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2026 Medicare Special Needs Plans in San Francisco County, CA

Last update: .

In San Francisco County, CA, there are 22 Medicare Special Needs Plans available for 2026. Approximately 21,990 beneficiaries are enrolled, and about 58% are rated 4 stars or higher based on CMS quality ratings.

Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in San Francisco County, CA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$3.71/mo
Plans with $0 Premium
14
Average MOOP Limit
$6,870 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 58% · 3 Stars: 42% · Below 3: 0%
Average Part D Deductible
$458.41
Total SNP Enrollment
21,990
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. Anthem Full Dual Advantage Aligned (D-SNP) — 9,602 enrollees
2. Kaiser Permanente Dual Complete North P19 (D-SNP) — 3,776 enrollees
3. CCHP Senior Select Program (D-SNP) — 3,755 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in San Francisco County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

  • Total D-SNP Plans: 7
  • Average Monthly Premium: $3.43/mo
  • Beneficiaries Enrolled: 19,744
  • $0 Premium Plans: 5
  • Zero Cost Plans: 7
  • Top D-SNP by Enrollment: Anthem Full Dual Advantage Aligned (D-SNP) — 9,602 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in San Francisco County, California
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Alignment Health CalPlusDuals
☆☆☆☆☆
 $0 9250.00 $615 H3815-030-0
Kaiser Permanente Dual Complete North P19
☆☆☆☆☆
 $0 9250.00 $615 H8794-019-0
Wellcare Dual Liberty
☆☆☆☆☆
 $12 9250.00 $425 H3561-009-0
Anthem Full Dual Advantage Aligned
☆☆☆☆☆
 $0 9250.00 $615 H4471-010-2
CCHP Senior Select Program
☆☆☆☆☆
 $0 3400.00 $615 H0571-005-0
Central Health Dual Access Plan
☆☆☆☆☆
 $0 9250.00 $550 H5649-024-0
SFHP Care Plus
☆☆☆☆☆
 $12 9250.00 $615 H8051-001-0
What is the total number of D-SNP plans in San Francisco County?

There are 7 D-SNP plans in 2026, covering 19,744 enrollees.

How much do D-SNP plans cost in San Francisco County?

The average D-SNP premium in San Francisco County is $3.43 per month, with 5 plans offering $0 premiums.

What is the most popular D-SNP plan in San Francisco County?

Anthem Full Dual Advantage Aligned (D-SNP) is the top D-SNP in San Francisco County, with 9,602 enrollees.

What is the total number of D-SNP plans in San Francisco County?

There are 7 D-SNP plans in 2026, covering 19,744 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
2
Average Monthly Premium
$6.00/mo
Beneficiaries Enrolled
0
$0 Premium Plans
1
Average MOOP
$5,575
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
Comparison table of 2026 I-SNP Medicare Plans available in San Francisco County, California
Health Plan Name CMS Rating* Premium Per Mo Network
Premier Care
☆☆☆☆☆
 $0 1900.00 $0 H3274-002-0
Senior Care
☆☆☆☆☆
 $12 9250.00 $615 H3274-001-0
What is the most popular I-SNP plan in San Francisco County?

is the top I-SNP in San Francisco County, with 0 enrollees.

What is the total number of I-SNP plans in San Francisco County?

There are 2 I-SNP plans in 2026, covering 0 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 13
  • Average Monthly Premium $3.51/mo
  • Beneficiaries Enrolled 2,246
  • $0 Premium C-SNPs 8
  • Average MOOP $6,237
  • Most Popular C-SNP SCAN Strive (C-SNP) with 1,368 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2026 C-SNP Medicare Plans available in San Francisco County, California
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
SCAN Balance
☆☆☆☆☆
 $0 1499.00 $250 H5425-106-0
SCAN Strive
☆☆☆☆☆
 $0 9250.00 $250 H5425-098-0
UHC Complete Care Support CA-8AP
☆☆☆☆☆
 $9 9250.00 $615 H0543-249-0
Imperial Senior Value
☆☆☆☆☆
 $0 296.00 $0 H5496-005-0
Wellcare Specialty Simple Focus
☆☆☆☆☆
 $0 9250.00 $615 H0562-138-0
Central Health Embrace Care Plan
☆☆☆☆☆
 $0 1800.00 $615 H5649-025-4
Central Health Embrace Choice Plan
☆☆☆☆☆
 $0 9250.00 $615 H5649-026-4

What is the average monthly premium for C-SNP plans in San Francisco County?

C-SNP plans in San Francisco County cost $3.51 per month.

Which C-SNP plan has the highest enrollment in San Francisco County?

The most popular C-SNP plan in San Francisco County is SCAN Strive (C-SNP), with 1,368 enrollees.

How many C-SNP plans are available in San Francisco County?

In 2026, San Francisco County offers 13 C-SNP plans with 2,246 enrollees.

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 .

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