1 state
- Monthly premiumVaries
- Overall star rating3 / 5
- In-network max out-of-pocket$4,400
- Vision$400
- Part B giveback$948
2026 plan-year figures (premium, star rating, MOOP) from the CMS Landscape file; allowance amounts from CMS PBP data. Amounts vary by plan; not all plans offer all benefits.
What the Central Health Valor Care Plan (HMO) plan may include
- Vision: up to $400 per year in plan allowance (2026).
- Part B giveback: up to $948 per year in plan allowance (2026).
Costs & coverage detail
Doctor visits
- Primary care visit$0
- Specialist visit$0
Emergency & urgent care
- Emergency room$130 copay
- Urgent care$0
Tests, labs & imaging
- Lab services$0
- Diagnostic tests & procedures$0
- X-rays$0
- Diagnostic radiology (CT/MRI/PET)$0–$100 copay
Outpatient hospital & surgery
- Outpatient hospital services$0–$295 copay
- Ambulatory surgical center$0
- Outpatient substance abuse (individual)$0
Home health & equipment
- Home health care$0
Medical equipment & supplies
- Durable medical equipment (DME)0–20% coinsurance
Ambulance
- Ground ambulance$0–$275 copay
Dental
- Preventive dental (exams, cleanings, X-rays)$0
- Comprehensive dental (restorative)$25–$400 copay
Vision
- Routine eye exam$0
- Eyewear (glasses/contacts)$0
Hearing
- Routine hearing exam$0
- Hearing aids$575–$2,099 copay
Hospital stays
- Inpatient hospital$150/day, days 1–6; $0/day, days 7–90
In-network, Medicare-covered cost sharing for the 2026 plan year (CMS PBP data). Costs vary by service and setting; see the Summary of Benefits for full detail.
Extra benefit allowances
- Eyewear allowance$400 per year
Preventive services
This plan covers $0 for all preventive services covered under Original Medicare when you use an in-network provider — including annual wellness visits, recommended screenings, and vaccines.
Common questions
- What is the Central Health Valor Care Plan (HMO) plan?
- It is a Medicare Advantage plan (CMS plan ID H5649-030-000) offered by Central Health Medicare Plan for the 2026 plan year. Medicare Advantage plans bundle your Part A and Part B coverage, and most include extra benefits Original Medicare does not.
- What extra benefits could this plan include?
- Depending on the plan, supplemental benefits may include allowances toward vision, part b giveback. Amounts shown are for the 2026 plan year and vary by plan and area. A licensed agent can confirm what is available to you.
- Where is this plan available?
- For 2026, this plan is offered in 16 counties across 1 state. Availability and benefits depend on your specific ZIP code.
- How do I enroll or compare plans?
- Call to speak with a licensed insurance agent who can review this plan alongside the other options in your area at no cost. There is no obligation to enroll, and enrollment may be limited to certain times of year unless you qualify for a Special Enrollment Period.
Counties served
California (16 counties)
Fresno, Imperial, Kern, Kings, Los Angeles, Madera, Orange, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Mateo, Santa Clara, Tulare
Plan documents
Official 2026 documents for this plan:
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