2026 Medicare Special Needs Plans in San Mateo County, CA
Last update: . Enrollment data updated: June 13, 2026
For 2026, San Mateo County, CA includes 11 Medicare Special Needs Plans. Enrollment across these plans totals approximately 11,288, with 44% 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 Mateo County, CA to explore additional plan types and coverage choices.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.
- Total D-SNP Plans
- 4
- Average Monthly Premium
- $3.00/mo
- Beneficiaries Enrolled
- 10,271
- $0 Premium Plans
- 3
- Zero Cost Plans
- 4
- Top D-SNP by Enrollment
- CareAdvantage (D-SNP) — 7,968 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Kaiser Permanente Dual Complete North P2 | $0 | 9250.00 | $0 | H8794-002-0 | |
| Kaiser Permanente Dual Complete North P22 | $0 | 9250.00 | $0 | H8794-022-0 | |
| HEALTH PLAN OF SAN MATEO CareAdvantage | $12 | 9250.00 | $615 | H6019-001-0 | |
| Central Health Dual Access Plan | $0 | 9250.00 | $550 | H5649-024-0 |
What is the typical premium for D-SNP plans in San Mateo County?
D-SNP plans in San Mateo County cost $3.00 per month.
Which D-SNP plan do most beneficiaries choose in San Mateo County?
The most popular D-SNP plan in San Mateo County is CareAdvantage (D-SNP), with 7,968 enrollees.
How many Dual Eligible SNP plans are offered in San Mateo County?
In 2026, San Mateo County offers 4 D-SNP plans with 10,271 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
- 2
- Average Monthly Premium
- $6.00/mo
- Beneficiaries Enrolled
- 0
- $0 Premium Plans
- 1
- Average MOOP
- $11,150
- Top I-SNP by Enrollment
- — 0 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Premier Care | $0 | 1900.00 | $0 | H3274-002-0 | |
| Senior Care | $12 | 9250.00 | $615 | H3274-001-0 |
- What is the average monthly premium for I-SNP plans in San Mateo County?
- I-SNP plans in San Mateo County cost $6.00 per month.
- Which I-SNP plan has the highest enrollment in San Mateo County?
- The most popular I-SNP plan in San Mateo County is , with 0 enrollees.
- How many I-SNP plans are available in San Mateo County?
- In 2026, San Mateo 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
- 5
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 1,017
- $0 Premium C-SNPs
- 5
- Average MOOP
- $8,838
- Most Popular C-SNP
- SCAN Balance (C-SNP) with 435 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| SCAN Balance | $0 | 1500.00 | $250 | H5425-076-0 | |
| SCAN Strive | $0 | 9250.00 | $250 | H5425-098-0 | |
| Imperial Senior Value | $0 | 296.00 | $0 | H5496-005-0 | |
| 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 total number of C-SNP plans in San Mateo County?
San Mateo County has 5 C-SNP plans for 2026, with 1,017 enrollees.
How much do C-SNP plans cost in San Mateo County?
The typical C-SNP premium in San Mateo County is $0.00, and 5 plans have no monthly premium.
- 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
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 24 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 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.