2026 Medicare Special Needs Plans in Madera County, CA
Last update: . Enrollment data updated: May 2, 2026
In Madera County, CA, there are 24 Medicare Special Needs Plans available for 2026. Approximately 2,887 beneficiaries are enrolled, and about 56% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Madera County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 6
- Average Monthly Premium: $2.00/mo
- Beneficiaries Enrolled: 2,038
- $0 Premium Plans: 5
- Zero Cost Plans: 6
- Top D-SNP by Enrollment: Anthem Full Dual Advantage Aligned (D-SNP) — 1,284 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Dual Complete North P18 | $0 | 9250.00 | $615 | H8794-018-0 | |
| Kaiser Permanente Dual Complete North P2 | $0 | 9250.00 | $0 | H8794-002-0 | |
| Wellcare CalViva Health Dual Align | $12 | 9250.00 | $555 | H3561-007-0 | |
| Anthem Full Dual Advantage Aligned | $0 | 9250.00 | $615 | H4471-010-2 | |
| Central Health Dual Access Plan | $0 | 9250.00 | $550 | H5649-024-0 | |
| Humana Gold Plus SNP-DE H5619-038 | $0 | 9250.00 | $490 | H5619-038-0 |
What is the total number of D-SNP plans in Madera County?
There are 6 D-SNP plans in 2026, covering 2,038 enrollees.
How much do D-SNP plans cost in Madera County?
The average D-SNP premium in Madera County is $2.00 per month, with 5 plans offering $0 premiums.
What is the most popular D-SNP plan in Madera County?
Anthem Full Dual Advantage Aligned (D-SNP) is the top D-SNP in Madera County, with 1,284 enrollees.
What is the total number of D-SNP plans in Madera County?
There are 6 D-SNP plans in 2026, covering 2,038 enrollees.
C-SNP Plans (Chronic Condition Special Needs Plans)
Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.
- Total C-SNP Plans 18
- Average Monthly Premium $3.84/mo
- Beneficiaries Enrolled 849
- $0 Premium C-SNPs 11
- Average MOOP $11,120
- Most Popular C-SNP Alignment Health Heart & Diabetes CalPlus (C-SNP) with 279 enrollees
- C-SNPs Without Drug Coverage 0
What is the average monthly premium for C-SNP plans in Madera County?
C-SNP plans in Madera County cost $3.84 per month.
Which C-SNP plan has the highest enrollment in Madera County?
The most popular C-SNP plan in Madera County is Alignment Health Heart & Diabetes CalPlus (C-SNP), with 279 enrollees.
How many C-SNP plans are available in Madera County?
In 2026, Madera County offers 18 C-SNP plans with 849 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 May, 2025
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Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.