Understanding Medicare Special Needs Plans in San Francisco County, California
In San Francisco County, CA, Medicare beneficiaries have access to 21 Special Needs Plans (SNPs) in 2027. Among them, 14 are available at a $0 premium. About 21,869 people in the County are enrolled, with 28% of SNPs rated 4 stars or higher. These plans are designed for individuals with specific healthcare needs, including dual eligibility for Medicare and Medicaid, chronic conditions, or long-term care requirements.
To see how SNPs fit with your other Medicare choices, explore all Medicare coverage options in San Francisco County, CA.
Page last revised:
Enrollment data refreshed: October 5, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. Data sources
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are designed for people who qualify for both Medicare and Medicaid. These plans coordinate benefits to reduce costs and provide access to additional support services.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Kaiser Permanente Dual Complete North P19 | $0 | HMO D-SNP | H8794 019 0 | |
| Alignment Health Duals+ 030 | $7 | HMO D-SNP | H3815 030 0 | |
| Wellcare Health Net Dual Liberty | $0 | HMO D-SNP | H3561 009 0 | |
| Anthem Full Dual Advantage Aligned | $0 | HMO D-SNP | H4471 010 2 | |
| CCHP Senior Select Program | $0 | HMO D-SNP | H0571 005 0 | |
| SFHP Care Plus | $7 | HMO D-SNP | H8051 001 0 |
What is the total number of D-SNP options in San Francisco County?
San Francisco County has 6 D-SNP options for 2027, serving 19,720 members.
How much do D-SNP plans cost on average in San Francisco County?
The mean monthly D-SNP premium in San Francisco County is $2.43, with 4 at no cost.
Institutional Special Needs Plans (I-SNPs)
These plans cater to individuals residing in long-term care facilities, such as nursing homes, or those requiring extended skilled nursing facility care at home. The CMS website provides more information about I-SNPs and their coverage details.
- Total I-SNP Plans
- 2
- Average Premium
- $3.65/mo
- Beneficiaries Enrolled
- 0
- $0 Premium I-SNPs
- 1
- Average MOOP
- $11,750
- Most Popular I-SNP
- with 0 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Premier Care | $0 | HMO I-SNP | H3274 002 0 | |
| Senior Care | $7 | HMO I-SNP | H3274 001 0 |
What is the total number of I-SNP options in San Francisco County?
There are 2 I-SNP plans in 2027, covering 0 beneficiaries.
How much do I-SNP plans cost on average in San Francisco County?
The average I-SNP premium is $3.65, with 1 costing $0.
What I-SNP plan has the highest enrollment in San Francisco County?
is the most popular I-SNP in San Francisco County, with 0 enrollees.
What is the total number of I-SNP options in San Francisco County?
There are 2 I-SNP plans in 2027, covering 0 beneficiaries.
Chronic Condition Special Needs Plans (C-SNPs)
These plans are designed for individuals with severe or disabling chronic conditions. C-SNPs excel at coordinating your care among different medical specialists and often include extra benefits like prescription drug plans.
- Total C-SNP Plans 13
- Average Premium $1.34/mo
- Beneficiaries Enrolled 2,149
- $0 Premium C-SNPs 9
- Average MOOP $13,521
- Most Popular C-SNP SCAN Strive (C-SNP) with 1,388 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Imperial Flex | $3 | HMO C-SNP | H5496 017 0 | |
| Imperial Senior Value | $0 | HMO C-SNP | H5496 005 0 | |
| SCAN Balance | $0 | HMO C-SNP | H5425 106 0 | |
| SCAN Strive | $0 | HMO C-SNP | H5425 098 0 | |
| Alignment Health BreathEasy Plus 041 | $0 | HMO C-SNP | H3815 041 0 | |
| Alignment Health Clarity Plus 042 | $7 | HMO C-SNP | H3815 042 0 | |
| Alignment Health Heart & Diabetes 010 | $0 | HMO C-SNP | H3815 010 0 | |
| Alignment Health Heart & Diabetes 048 | $0 | HMO C-SNP | H3815 048 0 | |
| Alignment Health Heart & Diabetes 051 | $0 | HMO C-SNP | H3815 051 0 | |
| Alignment Health Heart & Diabetes Plus 039 | $7 | HMO C-SNP | H3815 039 0 | |
| Wellcare Specialty Simple Focus | $0 | HMO C-SNP | H0562 138 0 | |
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | H0523 095 0 | |
| UHC Complete Care Support CA-8AP | $0 | HMO-POS C-SNP | H0543 249 0 |
- What is the average premium for C-SNP plans in San Francisco County?
- On average, C-SNP plans in San Francisco County cost $1.34 per month.
- Which C-SNP is the most popular in San Francisco County?
- The leading C-SNP in San Francisco County is SCAN Strive (C-SNP), with 1,388 members.
- How many C-SNP plans are available in San Francisco County?
- In 2027, San Francisco County offers 13 C-SNPs with 2,149 enrollees.
Medicare Special Needs Plans have with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): Each fall, from October 15 to December 7, Medicare beneficiaries can review their coverage and make changes for the next plan year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
Ways to Enroll in Medicare Advantage Special Needs Plans
- Consult a Licensed Agent: Call a licensed insurance agent at 1-833-748-3201 (TTY 711), available Mon-Fri 8AM-10PM, Sat 9AM-8PM EST, for help reviewing your Medicare options.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely online.
The D-SNP, C-SNP, and I-SNP plans listed on this page are available to qualifying individuals enrolled in Medicare Part A and Part B living in San Francisco, and all other areas of San Francisco County, California. For a broader statewide overview, see Medicare plan options in California.
Plans Offered through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare®, Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: CY2027 Landscape (202609.1)
- CMS.gov, Medicare Part C & D Performance — Version: 2027 Star Ratings Data Tables
- CMS.gov, Plan Benefits Package — Version: PBP Benefits-2027
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-09
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
To explore how 2027 Medicare SNP plans available in San Francisco County compare with plans offered elsewhere, you can search the Special Needs Plan directory to review options nationwide using the same authoritative data sources.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 May, 2025
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment 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 Medicare coverage interpretation and resolution.