2026 Medicare Special Needs Plans in San Francisco County, CA
Last update: . Enrollment data updated: June 13, 2026
In San Francisco County, CA, there are 22 Medicare Special Needs Plans available for 2026. Approximately 21,492 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.
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: 19,304
- $0 Premium Plans: 5
- Zero Cost Plans: 7
- Top D-SNP by Enrollment: Anthem Full Dual Advantage Aligned (D-SNP) — 9,379 enrollees
- Plans without Drug Coverage: 0
| 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 19,304 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 9,379 enrollees.
What is the total number of D-SNP plans in San Francisco County?
There are 7 D-SNP plans in 2026, covering 19,304 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.
| 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 2,188
- $0 Premium C-SNPs 8
- Average MOOP $12,474
- Most Popular C-SNP SCAN Strive (C-SNP) with 1,325 enrollees
- C-SNPs Without Drug Coverage 0
| 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 1,325 enrollees.
How many C-SNP plans are available in San Francisco County?
In 2026, San Francisco County offers 13 C-SNP plans with 2,188 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 .
- 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.