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  1. 🏠
  2. Special Needs Plans
  3. Arizona
  4. Gila County

2026 Medicare Special Needs Plans in Gila County, AZ

Last update: August 24, 2026.

In Gila County, AZ, there are 14 Medicare Special Needs Plans available for 2026. Approximately 1,669 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
  • C-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

Average Monthly Premium
$13.14/mo
Plans with $0 Premium
2
Average MOOP Limit
$8,282 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 0% · 3 Stars: 100% · Below 3: 0%
Average Part D Deductible
$518.21
Total SNP Enrollment
1,669
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UHC Dual Complete AZ-S001 (D-SNP) — 786 enrollees
2. Gold Heart & Diabetes (C-SNP) — 260 enrollees
3. Health Choice Pathway (D-SNP) — 177 enrollees

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.

Total D-SNP Plans
11
Average Monthly Premium
$15.18/mo
Beneficiaries Enrolled
1,357
$0 Premium D-SNPs
0
Zero Cost D-SNPs
11
D-SNP with the Highest Enrollment
UHC Dual Complete AZ-S001 (D-SNP) with 786 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Gila County, Arizona, 2026
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 1,357 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 312
  • $0 Premium C-SNPs 2
  • Average MOOP $4,883
  • Most Popular C-SNP Gold Heart & Diabetes (C-SNP) with 260 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Gila County, Arizona, 2026
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 260 enrollees.
How many C-SNP plans are available in Gila County?
In 2026, Gila County offers 3 C-SNP plans with 312 enrollees.
  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08

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 20 August, 2026
  • Medicare.gov, "Your coverage options" — Last accessed 22 August, 2026
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 24 August, 2026

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

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.

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