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2027 plans · CMS data
Medicare Special Needs Plans in California
Every Special Needs Plan in California for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.
50D-SNPs for Medicare and Medicaid
77C-SNPs for chronic conditions
8I-SNPs for institutional care
50rated 4+ stars by CMS
Showing all 135 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with California Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Kaiser Permanente Dual Complete South P9 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,250 | $9,250 | 4.5★ |
| 2 | Kaiser Permanente Dual Complete North P16 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 3 | Kaiser Permanente Dual Complete North P17 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 4 | Kaiser Permanente Dual Complete North P18 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing5 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 5 | Kaiser Permanente Dual Complete North P19 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 6 | Kaiser Permanente Dual Complete North P2 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing3 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 7 | Kaiser Permanente Dual Complete North P20 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing2 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 8 | Kaiser Permanente Dual Complete North P21 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 9 | Kaiser Permanente Dual Complete North P22 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 10 | Kaiser Permanente Dual Complete North P23 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 11 | Kaiser Permanente Dual Complete North P24 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing3 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 12 | Kaiser Permanente Dual Complete North P25 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing4 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 13 | Kaiser Permanente Dual Complete South P1 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 14 | Kaiser Permanente Dual Complete South P10 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 15 | Kaiser Permanente Dual Complete South P11 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 16 | Kaiser Permanente Dual Complete South P6 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing2 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 17 | Kaiser Permanente Dual Complete South P7 (HMO D-SNP)Kaiser Permanente · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 18 | SCAN Connections (HMO D-SNP)SCAN Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing4 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 19 | SCAN Connections at Home (HMO D-SNP)SCAN Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing4 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 20 | Blue Shield Medicare + Medi-Cal Plan (HMO D-SNP)Blue Shield of California · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing2 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 21 | Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing5 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 22 | Wellcare CalViva Health Dual Align (HMO D-SNP)Wellcare · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing3 of 53 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 23 | Wellcare Health Net Dual Align (HMO D-SNP)Wellcare · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing9 of 53 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 24 | Wellcare Health Net Dual Align (HMO D-SNP)Wellcare · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 25 | CalOptima Health OneCare Complete (HMO D-SNP)CalOptima Health OneCare · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 3.5★ |
| 26 | IEHP DualChoice (HMO D-SNP)IEHP DualChoice · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing2 of 53 counties | $7.30 | $9,850 | $9,938 | 3.5★ |
| 27 | L.A. Care Medicare Plus (HMO D-SNP)L.A. Care Health Plan · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 3.5★ |
| 28 | Wellcare Health Net Dual Liberty (HMO D-SNP)Wellcare · HMO D-SNPCoordination-only · $0 Medicare cost sharing8 of 53 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 29 | Alignment Health Duals+ 030 (HMO D-SNP)Alignment Health Plan · HMO D-SNPCoordination-only · $0 Medicare cost sharing6 of 53 counties | $7.30 | $9,850 | $9,938 | 3.5★ |
| 30 | Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue Cross · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing7 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 31 | Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue Cross · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing8 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 32 | Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue Cross · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 33 | CareAdvantage (HMO D-SNP)HEALTH PLAN OF SAN MATEO · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 3★ |
| 34 | DualConnect (HMO D-SNP)Santa Clara Family Health Plan · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 3★ |
| 35 | Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of California · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 3★ |
| 36 | Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of California · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing2 of 53 counties | $7.30 | $9,850 | $9,938 | 3★ |
| 37 | Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of California · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 3★ |
| 38 | Molina Medicare Complete Care Plus (HMO D-SNP)Molina Healthcare of California · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 3★ |
| 39 | CCHP Senior Select Program (HMO D-SNP)CCHP (Chinese Community Health Plan) · HMO D-SNPCoordination-only · $0 Medicare cost sharing1 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 40 | Anthem Dual Advantage (HMO D-SNP)Anthem Blue Cross · HMO D-SNPCoordination-only · $0 Medicare cost sharing1 of 53 counties | $4.10 | $9,850 | $9,899 | 3★ |
| 41 | CommuniCare Advantage (HMO D-SNP)Community Health Group · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | 2.5★ |
| 42 | Alameda Alliance Wellness (HMO D-SNP)Alameda Alliance for Health · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 43 | CenCal CareConnect (HMO D-SNP)CenCal CareConnect · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing2 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 44 | Community Advantage Plus (HMO D-SNP)Community Health Plan of Imperial Valley · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 45 | Contra Costa Health Care Plus (HMO D-SNP)Contra Costa Health Care Plus (HMO D-SNP) · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 46 | Gold Coast Health Plan Total Care Advantage (HMO D-SNP)Gold Coast Health Plan · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 47 | HPSJ/MVHP Advantage D-SNP (HMO D-SNP)Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO) · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing4 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 48 | Kern Family Health Care Medicare (HMO D-SNP)Kern Family Health Care Medicare (D-SNP) · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 49 | SFHP Care Plus (HMO D-SNP)San Francisco Health Plan · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing1 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 50 | TotalCare (HMO D-SNP)Central California Alliance for Health · HMO D-SNPCoordination-only · applicable integrated plan · $0 Medicare cost sharing5 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
C-SNPs: chronic conditions
Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $199 | $199 | 4★ |
| 2 | Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc. · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes51 of 53 counties | $0 | $295 | $295 | 4★ |
| 3 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $299 | $299 | 3★ |
| 4 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $299 | $299 | 3★ |
| 5 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $399 | $399 | 4★ |
| 6 | Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)Anthem Blue Cross Partnership Plan · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $499 | $499 | 3★ |
| 7 | Anthem I CareMore Lung Care (HMO-POS C-SNP)Anthem Blue Cross · HMO-POS C-SNPChronic lung disorders2 of 53 counties | $0 | $499 | $499 | 3.5★ |
| 8 | Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)Anthem Blue Cross Partnership Plan · HMO-POS C-SNPChronic lung disorders2 of 53 counties | $0 | $499 | $499 | 3★ |
| 9 | Champion Care (HMO C-SNP)Champion Heath Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 53 counties | $0 | $499 | $499 | Not rated |
| 10 | Clever Care Breathe Select+ (HMO C-SNP)Clever Care Health Plan · HMO C-SNPChronic lung disorders5 of 53 counties | $0 | $499 | $499 | 4.5★ |
| 11 | Clever Care Total Choice+ (HMO C-SNP)Clever Care Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 53 counties | $0 | $499 | $499 | 4.5★ |
| 12 | Anthem I CareMore Chronic Care (HMO-POS C-SNP)Anthem Blue Cross · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $800 | $800 | 3.5★ |
| 13 | Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)Anthem Blue Cross Partnership Plan · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $800 | $800 | 3★ |
| 14 | Anthem I CareMore Kidney Care (HMO-POS C-SNP)Anthem Blue Cross · HMO-POS C-SNPChronic kidney disease2 of 53 counties | $0 | $800 | $800 | 3.5★ |
| 15 | Anthem I CareMore Lung Care (HMO-POS C-SNP)Anthem Blue Cross · HMO-POS C-SNPChronic lung disorders1 of 53 counties | $0 | $800 | $800 | 3.5★ |
| 16 | Anthem I CareMore Lung Care 2 (HMO-POS C-SNP)Anthem Blue Cross Partnership Plan · HMO-POS C-SNPChronic lung disorders1 of 53 counties | $0 | $800 | $800 | 3★ |
| 17 | UHC Complete Care CA-18P (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $800 | $800 | 3★ |
| 18 | UHC Complete Care CA-19P (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $800 | $800 | 3★ |
| 19 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $900 | $900 | 4★ |
| 20 | Alignment Health Heart & Diabetes 054 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 53 counties | $0 | $990 | $990 | 3.5★ |
| 21 | Champion Advantage (HMO-POS C-SNP)Champion Heath Plan · HMO-POS C-SNPChronic kidney disease9 of 53 counties | $0 | $999 | $999 | Not rated |
| 22 | Champion Compass (HMO C-SNP)Champion Heath Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 53 counties | $0 | $999 | $999 | Not rated |
| 23 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 53 counties | $0 | $999 | $999 | 4★ |
| 24 | UHC Complete Care CA-20P (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $999 | $999 | 3★ |
| 25 | Anthem I CareMore Chronic Care (HMO-POS C-SNP)Anthem Blue Cross · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $1,000 | $1,000 | 3.5★ |
| 26 | Wellcare Specialty Simple (HMO C-SNP)Wellcare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 53 counties | $0 | $1,000 | $1,000 | 3.5★ |
| 27 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $1,200 | $1,200 | 4★ |
| 28 | Alignment Health Balance 033 (HMO C-SNP)Alignment Health Plan · HMO C-SNPChronic kidney disease2 of 53 counties | $0 | $1,499 | $1,499 | 3.5★ |
| 29 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $1,499 | $1,499 | 4★ |
| 30 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $1,500 | $1,500 | 3★ |
| 31 | Community y Más (HMO C-SNP)Community Health Group · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $1,500 | $1,500 | Not rated |
| 32 | Alignment Health Heart & Diabetes 010 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes19 of 53 counties | $0 | $1,900 | $1,900 | 3.5★ |
| 33 | Anthem I CareMore Kidney Care (HMO-POS C-SNP)Anthem Blue Cross · HMO-POS C-SNPChronic kidney disease1 of 53 counties | $0 | $1,900 | $1,900 | 3.5★ |
| 34 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $1,900 | $1,900 | 4★ |
| 35 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $1,900 | $1,900 | 4★ |
| 36 | Alignment Health Heart & Diabetes 048 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes15 of 53 counties | $0 | $1,990 | $1,990 | 3.5★ |
| 37 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $2,000 | $2,000 | 3★ |
| 38 | Astiva Health C-SNP Bloom (HMO C-SNP)Astiva Health · HMO C-SNPChronic lung disorders5 of 53 counties | $0 | $2,000 | $2,000 | 4★ |
| 39 | Astiva Health C-SNP Deluxe (HMO C-SNP)Astiva Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 53 counties | $0 | $2,000 | $2,000 | 4★ |
| 40 | Astiva Health C-SNP Fountain (HMO C-SNP)Astiva Health · HMO C-SNPChronic kidney disease5 of 53 counties | $0 | $2,000 | $2,000 | 4★ |
| 41 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 53 counties | $0 | $2,000 | $2,000 | 4★ |
| 42 | UHC Complete Care CA-27P (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $2,000 | $2,000 | 3★ |
| 43 | SCAN DaVita Dialysis Care (HMO-POS C-SNP)VillageHealth · HMO-POS C-SNPChronic kidney disease, Post-kidney transplant3 of 53 counties | $0 | $2,950 | $2,950 | Not rated |
| 44 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $3,600 | $3,600 | 3★ |
| 45 | UHC Sharp Complete Care CA-15P (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $4,450 | $4,450 | 3★ |
| 46 | SCAN Balance (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $27 | $4,200 | $4,524 | 4★ |
| 47 | PHP (HMO C-SNP)AHF · HMO C-SNPHIV/AIDS1 of 53 counties | $0 | $5,000 | $5,000 | Not rated |
| 48 | Astiva Health C-SNP WOW - NorCal (HMO C-SNP)Astiva Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $9,250 | $9,250 | 4★ |
| 49 | Astiva Health C-SNP WOW (HMO C-SNP)Astiva Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 53 counties | $0 | $9,250 | $9,250 | 4★ |
| 50 | Wellcare Specialty Simple Focus (HMO C-SNP)Wellcare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $9,250 | $9,250 | 3.5★ |
| 51 | Alignment Health BreathEasy Plus 041 (HMO C-SNP)Alignment Health Plan · HMO C-SNPChronic lung disorders18 of 53 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 52 | Alignment Health Heart & Diabetes Plus 044 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 53 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 53 | Anthem Chronic Care Advantage (PPO C-SNP)Anthem Blue Cross and Blue Shield · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 54 | Anthem Kidney Care (PPO C-SNP)Anthem Blue Cross and Blue Shield · PPO C-SNPChronic kidney disease12 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 55 | Champion Connect (HMO-POS C-SNP)Champion Heath Plan · HMO-POS C-SNPChronic kidney disease9 of 53 counties | $0 | $9,850 | $9,850 | Not rated |
| 56 | Champion Home (HMO C-SNP)Champion Heath Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 53 counties | $0 | $9,850 | $9,850 | Not rated |
| 57 | Champion Secure (HMO C-SNP)Champion Heath Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 53 counties | $0 | $9,850 | $9,850 | Not rated |
| 58 | Clever Care Breathe+ (HMO C-SNP)Clever Care Health Plan · HMO C-SNPChronic lung disorders5 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 59 | Clever Care Total+ (HMO C-SNP)Clever Care Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 53 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 60 | SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP)VillageHealth · HMO-POS C-SNPChronic kidney disease, Post-kidney transplant4 of 53 counties | $0 | $9,850 | $9,850 | Not rated |
| 61 | SCAN Strive (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 62 | SCAN Strive (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes6 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 63 | UHC Complete Care Support CA-1AP (HMO C-SNP)UnitedHealthcare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 64 | UHC Complete Care Support CA-2AP (HMO C-SNP)UnitedHealthcare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 65 | UHC Complete Care Support CA-3AP (HMO C-SNP)UnitedHealthcare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 66 | UHC Complete Care Support CA-4AP (HMO C-SNP)UnitedHealthcare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 67 | UHC Complete Care Support CA-8AP (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 68 | UHC Sharp Complete Care Support CA-6AP (HMO C-SNP)UnitedHealthcare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $0 | $9,850 | $9,850 | 3★ |
| 69 | Alignment Health Heart & Diabetes 051 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes19 of 53 counties | $0.10 | $9,850 | $9,851 | 3.5★ |
| 70 | Champion Choice (HMO C-SNP)Champion Heath Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 53 counties | $2.60 | $9,850 | $9,881 | Not rated |
| 71 | Imperial Flex (HMO C-SNP)Imperial Health Plan of California, Inc. · HMO C-SNPCardiovascular disorders, Diabetes51 of 53 counties | $2.70 | $9,850 | $9,882 | 4★ |
| 72 | Alignment Health Clarity Plus 042 (HMO C-SNP)Alignment Health Plan · HMO C-SNPChronic mental health conditions, Substance use disorders18 of 53 counties | $7.30 | $9,850 | $9,938 | 3.5★ |
| 73 | Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes20 of 53 counties | $7.30 | $9,850 | $9,938 | 3.5★ |
| 74 | Alignment Health Heart & Diabetes Plus 045 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes1 of 53 counties | $7.30 | $9,850 | $9,938 | 3.5★ |
| 75 | Central Health Harmony Plus 002 (HMO C-SNP)Alignment Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $7.30 | $9,850 | $9,938 | Too new to rate |
| 76 | Champion Plus (HMO C-SNP)Champion Heath Plan · HMO C-SNPChronic mental health conditions9 of 53 counties | $7.30 | $9,850 | $9,938 | Not rated |
| 77 | SCAN Ansim Care (HMO C-SNP)SCAN Health Plan · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 53 counties | $7.30 | $9,850 | $9,938 | 4★ |
I-SNPs: institutional care
For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Anthem I CareMore Home Care (HMO I-SNP)Anthem Blue Cross · HMO I-SNPHybrid (at home or in a facility)2 of 53 counties | $0 | $700 | $700 | 3.5★ |
| 2 | SCAN Embrace (HMO I-SNP)SCAN Health Plan · HMO I-SNPHybrid (at home or in a facility)1 of 53 counties | $0 | $799 | $799 | 4★ |
| 3 | SCAN Embrace (HMO I-SNP)SCAN Health Plan · HMO I-SNPHybrid (at home or in a facility)1 of 53 counties | $0 | $799 | $799 | 4★ |
| 4 | SCAN Embrace (HMO-POS I-SNP)SCAN Health Plan · HMO-POS I-SNPHybrid (at home or in a facility)1 of 53 counties | $0 | $1,499 | $1,499 | 4★ |
| 5 | Premier Care (HMO I-SNP)Align Senior Care · HMO I-SNPHybrid (at home or in a facility)8 of 53 counties | $0 | $1,900 | $1,900 | Not rated |
| 6 | SCAN Embrace Together (HMO I-SNP)SCAN Health Plan · HMO I-SNPFacility-based2 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 7 | SCAN Embrace Together (HMO-POS I-SNP)SCAN Health Plan · HMO-POS I-SNPFacility-based1 of 53 counties | $0 | $9,850 | $9,850 | 4★ |
| 8 | Senior Care (HMO I-SNP)Align Senior Care · HMO I-SNPHybrid (at home or in a facility)8 of 53 counties | $7.30 | $9,850 | $9,938 | Not rated |
Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort
Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.
Questions
How many Special Needs Plans are in California for 2027?
CMS lists 135: 50 D-SNPs (Medicare and Medicaid), 77 C-SNPs (chronic conditions) and 8 I-SNPs (institutional), from 32 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in California are integrated with Medicaid?
45 of the 50 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.
Do Special Needs Plans include drug coverage?
Yes. Every Special Needs Plan must include Part D drug coverage.
Can I stay in a Special Needs Plan if I no longer qualify?
Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.
Sources
- CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
- Medicare.gov, “Special Needs Plans” — medicare.gov.
Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in California →
- Medicare Savings Programs →
- Extra Help with drug costs →
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