2026 Medicare Special Needs Plans in Gila County, AZ
Last update: . Enrollment data updated: May 2, 2026
In Gila County, AZ, there are 14 Medicare Special Needs Plans available for 2026. Approximately 1,651 beneficiaries are enrolled, and about 0% are rated 4 stars or higher based on CMS quality ratings.
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 1,369 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 282
- $0 Premium C-SNPs 2
- Average MOOP $9,767
- Most Popular C-SNP Gold Heart & Diabetes (C-SNP) with 232 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 232 enrollees.
- How many C-SNP plans are available in Gila County?
- In 2026, Gila County offers 3 C-SNP plans with 282 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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.