Santa Clara County, California: health insurance
What Santa Clara County residents should know about Medicare, marketplace plans and Medicaid.
Medicaid is a government program that gives free or low-cost health coverage to people with limited income, such as some adults, children, pregnant women, seniors and people with disabilities. Each state runs its own Medicaid program and decides who qualifies. We are an independent insurance agency, and we cannot enroll you in Medicaid or check your Medicaid.
California Medicaid: California Department of Health Care Services (DHCS) · 1-800-541-5555 (Medi-Cal (Department of Health Care Services)) · dhcs.ca.gov
If your income is too high for Medicaid, or you want to compare health plans, call us. We can help with that.
Santa Clara County at a glance
| State | California |
|---|---|
| Population (2023 est.) | 1,877,592 |
| Population rank in California | 6 of 58 |
| Land area | 1,291 square miles |
| Major cities | San Jose |
Source: U.S. Census Bureau (Population Estimates 2023; Gazetteer 2023).
Medicare plans leaving Santa Clara County for 2027
18 Medicare plans from 9 companies are listed in Santa Clara County for 2026 but not for 2027, covering at least 15,819 people enrolled in the plans below today.
- SilverScript Choice (PDP) (S5601-064, Aetna (CVS Health))
- HealthSpring Assurance Rx (PDP) (S5617-158, Cigna HealthSpring (HCSC))
- HealthSpring Extra Rx (PDP) (S5617-382, Cigna HealthSpring (HCSC))
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) H8794-002 | Kaiser Permanente | 4,613 |
| Anthem Prime (HMO-POS) H4161-010 | Anthem (Elevance Health) | 2,863 |
| AARP Medicare Advantage from UHC CA-10 (HMO-POS) H0543-193 | UnitedHealthcare | 2,377 |
| Alignment Health Honor+ Plan (HMO) H3815-052 | Alignment Healthcare USA | 1,189 |
| Central Health Classic Care Plan III (HMO) H5649-023 | Molina Healthcare | 1,036 |
| Alignment Health the ONE (HMO) H3815-034 | Alignment Healthcare USA | 978 |
| Anthem Medicare Advantage (HMO-POS) H0544-108 | Anthem (Elevance Health) | 955 |
| Aetna Medicare Enhanced (PPO) H5521-676 | Aetna (CVS Health) | 661 |
| Central Health Embrace Care Plan (HMO C-SNP) H5649-025 | Molina Healthcare | 553 |
| Aetna Medicare Eagle (PPO) H5521-369 | Aetna (CVS Health) | 342 |
| Central Health Embrace Choice Plan (HMO C-SNP) H5649-026 | Molina Healthcare | 121 |
| SCAN MyChoice (HMO) H5425-120 | SCAN Group | 109 |
Show 3 more plans
| Plan going away | Company | People enrolled (at least) |
|---|---|---|
| Central Health Valor Care Plan (HMO) H5649-030 | Molina Healthcare | 22 |
| Advantage Care (HMO) H3274-005 | Curana Health Holdings | 10 or fewer |
| Central Health Dual Access Plan (HMO D-SNP) H5649-024 | Molina Healthcare | 10 or fewer |
See which companies have plans leaving across California: California Medicare plans ending for 2027 →
A plan can be listed because it was renumbered or replaced, not only because a company is leaving the county. When the same company keeps other plans there, members are usually moved to a replacement plan. Your plan should send you a notice, and Medicare’s Annual Enrollment Period (October 15 to December 7) is when you can compare and switch. “People enrolled” is the number enrolled in that plan today (CMS hides counts of 10 or fewer). Source: CMS Medicare Advantage and Part D landscape files for 2026 and 2027, and CMS enrollment data from September 2026.
Is your plan on this list? Call 855-367-1095 and we will look at what is available where you live, with no obligation to enroll.
Why your county matters for coverage
In California, the health plans you can choose depend on where you live. Medicare Advantage and Part D plans are offered by service area, usually county by county, and marketplace premiums and carriers are set by area as well. Living in Santa Clara County means the options on this page apply to you, and plans in a neighboring county may differ.
- Medicare: California HICAP (Health Insurance Counseling and Advocacy Program) gives free, unbiased counseling at 800-434-0222. Ask which plans serve Santa Clara County specifically.
- Marketplace plans: shop through Covered California; enter your Santa Clara County ZIP code to see what is offered.
- Medicaid: apply through California Department of Health Care Services (DHCS).
California note: California health plans are regulated by two different state agencies depending on plan type -- the Department of Managed Health Care (DMHC) oversees most Covered California health plans, while the Department of Insurance (CDI) regulates the rest, including most life and supplemental products.
Questions about Santa Clara County
Are the same Medicare plans offered everywhere in California?
No. Plans are offered by service area. A plan available in one county may not be offered in Santa Clara County, so check by county.
Where do Santa Clara County residents get free Medicare counseling?
California HICAP (Health Insurance Counseling and Advocacy Program) (800-434-0222) is California's free SHIP program.
Do I have to enroll if I call?
No. Calling is a conversation about your options, and you are never required to enroll.
Santa Clara County residents: call 855-367-1095
Call Lander LLC to go over your options. There is no cost to call or to speak with an agent, and you are never required to enroll in anything.
Call 855-367-1095 Open 8 AM-10 PM Eastern timeOther large counties
Reviewed by Richard Lander, licensed insurance agent (NPN 21255551), Lander LLC. Last updated October 3, 2026. This page is educational and is not a quote, an offer of coverage, or legal or tax advice.