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  1. 🏠
  2. Special Needs Plans
  3. California
  4. San Francisco County

2027 Medicare Special Needs Plans in San Francisco County, CA

Last update: October 5, 2026.

For 2027, San Francisco County, CA includes 21 Medicare Special Needs Plans. Enrollment across these plans totals approximately 21,869, with 29% 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 San Francisco 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: $1.97/mo
  • $0 Premium Plans: 13
  • Average MOOP: $7,757 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 29% · 3 Stars: 71% · Below 3: 0%
  • Average Part D Deductible: $465.25
  • Total SNP Enrollment: 21,869
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. Anthem Full Dual Advantage Aligned (D-SNP) — 9,625 enrollees
    2. CCHP Senior Select Program (D-SNP) — 3,758 enrollees
    3. Kaiser Permanente Dual Complete North P19 (D-SNP) — 3,754 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in San Francisco 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
6
Average Monthly Premium
$2.43/mo
Beneficiaries Enrolled
19,720
$0 Premium Plans
4
Zero Cost Plans
6
Top D-SNP by Enrollment
Anthem Full Dual Advantage Aligned (D-SNP) — 9,625 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in San Francisco County, California (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Kaiser Permanente Dual Complete North P19
☆☆☆☆☆
$0 9850.00 $700 H8794-019-0
Alignment Health Duals+ 030
☆☆☆☆☆
$7 9850.00 $700 H3815-030-0
Wellcare Health Net Dual Liberty
☆☆☆☆☆
$0 9850.00 $700 H3561-009-0
Anthem Full Dual Advantage Aligned
☆☆☆☆☆
$0 9850.00 $105 H4471-010-2
CCHP Senior Select Program
☆☆☆☆☆
$0 9850.00 $700 H0571-005-0
SFHP Care Plus
☆☆☆☆☆
$7 9850.00 $700 H8051-001-0
What is the average monthly premium for D-SNP plans in San Francisco County?
D-SNP plans in San Francisco County cost $2.43 per month.
Which D-SNP plan has the highest enrollment in San Francisco County?
The most popular D-SNP plan in San Francisco County is Anthem Full Dual Advantage Aligned (D-SNP), with 9,625 enrollees.
How many D-SNP plans are available in San Francisco County?
In 2027, San Francisco County offers 6 D-SNP plans with 19,720 enrollees.

Medicare Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.

Total I-SNP Plans
2
Average Monthly Premium
$3.65/mo
Beneficiaries Enrolled
0
$0 Premium Plans
1
Average MOOP
$5,875
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in San Francisco County, California (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
Premier Care
☆☆☆☆☆
$0 1900.00 $50 H3274-002-0
Senior Care
☆☆☆☆☆
$7 9850.00 $700 H3274-001-0

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

I-SNP plans in San Francisco County cost $3.65 per month.

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

The most popular I-SNP plan in San Francisco County is , with 0 enrollees.

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

In 2027, San Francisco County offers 2 I-SNP plans with 0 enrollees.

Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.

Total C-SNP Plans
12
Average Monthly Premium
$1.45/mo
Beneficiaries Enrolled
2,149
$0 Premium C-SNPs
8
Average MOOP
$7,024
Most Popular C-SNP
SCAN Strive (C-SNP) with 1,388 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in San Francisco County, California (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
Imperial Flex
☆☆☆☆☆
$3 9850.00 $450 H5496-017-0
Imperial Senior Value
☆☆☆☆☆
$0 295.00 $0 H5496-005-0
SCAN Balance
☆☆☆☆☆
$0 1900.00 $450 H5425-106-0
SCAN Strive
☆☆☆☆☆
$0 9850.00 $450 H5425-098-0
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 048
☆☆☆☆☆
$0 1990.00 $0 H3815-048-0
Alignment Health Heart & Diabetes 051
☆☆☆☆☆
$0 9850.00 $700 H3815-051-0
Alignment Health Heart & Diabetes Plus 039
☆☆☆☆☆
$7 9850.00 $700 H3815-039-0
Wellcare Specialty Simple Focus
☆☆☆☆☆
$0 9250.00 $700 H0562-138-0
UHC Complete Care Support CA-8AP
☆☆☆☆☆
$0 9850.00 $100 H0543-249-0
What is the total number of C-SNP plans in San Francisco County?

There are 12 C-SNP plans in 2027, covering 2,149 enrollees.

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

The average C-SNP premium in San Francisco County is $1.45 per month, with 8 plans offering $0 premiums.

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

SCAN Strive (C-SNP) is the top C-SNP in San Francisco County, with 1,388 enrollees.

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

There are 12 C-SNP plans in 2027, covering 2,149 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 informational resource and has no affiliation with, or endorsement from, 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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