2026 Medicare Special Needs Plans in Merced County, CA
Last update: . Enrollment data updated: May 2, 2026
Merced County, CA has 9 Medicare Special Needs Plans available in 2026. These plans serve approximately 1,975 beneficiaries, and roughly 75% achieve 4-star ratings or higher based on CMS data.
Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Merced County, CA to compare other coverage categories available in your area.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Merced County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 1
- Average Monthly Premium: $5.50/mo
- Beneficiaries Enrolled: 105
- $0 Premium Plans: 0
- Zero Cost Plans: 1
- Top D-SNP by Enrollment: TotalCare (D-SNP) — 105 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Central California Alliance for Health TotalCare | $6 | 9250.00 | $615 | H5692-001-0 |
What is the most popular D-SNP plan in Merced County?
TotalCare (D-SNP) is the top D-SNP in Merced County, with 105 enrollees.
What is the total number of D-SNP plans in Merced County?
There are 1 D-SNP plans in 2026, covering 105 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Alignment Health BreathEasy | $12 | 9250.00 | $615 | H3815-041-0 | |
| Alignment Health Clarity | $12 | 9250.00 | $615 | H3815-042-0 | |
| Alignment Health Heart & Diabetes | $0 | 1499.00 | $0 | H3815-010-0 | |
| Alignment Health Heart & Diabetes CalPlus | $12 | 9250.00 | $615 | H3815-039-0 | |
| Alignment Health Heart & Diabetes Care | $0 | 1990.00 | $0 | H3815-048-0 | |
| Alignment Health Heart & Diabetes Choice | $1 | 9250.00 | $615 | H3815-051-0 | |
| Imperial Senior Value | $0 | 296.00 | $0 | H5496-005-0 | |
| Anthem Kidney Care | $0 | 9250.00 | $0 | H8552-028-0 |
What is the typical premium for C-SNP plans in Merced County?
C-SNP plans in Merced County cost $4.59 per month.
Which C-SNP plan do most beneficiaries choose in Merced County?
The most popular C-SNP plan in Merced County is Alignment Health Heart & Diabetes CalPlus (C-SNP), with 691 enrollees.
How many Chronic Condition SNP plans are offered in Merced County?
In 2026, Merced County offers 8 C-SNP plans with 1,870 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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
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.