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2027 Medicare Special Needs Plans in Sussex County, DE

Last update: .

In Sussex County, DE, there are 11 Medicare Special Needs Plans available for 2027. Approximately 3,805 beneficiaries are enrolled, and about 33% 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 Sussex County, DE to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$4.01/mo
Plans with $0 Premium
6
Average MOOP Limit
$8,691 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 33% · 3 Stars: 22% · Below 3: 44%
Average Part D Deductible
$575.00
Total SNP Enrollment
3,805
SNP Plans with the Highest Enrollment
(as of November 10, 2026)
1. UHC Complete Care DE-4 (C-SNP) — 819 enrollees
2. UHC Complete Care Support DE-5A (C-SNP) — 774 enrollees
3. Highmark Health Options Duals (D-SNP) — 639 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Sussex County, DE are summarized separately. For a broader perspective, explore Delaware Medicare Special Needs plans.

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 6
  • Average Monthly Premium: $5.27/mo
  • Beneficiaries Enrolled: 1,846
  • $0 Premium Plans: 2
  • Zero Cost Plans: 3
  • Top D-SNP by Enrollment: Highmark Health Options Duals (D-SNP) — 639 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Sussex County, Delaware
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Highmark Health Options Duals
☆☆☆☆☆
 $8 9850.00 $700 H7710-001-0
Highmark Health Options Duals Select
☆☆☆☆☆
 $8 9850.00 $700 H7710-002-0
Wellcare Delaware First Health Dual Align
☆☆☆☆☆
 $8 9850.00 $700 H4661-003-0
Wellcare Delaware First Health Dual Select
☆☆☆☆☆
 $0 3850.00 $700 H4661-005-0
AmeriHealth Caritas VIP Care
☆☆☆☆☆
 $8 9850.00 $700 H0738-001-0
AmeriHealth Caritas VIP Care Choice
☆☆☆☆☆
 $0 9250.00 $120 H0738-002-0
What is the total number of D-SNP plans in Sussex County?

There are 6 D-SNP plans in 2027, covering 1,846 enrollees.

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

The average D-SNP premium in Sussex County is $5.27 per month, with 2 plans offering $0 premiums.

What is the most popular D-SNP plan in Sussex County?

Highmark Health Options Duals (D-SNP) is the top D-SNP in Sussex County, with 639 enrollees.

What is the total number of D-SNP plans in Sussex County?

There are 6 D-SNP plans in 2027, covering 1,846 enrollees.

I-SNP Plans (Institutional Special Needs Plans)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in long-term or institutional care settings. Plan availability varies by county.

Total I-SNP Plans
1
Average Monthly Premium
$12.50/mo
Beneficiaries Enrolled
49
$0 Premium Plans
0
Average MOOP
$9,850
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F002 (I-SNP) — 49 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Sussex County, Delaware
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Nursing Home Plan EX-F002
☆☆☆☆☆
 $13 9850.00 $700 H0710-017-0
What is the most popular I-SNP plan in Sussex County?

UHC Nursing Home Plan EX-F002 (I-SNP) is the top I-SNP in Sussex County, with 49 enrollees.

What is the total number of I-SNP plans in Sussex County?

There are 1 I-SNP plans in 2027, covering 49 enrollees.

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 4
  • Average Monthly Premium $0.00/mo
  • Beneficiaries Enrolled 1,910
  • $0 Premium C-SNPs 4
  • Average MOOP $8,313
  • Most Popular C-SNP UHC Complete Care DE-4 (C-SNP) with 819 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Sussex County, Delaware
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Complete Care DE-4
☆☆☆☆☆
 $0 6400.00 $505 H5253-179-0
UHC Complete Care Support DE-5A
☆☆☆☆☆
 $0 9850.00 $100 H5253-200-0
Aetna Medicare Chronic Care
☆☆☆☆☆
 $0 7150.00 $700 H3959-084-0
Aetna Medicare Chronic Care Total
☆☆☆☆☆
 $0 9850.00 $700 H3959-083-0

What is the average monthly premium for C-SNP plans in Sussex County?

C-SNP plans in Sussex County cost $0.00 per month.

Which C-SNP plan has the highest enrollment in Sussex County?

The most popular C-SNP plan in Sussex County is UHC Complete Care DE-4 (C-SNP), with 819 enrollees.

How many C-SNP plans are available in Sussex County?

In 2027, Sussex County offers 4 C-SNP plans with 1,910 enrollees.

County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

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