Kaiser Permanente Dual Complete North P16 (HMO D-SNP) in Alameda County, CA
Kaiser Permanente, HMO D-SNP, for 2026. No monthly premium, and your spending is capped at $9,250 a year in network.
What CMS publishes about it
| Insurer | Kaiser Permanente (part of Kaiser Foundation Health Plan, Inc.) |
|---|---|
| Plan type | HMO D-SNP |
| Contract and plan id | H8794-016 |
| Monthly premium | $0 |
| Of which drug coverage | $0.00 |
| Most you can pay in a year | $9,250 |
| Drug coverage | Yes — Enhanced |
| Annual drug deductible | $0 |
| Overall star rating | 4.0/5 |
| Medicare Advantage stars | 4.5/5 |
| Part D stars | 4.0/5 |
| Special Needs Plan | Dual-Eligible (CO) |
| Counties it is sold in | 1 |
| Contract year | 2026 |
Plan types: HMO: Health Maintenance Organization — you use the plan's own network of doctors and hospitals, and usually need a referral to see a specialist. D-SNP: Dual-eligible Special Needs Plan — only for people who have both Medicare and Medicaid. Enhanced: Enhanced drug benefit — more than the standard Part D benefit -- a lower deductible, a lower copay, or more drugs covered.
Among the 36 other plans sold in the same counties, the average monthly premium is $12.63, the average out-of-pocket cap $5,062, and the average star rating 3.8 across the 32 that CMS rated. These averages are ours, from the same CMS file; everything else on this page is as published.
How many people chose it
12,094 people were enrolled across the 1 county it is sold in in September 2026. CMS suppresses any county count of ten or fewer, so the real total is a little higher than this.
How CMS rates it, domain by domain
Each domain is rated 1 to 5. 3 of 9 domains carry no rating — CMS either did not require this contract to report them or had too little data.
Where it is sold
California
Get told when this changes
Its premium, out-of-pocket maximum, star rating or sanction status changing — and whether it is ending next year.
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CMS files as loaded on 17 September 2026. Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. The only figures we calculate are the averages and medians marked as ours, from those same files. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.