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

2026 Medicare Special Needs Plans in Navajo County, AZ

Last update: May 10, 2026. Enrollment data updated: June 13, 2026

In Navajo County, AZ, there are 9 Medicare Special Needs Plans available for 2026. Approximately 2,221 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 Navajo 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
$11.07/mo
Plans with $0 Premium
2
Average MOOP Limit
$4,933 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix)
4+ Stars: 0% · 3 Stars: 100% · Below 3: 0%
Average Part D Deductible
$464.44
Total SNP Enrollment
2,221
SNP Plans with the Highest Enrollment
(as of June 13, 2026)
1. Health Choice Pathway (D-SNP) — 896 enrollees
2. Wellcare Dual Liberty Sync (D-SNP) — 874 enrollees
3. Gold Heart & Diabetes (C-SNP) — 218 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Navajo County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Total D-SNP Plans
6
Average Monthly Premium
$13.77/mo
Beneficiaries Enrolled
1,967
$0 Premium D-SNPs
0
Zero Cost D-SNPs
6
D-SNP with the Highest Enrollment
Health Choice Pathway (D-SNP) with 896 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Navajo County, Arizona, 2026
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
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
What is the total number of D-SNP plans in Navajo County?

Navajo County has 6 D-SNP plans for 2026, with 1,967 enrollees.

How much do D-SNP plans cost in Navajo County?

The typical D-SNP premium in Navajo County is $13.77, 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 254
  • $0 Premium C-SNPs 2
  • Average MOOP $9,867
  • Most Popular C-SNP Gold Heart & Diabetes (C-SNP) with 218 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Navajo County, Arizona, 2026
Health Plan Name CMS Rating* Premium Per Mo Network
Gold Dialysis & Kidney
☆☆☆☆☆
$0 2800.00 $0 H4869-013-0
Gold Dialysis & Kidney Complete
☆☆☆☆☆
$17 9250.00 $615 H4869-014-0
Gold Heart & Diabetes
☆☆☆☆☆
$0 2750.00 $0 H4869-011-0
What is the average monthly premium for C-SNP plans in Navajo County?
C-SNP plans in Navajo County cost $5.67 per month.
Which C-SNP plan has the highest enrollment in Navajo County?
The most popular C-SNP plan in Navajo County is Gold Heart & Diabetes (C-SNP), with 218 enrollees.
How many C-SNP plans are available in Navajo County?
In 2026, Navajo County offers 3 C-SNP plans with 254 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

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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