2026 Medicare Special Needs Plans in Ventura County, CA
Last update: . Enrollment data updated: May 2, 2026
In Ventura County, CA, there are 15 Medicare Special Needs Plans available for 2026. Approximately 6,567 beneficiaries are enrolled, and about 64% 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 Ventura County, CA to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Ventura County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 6
- Average Monthly Premium: $2.00/mo
- Beneficiaries Enrolled: 5,612
- $0 Premium Plans: 5
- Zero Cost Plans: 6
- Top D-SNP by Enrollment: Anthem Dual Advantage (D-SNP) — 2,442 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Alignment Health CalPlusDuals | $0 | 9250.00 | $615 | H3815-030-0 | |
| Kaiser Permanente Dual Complete South P11 | $0 | 3400.00 | $0 | H8794-011-0 | |
| Anthem Dual Advantage | $0 | 9250.00 | $105 | H4471-005-0 | |
| Central Health Medi-Medi Plan II | $0 | 9250.00 | $250 | H5649-009-0 | |
| Humana Gold Plus SNP-DE H5619-038 | $0 | 9250.00 | $490 | H5619-038-0 | |
| Gold Coast Health Plan Total Care Advantage | $12 | 9250.00 | $615 | H9623-001-0 |
What is the total number of D-SNP plans in Ventura County?
There are 6 D-SNP plans in 2026, covering 5,612 enrollees.
How much do D-SNP plans cost in Ventura County?
The average D-SNP premium in Ventura County is $2.00 per month, with 5 plans offering $0 premiums.
What is the most popular D-SNP plan in Ventura County?
Anthem Dual Advantage (D-SNP) is the top D-SNP in Ventura County, with 2,442 enrollees.
What is the total number of D-SNP plans in Ventura County?
There are 6 D-SNP plans in 2026, covering 5,612 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.
- Total C-SNP Plans 9
- Average Monthly Premium $4.08/mo
- Beneficiaries Enrolled 955
- $0 Premium C-SNPs 5
- Average MOOP $13,174
- Most Popular C-SNP Alignment Health Heart & Diabetes CalPlus (C-SNP) with 257 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | 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 | |
| SCAN Strive | $0 | 9250.00 | $615 | H5425-097-0 | |
| Imperial Senior Value | $0 | 296.00 | $0 | H5496-005-0 | |
| Anthem Kidney Care | $0 | 9250.00 | $0 | H8552-028-0 |
What is the average monthly premium for C-SNP plans in Ventura County?
C-SNP plans in Ventura County cost $4.08 per month.
Which C-SNP plan has the highest enrollment in Ventura County?
The most popular C-SNP plan in Ventura County is Alignment Health Heart & Diabetes CalPlus (C-SNP), with 257 enrollees.
How many C-SNP plans are available in Ventura County?
In 2026, Ventura County offers 9 C-SNP plans with 955 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 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.