2026 Medicare Special Needs Plans in Santa Clara County, CA
Last update: . Enrollment data updated: June 13, 2026
For 2026, Santa Clara County, CA includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 35,205, with 61% 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 Santa Clara County, CA to explore additional plan types and coverage choices.
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
- 5
- Average Monthly Premium
- $2.00/mo
- Beneficiaries Enrolled
- 23,316
- $0 Premium Plans
- 4
- Zero Cost Plans
- 5
- Top D-SNP by Enrollment
- DualConnect (D-SNP) — 11,623 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 P23 | $0 | 9250.00 | $0 | H8794-023-0 | |
| Santa Clara Family Health Plan DualConnect | $10 | 9250.00 | $615 | H4045-001-0 | |
| Anthem Full Dual Advantage Aligned | $0 | 9250.00 | $615 | H4471-010-2 | |
| Central Health Dual Access Plan | $0 | 9250.00 | $550 | H5649-024-0 |
What is the average monthly premium for D-SNP plans in Santa Clara County?
D-SNP plans in Santa Clara County cost $2.00 per month.
Which D-SNP plan has the highest enrollment in Santa Clara County?
The most popular D-SNP plan in Santa Clara County is DualConnect (D-SNP), with 11,623 enrollees.
How many D-SNP plans are available in Santa Clara County?
In 2026, Santa Clara County offers 5 D-SNP plans with 23,316 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 typical premium for I-SNP plans in Santa Clara County?
I-SNP plans in Santa Clara County cost $6.00 per month.
Which I-SNP plan do most beneficiaries choose in Santa Clara County?
The most popular I-SNP plan in Santa Clara County is , with 0 enrollees.
How many Institutional SNP plans are offered in Santa Clara County?
In 2026, Santa Clara County offers 2 I-SNP plans with 0 enrollees.
Medicare Chronic Condition Special Needs Plans (C-SNPs)
Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.
- Total C-SNP Plans
- 13
- Average Monthly Premium
- $4.67/mo
- Beneficiaries Enrolled
- 11,889
- $0 Premium C-SNPs
- 7
- Average MOOP
- $12,375
- Most Popular C-SNP
- Alignment Health Heart & Diabetes CalPlus (C-SNP) with 3,470 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | 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 | |
| Alignment Health Silicon | $12 | 9250.00 | $615 | H3815-045-0 | |
| SCAN Balance | $0 | 750.00 | $250 | H5425-070-0 | |
| SCAN Strive | $0 | 9250.00 | $250 | H5425-098-0 | |
| Astiva Health C-SNP WOW - NorCal | $12 | 9250.00 | $615 | H1993-013-0 | |
| Imperial Senior Value | $0 | 296.00 | $0 | H5496-005-0 | |
| Central Health Embrace Care Plan | $0 | 1900.00 | $615 | H5649-025-3 | |
| Central Health Embrace Choice Plan | $0 | 9250.00 | $615 | H5649-026-3 |
What is the most popular C-SNP plan in Santa Clara County?
Alignment Health Heart & Diabetes CalPlus (C-SNP) is the top C-SNP in Santa Clara County, with 3,470 enrollees.
What is the total number of C-SNP plans in Santa Clara County?
There are 13 C-SNP plans in 2026, covering 11,889 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
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, "Compare Original Medicare & Medicare Advantage" — 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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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.