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  1. 🏠
  2. Special Needs Plans
  3. California
  4. Orange County

2027 Medicare Special Needs Plans in Orange County, CA

Last update: October 5, 2026.

For 2027, Orange County, CA includes 49 Medicare Special Needs Plans. Enrollment across these plans totals approximately 51,572, with 46% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Orange County, CA to explore additional plan types and coverage choices.

  • D-SNP Plans
  • C-SNP Plans
  • I-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $1.05/mo
  • $0 Premium Plans: 38
  • Average MOOP: $5,353 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 46% · 3 Stars: 54% · Below 3: 0%
  • Average Part D Deductible: $368.30
  • Total SNP Enrollment: 51,572
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. CalOptima Health OneCare Complete (D-SNP) — 19,085 enrollees
    2. SCAN Balance (C-SNP) — 9,447 enrollees
    3. Astiva Health C-SNP WOW (C-SNP) — 4,170 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Orange County, CA are summarized separately. For a broader perspective, explore California Medicare Special Needs plans.

Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.

Total D-SNP Plans
3
Average Monthly Premium
$2.43/mo
Beneficiaries Enrolled
22,380
$0 Premium Plans
2
Zero Cost Plans
3
Top D-SNP by Enrollment
CalOptima Health OneCare Complete (D-SNP) — 19,085 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Orange County, California (comparison chart)
SNP Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Kaiser Permanente Dual Complete South P10
☆☆☆☆☆
$0 9850.00 $700 H8794-010-0
CalOptima Health OneCare Complete
☆☆☆☆☆
$7 9850.00 $700 H5433-001-0
Wellcare Health Net Dual Liberty
☆☆☆☆☆
$0 9850.00 $700 H3561-009-0

What is the average monthly premium for D-SNP plans in Orange County?

D-SNP plans in Orange County cost $2.43 per month.

Which D-SNP plan has the highest enrollment in Orange County?

The most popular D-SNP plan in Orange County is CalOptima Health OneCare Complete (D-SNP), with 19,085 enrollees.

How many D-SNP plans are available in Orange County?

In 2027, Orange County offers 3 D-SNP plans with 22,380 enrollees.

Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.

Total I-SNP Plans
5
Average Monthly Premium
$1.46/mo
Beneficiaries Enrolled
1,628
$0 Premium Plans
4
Average MOOP
$4,620
Top I-SNP by Enrollment
SCAN Embrace (I-SNP) — 989 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Orange County, California (comparison chart)
SNP Plan Name Rating* Premium Network
SCAN Embrace
☆☆☆☆☆
$0 799.00 $0 H5425-087-0
SCAN Embrace Together
☆☆☆☆☆
$0 9850.00 $700 H5425-131-0
Anthem I CareMore Home Care
☆☆☆☆☆
$0 700.00 $100 H0544-005-0
Premier Care
☆☆☆☆☆
$0 1900.00 $50 H3274-002-0
Senior Care
☆☆☆☆☆
$7 9850.00 $700 H3274-001-0

What is the typical premium for I-SNP plans in Orange County?

I-SNP plans in Orange County cost $1.46 per month.

Which I-SNP plan do most beneficiaries choose in Orange County?

The most popular I-SNP plan in Orange County is SCAN Embrace (I-SNP), with 989 enrollees.

How many Institutional SNP plans are offered in Orange County?

In 2027, Orange County offers 5 I-SNP plans with 1,628 enrollees.

Medicare Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.

Total C-SNP Plans
39
Average Monthly Premium
$0.89/mo
Beneficiaries Enrolled
27,564
$0 Premium C-SNPs
32
Average MOOP
$5,101
Most Popular C-SNP
SCAN Balance (C-SNP) with 9,447 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Orange County, California (comparison chart)
SNP Plan Name Rating* Premium Network
Clever Care Breathe Select+
☆☆☆☆☆
$0 499.00 $0 H7607-019-0
Clever Care Breathe+
☆☆☆☆☆
$0 9850.00 $700 H7607-017-0
Clever Care Total Choice+
☆☆☆☆☆
$0 499.00 $0 H7607-018-0
Clever Care Total+
☆☆☆☆☆
$0 9850.00 $700 H7607-016-0
Astiva Health C-SNP Bloom
☆☆☆☆☆
$0 2000.00 $0 H1993-020-0
Astiva Health C-SNP Deluxe
☆☆☆☆☆
$0 2000.00 $0 H1993-007-0
Astiva Health C-SNP Fountain
☆☆☆☆☆
$0 2000.00 $0 H1993-019-0
Astiva Health C-SNP WOW
☆☆☆☆☆
$0 9250.00 $500 H1993-008-0
Imperial Flex
☆☆☆☆☆
$3 9850.00 $450 H5496-017-0
Imperial Senior Value
☆☆☆☆☆
$0 295.00 $0 H5496-005-0
SCAN Ansim Care
☆☆☆☆☆
$7 9850.00 $700 H5425-156-0
SCAN Balance
☆☆☆☆☆
$0 199.00 $370 H5425-034-0
SCAN Strive
☆☆☆☆☆
$0 9850.00 $450 H5425-097-0
Alignment Health Balance 033
☆☆☆☆☆
$0 1499.00 $0 H3815-033-0
Alignment Health BreathEasy Plus 041
☆☆☆☆☆
$0 9850.00 $700 H3815-041-0
Alignment Health Clarity Plus 042
☆☆☆☆☆
$7 9850.00 $700 H3815-042-0
Alignment Health Heart & Diabetes 010
☆☆☆☆☆
$0 1900.00 $0 H3815-010-0
Alignment Health Heart & Diabetes 051
☆☆☆☆☆
$0 9850.00 $700 H3815-051-0
Alignment Health Heart & Diabetes 054
☆☆☆☆☆
$0 990.00 $0 H3815-054-0
Alignment Health Heart & Diabetes Plus 039
☆☆☆☆☆
$7 9850.00 $700 H3815-039-0
Alignment Health Heart & Diabetes Plus 044
☆☆☆☆☆
$0 9850.00 $700 H3815-044-0
Anthem I CareMore Chronic Care
☆☆☆☆☆
$0 800.00 $100 H0544-004-0
Anthem I CareMore Kidney Care
☆☆☆☆☆
$0 800.00 $150 H0544-015-0
Anthem I CareMore Lung Care
☆☆☆☆☆
$0 499.00 $100 H0544-014-0
Wellcare Specialty Simple
☆☆☆☆☆
$0 1000.00 $700 H0562-092-0
Anthem I CareMore Chronic Care 2
☆☆☆☆☆
$0 499.00 $250 H4161-014-0
Anthem I CareMore Lung Care 2
☆☆☆☆☆
$0 499.00 $250 H4161-016-0
UHC Complete Care CA-19P
☆☆☆☆☆
$0 800.00 $595 H0543-218-0
UHC Complete Care Support CA-2AP
☆☆☆☆☆
$0 9850.00 $100 H0543-240-0
Champion Advantage
☆☆☆☆☆
$0 999.00 $0 H6170-001-0
Champion Care
☆☆☆☆☆
$0 499.00 $0 H6170-008-0
Champion Choice
☆☆☆☆☆
$3 9850.00 $700 H6170-009-0
Champion Compass
☆☆☆☆☆
$0 999.00 $0 H6170-015-0
Champion Connect
☆☆☆☆☆
$0 9850.00 $700 H6170-002-0
Champion Home
☆☆☆☆☆
$0 9850.00 $700 H6170-016-0
Champion Plus
☆☆☆☆☆
$7 9850.00 $700 H6170-010-0
Champion Secure
☆☆☆☆☆
$0 9850.00 $700 H6170-017-0
SCAN DaVita Dialysis Care
☆☆☆☆☆
$0 2950.00 $370 H5943-005-0
SCAN DaVita Dialysis Care Complete
☆☆☆☆☆
$0 9850.00 $175 H5943-003-0
What is the most popular C-SNP plan in Orange County?

SCAN Balance (C-SNP) is the top C-SNP in Orange County, with 9,447 enrollees.

What is the total number of C-SNP plans in Orange County?

There are 39 C-SNP plans in 2027, covering 27,564 enrollees.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08

All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.

Data sources and methodology documentation .

  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 20 August, 2026
  • Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 22 August, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 24 August, 2026

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 is documented in accordance 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.

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