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HomeMedicare AdvantageCaliforniaStocktonLiving with a chronic condition in Stockton? Here are the C-SNPs for 2027

Medicare Advantage

Living with a chronic condition in Stockton? Here are the C-SNPs for 2027

For 2027, Stockton is looking at 39 Medicare Advantage plans: 9 new, 14 gone since 2026, and 30 still here but changed on premium, deductible, plan type or name, 11 of them under a new name. Below, how the lineup shifted in San Joaquin County and what to compare, with no plan ranked or recommended.

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Key takeaways

  • San Joaquin County, where Stockton is located, has 12 Chronic Condition Special Needs Plans (C-SNPs) available for 2027, offered by five carriers.
  • A C-SNP is a Medicare Advantage plan limited to people who have a specific chronic condition that a provider must confirm in writing.
  • A qualifying diagnosis opens a Special Enrollment Period, so you do not have to wait for the Oct. 15 – Dec. 7, 2026 Annual Enrollment Period to join a C-SNP.
  • If you do nothing during Annual Enrollment, your current plan renews for 2027 with the changes listed in its Annual Notice of Change (ANOC).
Chronic-condition plansStockton, CA
Video: Eaktas06 Video by Eaktas06 on Pixabay
Key facts: Medicare in Stockton, California (data as of 2026-06-01)
FactFigureSource
Medicare Advantage plans offered in San Joaquin County (2026)44CMS
Medicare Advantage plans offered in San Joaquin County (2027)39CMS
Plans not returning for 2027 / new for 202714 / 9CMS
Organizations offering Medicare Advantage in San Joaquin County (2026)12CMS
Share of eligible beneficiaries in Medicare Advantage, San Joaquin County55%CMS
Residents age 65 and older, San Joaquin County107,730U.S. Census Bureau
Part B standard monthly premium (2026)$202.90Medicare.gov
Part D out-of-pocket cap (2026)$2,100CMS
Part D out-of-pocket cap (2027)$2,400CMS
Annual Enrollment Period (for 2027 coverage)October 15 – December 7, 2026Medicare.gov
Medicare Advantage Open Enrollment PeriodJanuary 1 – March 31Medicare.gov

Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.

STOCKTON, Calif. — Fall 2026. For Medicare shoppers in Stockton who are managing a long-term illness like diabetes, heart disease, chronic lung disease or kidney failure, the 2027 plan lineup includes a specific type of Medicare Advantage plan built around that diagnosis: a Chronic Condition Special Needs Plan, or C-SNP. Stockton is in San Joaquin County, where CMS data show 12 C-SNPs will be offered for 2027 from five carriers, with one brand-new plan joining the lineup and six Alignment plans carrying new names.

What is a C-SNP and how does it work in Stockton for 2027?

A Chronic Condition Special Needs Plan is a type of Medicare Advantage plan that only enrolls people who have one of the chronic conditions CMS allows the plan to serve. In San Joaquin County, 12 of the Medicare Advantage plans available for 2027 are C-SNPs. Like other Medicare Advantage plans, each one bundles Part A, Part B and (in every C-SNP offered in the county) Part D drug coverage into a single plan.

What sets a C-SNP apart is that the plan is designed around the condition itself. The drug list, care team and extra benefits are shaped for people living with that diagnosis. Because of that focus, you can only join if a provider confirms you have the qualifying condition the plan serves.

Which carriers offer C-SNPs in San Joaquin County for 2027?

Five carriers offer C-SNPs in San Joaquin County for 2027: Alignment Health Plan (6 plans), Elevance Health (Anthem) (1 plan), Imperial Health Plan of California, Inc. (2 plans), SCAN Health Plan (2 plans), and UnitedHealthcare (1 plan). The table below lists every C-SNP by name.

A few things worth noting from the 2027 data:

To keep this fair, we are not comparing premiums, copays, drug lists, networks or star ratings here — those vary by plan and by person, and the Medicare Plan Finder at medicare.gov is the right place to look them up for your situation.

How do I know if I qualify for a C-SNP?

You qualify when a provider confirms, in writing, that you have the specific chronic condition a plan is built for. The plan will ask for that verification — often a form your doctor signs — before your enrollment is finalized. Without that confirmation, you cannot stay enrolled.

If your condition is not the one a plan is designed for, that plan is not an option even if it is offered in your ZIP code. Where a C-SNP's name points to the condition it serves (for example, Anthem Kidney Care or Alignment Health's Heart & Diabetes plans), you can usually tell at a glance whether it may fit. For plans with less specific names, call the plan or Medicare and ask which chronic condition the plan is approved to serve.

When can I enroll in a C-SNP in Stockton?

A qualifying chronic condition triggers a Special Enrollment Period, so you are not limited to the fall Annual Enrollment window. You can generally enroll in a C-SNP once your diagnosis is confirmed, and you have a one-time chance to switch or drop the C-SNP after you join.

That said, the regular Annual Enrollment Period — October 15 through December 7, 2026 — is still the main window where most people in Stockton compare plans for 2027. Changes made during that window take effect January 1, 2027. If you do nothing, your current plan renews for 2027 as described in its Annual Notice of Change (ANOC), which the plan mails in the fall.

What else is changing in Medicare for 2027?

A few program-level numbers are already set for 2027 and apply nationwide, including in Stockton:

The 2027 standard Part B premium and deductible, and the 2027 IRMAA income brackets, had not been announced as of September 2026. CMS typically publishes those later in the fall.

In the broader San Joaquin County Medicare Advantage lineup for 2027, CMS data show 14 plans are not returning, 9 are new and 11 have been renamed. If your current plan is affected, the specifics will be in your ANOC.

Where should I look up plan details?

Use medicare.gov's Plan Finder to see premiums, drug lists, provider networks and star ratings for any C-SNP offered in your ZIP code. You can also call 1-800-MEDICARE (1-800-633-4227), available 24 hours a day, 7 days a week. For plan-specific rules, request the plan's Evidence of Coverage and provider directory directly from the carrier.

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in San Joaquin County

55% are on Medicare Advantage
(MA penetration in San Joaquin County)
55%
45%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

Chronic-condition plans

Chronic Condition Special Needs Plans (C-SNP) in San Joaquin County for 2027

CMS lists 12 C-SNPs in San Joaquin County for 2027, alphabetically by carrier. A C-SNP is open to people with a qualifying chronic condition, verified by a provider.

PlanTypeDrug coverageFor 2027
Alignment Health Plan 6 plans
Alignment Health BreathEasy Plus 041 (HMO C-SNP)HMO C-SNPYesRenamed
Alignment Health Clarity Plus 042 (HMO C-SNP)HMO C-SNPYesRenamed
Alignment Health Heart & Diabetes 010 (HMO C-SNP)HMO C-SNPYesRenamed
Alignment Health Heart & Diabetes 048 (HMO C-SNP)HMO C-SNPYesRenamed
Alignment Health Heart & Diabetes 051 (HMO C-SNP)HMO C-SNPYesRenamed
Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)HMO C-SNPYesRenamed
Elevance Health (Anthem) 1 plan
Anthem Kidney Care (PPO C-SNP)PPO C-SNPYesNew
Imperial Health Plan of California, Inc. 2 plans
Imperial Flex (HMO C-SNP)HMO C-SNPYesNew
Imperial Senior Value (HMO C-SNP)HMO C-SNPYesReturning
SCAN Health Plan 2 plans
SCAN Balance (HMO C-SNP)HMO C-SNPYesReturning
SCAN Strive (HMO C-SNP)HMO C-SNPYesReturning
UnitedHealthcare 1 plan
UHC Complete Care Support CA-8AP (HMO-POS C-SNP)HMO-POS C-SNPYesReturning

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

The 2027 choices, by type

HMO, PPO and Special Needs Plans in San Joaquin County for 2027

39
Medicare Advantage plans
11
Carriers
31
HMO plans
2
HMO-POS plans
6
PPO plans
5
Dual Special Needs (D-SNP)
12
Chronic-condition (C-SNP)
  • Aetna (CVS Health) 2 plans: HMO, HMO-POS
  • Alignment Health Plan 13 plans: HMO, PPO
  • Blue Shield of California 2 plans: HMO
  • Centene (WellCare) 2 plans: HMO
  • Elevance Health (Anthem) 1 plan: PPO
  • Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO) 1 plan: HMO
  • Humana 5 plans: HMO, PPO
  • Imperial Health Plan of California, Inc. 4 plans: HMO
  • Kaiser Permanente 3 plans: HMO
  • SCAN Health Plan 5 plans: HMO
  • UnitedHealthcare 1 plan: HMO-POS

HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also cover out-of-network care, at a higher share; PFFS plans pay any provider that accepts the plan’s terms. Special Needs Plans serve people with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

Compare with a licensed agent

See Medicare options serving Stockton & speak with a licensed agent

Medicare Advantage companies in San Joaquin County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
Kaiser PermanenteRegional—Yes
Alignment Healthcare Usa LLCRegional—Yes
HumanaNational—Yes
Scan GroupRegional—Yes
Centene (WellCare)National—Yes
Imperial Health Plan of CaliforniaRegional—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

Do I have to switch to a C-SNP just because I have a chronic condition?
No. A C-SNP is one option among many. People with chronic conditions can also stay in Original Medicare, a Medigap policy with a Part D plan, or a regular Medicare Advantage plan. A C-SNP is worth comparing if its care model and drug list fit your condition, but it is not required.
What if my doctor is not in a C-SNP's network?
Most C-SNPs in San Joaquin County are HMOs, which generally require you to use in-network providers except in emergencies. Before enrolling, check the plan's provider directory or call the plan to confirm your doctors, specialists and hospitals are in-network for 2027.
Can I join a C-SNP outside the Oct. 15 – Dec. 7 window?
Yes. A confirmed qualifying diagnosis opens a Special Enrollment Period, so you can generally enroll when your eligibility is verified, not only during the fall Annual Enrollment Period.
What happens if I lose the qualifying condition or my diagnosis is not confirmed?
C-SNPs give you a grace period to provide verification. If a provider does not confirm the qualifying condition, you will be disenrolled and will need to pick another plan or return to Original Medicare. Medicare.gov and 1-800-MEDICARE can walk you through the next steps.
Sources & further reading
  • CMS — MA Landscape Source File (plan-level availability by county)
  • CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
  • CMS — Medicare enrollment periods (medicare.gov)

For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

Also for Stockton

Sources and methodology

Figures cited in this article

  • CMS — Medicare Advantage Landscape Source File (plan year 2027): the C-SNP counts, carriers and plan names for San Joaquin County, and the year-over-year changes (new, renamed and not-returning plans).
  • CMS — Medicare Advantage Landscape Source File (plan year 2026): the broader 2026 Medicare Advantage lineup used for comparison.
  • CMS — 2027 Part D program parameters: the $2,400 out-of-pocket cap, $700 maximum deductible and $41.33 national base beneficiary premium.
  • Medicare.gov — Enrollment periods: Annual Enrollment (Oct. 15 – Dec. 7) and the Special Enrollment Period triggered by a qualifying chronic condition.

How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.

By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.

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This page was last updated: October 2026.

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