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2026 Medicare Special Needs Plans in Santa Clara County, CA

Last update: .

For 2026, Santa Clara County, CA includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 35,433, 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.

At a Glance

  • Average Monthly Premium: $4.14/mo
  • $0 Premium Plans: 12
  • Average MOOP: $6,892 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 61% · 3 Stars: 39% · Below 3: 0%
  • Average Part D Deductible: $390.75
  • Total SNP Enrollment: 35,433
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. DualConnect (D-SNP) — 11,648 enrollees
    2. Anthem Full Dual Advantage Aligned (D-SNP) — 6,014 enrollees
    3. Kaiser Permanente Dual Complete North P2 (D-SNP) — 4,673 enrollees

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
23,445
$0 Premium Plans
4
Zero Cost Plans
5
Top D-SNP by Enrollment
DualConnect (D-SNP) — 11,648 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Santa Clara County, California (comparison chart)
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 11,648 enrollees.

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

In 2026, Santa Clara County offers 5 D-SNP plans with 23,445 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
$5,575
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Santa Clara County, California (comparison chart)
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
11,988
$0 Premium C-SNPs
7
Average MOOP
$6,187
Most Popular C-SNP
Alignment Health Heart & Diabetes CalPlus (C-SNP) with 3,443 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Santa Clara County, California (comparison chart)
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 3,443 enrollees.

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

There are 13 C-SNP plans in 2026, covering 11,988 enrollees.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .