2026 Medicare Special Needs Plans in Orange County, CA
Last update: . Enrollment data updated: June 13, 2026
Orange County, CA has 40 Medicare Special Needs Plans available in 2026. These plans serve approximately 54,873 beneficiaries, and roughly 47% 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 Orange 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 Orange County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 5
- Average Monthly Premium: $4.80/mo
- Beneficiaries Enrolled: 26,278
- $0 Premium Plans: 3
- Zero Cost Plans: 5
- Top D-SNP by Enrollment: CalOptima Health OneCare Complete (D-SNP) — 18,672 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Dual Complete South P1 | $0 | 9250.00 | $0 | H8794-001-0 | |
| Kaiser Permanente Dual Complete South P10 | $0 | 9250.00 | $0 | H8794-010-0 | |
| Wellcare Dual Liberty | $12 | 9250.00 | $425 | H3561-009-0 | |
| CalOptima Health OneCare Complete | $12 | 9250.00 | $615 | H5433-001-0 | |
| Central Health Dual Access Plan | $0 | 9250.00 | $550 | H5649-024-0 |
What is the most popular D-SNP plan in Orange County?
CalOptima Health OneCare Complete (D-SNP) is the top D-SNP in Orange County, with 18,672 enrollees.
What is the total number of D-SNP plans in Orange County?
There are 5 D-SNP plans in 2026, covering 26,278 enrollees.
I-SNP Plans (Institutional Special Needs Plans)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in long-term or institutional care settings. Plan availability varies by county.
- Total I-SNP Plans: 5
- Average Monthly Premium: $2.40/mo
- Beneficiaries Enrolled: 1,568
- $0 Premium Plans: 4
- Zero Cost Plans:
- Top I-SNP by Enrollment: SCAN Embrace (I-SNP) — 991 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| SCAN Embrace | $0 | 799.00 | $0 | H5425-087-0 | |
| SCAN Embrace Together | $0 | 9250.00 | $615 | H5425-131-0 | |
| Anthem I CareMore Home Care | $0 | 700.00 | $100 | H0544-005-0 | |
| Premier Care | $0 | 1900.00 | $0 | H3274-002-0 | |
| Senior Care | $12 | 9250.00 | $615 | H3274-001-0 |
What is the total number of I-SNP plans in Orange County?
Orange County has 5 I-SNP plans for 2026, with 1,568 enrollees.
How much do I-SNP plans cost in Orange County?
The typical I-SNP premium in Orange County is $2.40, and 4 plans have no monthly premium.
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.
What is the typical premium for C-SNP plans in Orange County?
C-SNP plans in Orange County cost $2.85 per month.
Which C-SNP plan do most beneficiaries choose in Orange County?
The most popular C-SNP plan in Orange County is SCAN Balance (C-SNP), with 9,167 enrollees.
How many Chronic Condition SNP plans are offered in Orange County?
In 2026, Orange County offers 30 C-SNP plans with 27,027 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 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
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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.