2026 Medicare Special Needs Plans in Gila County, AZ
Last update: . Enrollment data updated: June 13, 2026
In Gila County, AZ, there are 14 Medicare Special Needs Plans available for 2026. Approximately 1,635 beneficiaries are enrolled, and about 0% are rated 4 stars or higher based on CMS quality ratings.
Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Gila County, AZ to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Gila County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Banner Medicare Advantage Dual | $17 | 9250.00 | $615 | H4931-015-0 | |
| Banner Medicare Advantage Dual | $17 | 9250.00 | $615 | H4931-007-0 | |
| Health Choice Pathway | $8 | 8800.00 | $615 | H5587-002-0 | |
| UHC Dual Complete AZ-S001 | $12 | 9250.00 | $615 | H0321-002-0 | |
| UHC Dual Complete AZ-Y001 | $17 | 9250.00 | $615 | H0321-004-0 | |
| Wellcare Arizona Complete Health Dual Align | $14 | 9250.00 | $615 | H5590-010-0 | |
| Wellcare Dual Liberty Sync | $17 | 9250.00 | $490 | H5590-008-0 | |
| Mercy Care Advantage | $15 | 9250.00 | $615 | H5580-005-0 | |
| Mercy Care Advantage | $17 | 9250.00 | $615 | H5580-004-0 | |
| Mercy Care Advantage | $17 | 9250.00 | $615 | H5580-001-0 | |
| Molina Medicare Complete Care | $16 | 9250.00 | $615 | H8845-001-0 |
What is the total number of D-SNP plans in Gila County?
Gila County has 11 D-SNP plans for 2026, with 1,344 enrollees.
How much do D-SNP plans cost in Gila County?
The typical D-SNP premium in Gila County is $15.18, and 0 plans have no monthly premium.
C-SNP Plans (Chronic Condition Special Needs Plans)
Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.
- Total C-SNP Plans 3
- Average Monthly Premium $5.67/mo
- Beneficiaries Enrolled 291
- $0 Premium C-SNPs 2
- Average MOOP $9,767
- Most Popular C-SNP Gold Heart & Diabetes (C-SNP) with 242 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Gold Dialysis & Kidney | $0 | 2900.00 | $0 | H4869-003-0 | |
| Gold Dialysis & Kidney Complete | $17 | 9250.00 | $615 | H4869-014-0 | |
| Gold Heart & Diabetes | $0 | 2500.00 | $0 | H4869-001-0 |
- What is the average monthly premium for C-SNP plans in Gila County?
- C-SNP plans in Gila County cost $5.67 per month.
- Which C-SNP plan has the highest enrollment in Gila County?
- The most popular C-SNP plan in Gila County is Gold Heart & Diabetes (C-SNP), with 242 enrollees.
- How many C-SNP plans are available in Gila County?
- In 2026, Gila County offers 3 C-SNP plans with 291 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- 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
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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, non-commercial Medicare plan interpretation and resolution.