2026 Medicare Special Needs Plans in Sussex County, DE
Last update: . Enrollment data updated: May 2, 2026
For 2026, Sussex County, DE includes 12 Medicare Special Needs Plans. Enrollment across these plans totals approximately 3,494, with 83% rated 4 stars or higher.
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.
- Total D-SNP Plans
- 6
- Average Monthly Premium
- $29.02/mo
- Beneficiaries Enrolled
- 1,781
- $0 Premium Plans
- 0
- Zero Cost Plans
- 3
- Top D-SNP by Enrollment
- Highmark Health Options Duals (D-SNP) — 595 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AmeriHealth Caritas VIP Care | $31 | 9250.00 | $615 | H0738-001-0 | |
| AmeriHealth Caritas VIP Care Choice | $31 | 7550.00 | $615 | H0738-002-0 | |
| Highmark Health Options Duals | $31 | 9250.00 | $615 | H7710-001-0 | |
| Highmark Health Options Duals Select | $31 | 9250.00 | $615 | H7710-002-0 | |
| Wellcare Delaware First Health Dual Align | $31 | 9250.00 | $475 | H4661-003-0 | |
| Wellcare Dual Select | $18 | 3850.00 | $615 | H4661-005-0 |
What is the average monthly premium for D-SNP plans in Sussex County?
D-SNP plans in Sussex County cost $29.02 per month.
Which D-SNP plan has the highest enrollment in Sussex County?
The most popular D-SNP plan in Sussex County is Highmark Health Options Duals (D-SNP), with 595 enrollees.
How many D-SNP plans are available in Sussex County?
In 2026, Sussex County offers 6 D-SNP plans with 1,781 enrollees.
Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.
- Total I-SNP Plans
- 1
- Average Monthly Premium
- $32.60/mo
- Beneficiaries Enrolled
- 54
- $0 Premium Plans
- 0
- Average MOOP
- $18,500
- Top I-SNP by Enrollment
- UHC Nursing Home Plan EX-F002 (I-SNP) — 54 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F002 | $33 | 9250.00 | $615 | H0710-017-0 |
What is the typical premium for I-SNP plans in Sussex County?
I-SNP plans in Sussex County cost $32.60 per month.
Which I-SNP plan do most beneficiaries choose in Sussex County?
The most popular I-SNP plan in Sussex County is UHC Nursing Home Plan EX-F002 (I-SNP), with 54 enrollees.
How many Institutional SNP plans are offered in Sussex County?
In 2026, Sussex County offers 1 I-SNP plans with 54 enrollees.
Medicare Chronic Condition Special Needs Plans (C-SNPs)
Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.
- Total C-SNP Plans
- 5
- Average Monthly Premium
- $13.32/mo
- Beneficiaries Enrolled
- 1,659
- $0 Premium C-SNPs
- 2
- Average MOOP
- $14,660
- Most Popular C-SNP
- UHC Complete Care DE-4 (C-SNP) with 772 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care | $0 | 6750.00 | $615 | H3959-084-0 | |
| Aetna Medicare Chronic Care Total | $7 | 9250.00 | $615 | H3959-083-0 | |
| UHC Complete Care DE-4 | $0 | 5900.00 | $440 | H5253-179-0 | |
| UHC Complete Care Support DE-5A | $31 | 9250.00 | $615 | H5253-200-0 | |
| HealthSpring Achieve | $28 | 5500.00 | $275 | H2108-029-0 |
What is the most popular C-SNP plan in Sussex County?
UHC Complete Care DE-4 (C-SNP) is the top C-SNP in Sussex County, with 772 enrollees.
What is the total number of C-SNP plans in Sussex County?
There are 5 C-SNP plans in 2026, covering 1,659 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
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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Data provenance is documented in accordance 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.