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2027 Medicare Special Needs Plans in Santa Clara County, CA

Last update: .

In Santa Clara County, CA, there are 17 Medicare Special Needs Plans available for 2027. Approximately 30,234 beneficiaries are enrolled, and about 40% 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 Santa Clara County, CA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$2.31/mo
Plans with $0 Premium
10
Average MOOP Limit
$7,346 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 40% · 3 Stars: 60% · Below 3: 0%
Average Part D Deductible
$447.35
Total SNP Enrollment
30,234
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. DualConnect (D-SNP) — 11,705 enrollees
2. Anthem Full Dual Advantage Aligned (D-SNP) — 6,003 enrollees
3. Alignment Health Heart & Diabetes Plus 039 (C-SNP) — 3,438 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Santa Clara County, CA are summarized separately. For a broader perspective, explore California Medicare Special Needs plans.

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 3
  • Average Monthly Premium: $2.43/mo
  • Beneficiaries Enrolled: 18,908
  • $0 Premium Plans: 2
  • Zero Cost Plans: 3
  • Top D-SNP by Enrollment: DualConnect (D-SNP) — 11,705 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Santa Clara County, California
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Kaiser Permanente Dual Complete North P23
☆☆☆☆☆
 $0 9850.00 $700 H8794-023-0
Anthem Full Dual Advantage Aligned
☆☆☆☆☆
 $0 9850.00 $105 H4471-010-2
Santa Clara Family Health Plan DualConnect
☆☆☆☆☆
 $7 9850.00 $700 H4045-001-0
What is the total number of D-SNP plans in Santa Clara County?

There are 3 D-SNP plans in 2027, covering 18,908 enrollees.

How much do D-SNP plans cost in Santa Clara County?

The average D-SNP premium in Santa Clara County is $2.43 per month, with 2 plans offering $0 premiums.

What is the most popular D-SNP plan in Santa Clara County?

DualConnect (D-SNP) is the top D-SNP in Santa Clara County, with 11,705 enrollees.

What is the total number of D-SNP plans in Santa Clara County?

There are 3 D-SNP plans in 2027, covering 18,908 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
$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
Comparison table of 2027 I-SNP Medicare Plans available in Santa Clara County, California
Health Plan Name CMS Rating* Premium Per Mo Network
Premier Care
☆☆☆☆☆
 $0 1900.00 $50 H3274-002-0
Senior Care
☆☆☆☆☆
 $7 9850.00 $700 H3274-001-0
What is the most popular I-SNP plan in Santa Clara County?

is the top I-SNP in Santa Clara County, with 0 enrollees.

What is the total number of I-SNP plans in Santa Clara County?

There are 2 I-SNP plans in 2027, 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.

Comparison table of 2027 C-SNP Medicare Plans available in Santa Clara County, California
Health Plan Name CMS Rating* Premium Per Mo Network
Astiva Health C-SNP WOW - NorCal
☆☆☆☆☆
 $0 9250.00 $500 H1993-013-0
Imperial Flex
☆☆☆☆☆
 $3 9850.00 $450 H5496-017-0
Imperial Senior Value
☆☆☆☆☆
 $0 295.00 $0 H5496-005-0
SCAN Balance
☆☆☆☆☆
 $0 1200.00 $450 H5425-070-0
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
Alignment Health Heart & Diabetes Plus 045
☆☆☆☆☆
 $7 9850.00 $700 H3815-045-0

What is the average monthly premium for C-SNP plans in Santa Clara County?

C-SNP plans in Santa Clara County cost $2.06 per month.

Which C-SNP plan has the highest enrollment in Santa Clara County?

The most popular C-SNP plan in Santa Clara County is Alignment Health Heart & Diabetes Plus 039 (C-SNP), with 3,438 enrollees.

How many C-SNP plans are available in Santa Clara County?

In 2027, Santa Clara County offers 12 C-SNP plans with 11,326 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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