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2026 Medicare Special Needs Plans in Sumter County, FL

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In Sumter County, FL, there are 55 Medicare Special Needs Plans available for 2026. Approximately 6,421 beneficiaries are enrolled, and about 88% 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 Sumter County, FL to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$1.44/mo
Plans with $0 Premium
38
Average MOOP Limit
$4,748 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 88% · 3 Stars: 13% · Below 3: 0%
Average Part D Deductible
$420.04
Total SNP Enrollment
6,421
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. Freedom VIP Savings (C-SNP) — 1,432 enrollees
2. UHC Complete Care FL-14 (C-SNP) — 737 enrollees
3. UHC Dual Complete FL-D002 (D-SNP) — 525 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 31
  • Average Monthly Premium: $1.79/mo
  • Beneficiaries Enrolled: 2,237
  • $0 Premium Plans: 19
  • Zero Cost Plans: 14
  • Top D-SNP by Enrollment: UHC Dual Complete FL-D002 (D-SNP) — 525 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Sumter County, Florida
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
DEVOTED DUAL 033 FL
☆☆☆☆☆
 $0 3900.00 $615 H1290-033-0
DEVOTED DUAL PLUS 052 FL
☆☆☆☆☆
 $0 9250.00 $615 H1290-052-0
Aetna Medicare Dual Select
☆☆☆☆☆
 $5 9250.00 $615 H1609-046-0
Aetna Medicare Full Dual Select
☆☆☆☆☆
 $3 9250.00 $615 H1609-089-0
CareNeeds Extra
☆☆☆☆☆
 $0 9250.00 $0 H1019-153-0
CareNeeds Platinum
☆☆☆☆☆
 $0 3400.00 $0 H1019-146-0
CareNeeds Plus
☆☆☆☆☆
 $0 3400.00 $0 H1019-073-0
Freedom Medi-Medi Full
☆☆☆☆☆
 $0 500.00 $615 H5427-087-0
Freedom Medi-Medi Partial
☆☆☆☆☆
 $0 500.00 $615 H5427-078-0
Humana Dual Integrated
☆☆☆☆☆
 $0 9250.00 $0 H1036-340-0
Humana Fully Integrated H1036-280
☆☆☆☆☆
 $0 3400.00 $20 H1036-280-0
Humana Gold Plus SNP-DE H1036-213
☆☆☆☆☆
 $0 3400.00 $320 H1036-213-0
Humana Gold Plus SNP-DE H1036-314
☆☆☆☆☆
 $0 3400.00 $0 H1036-314-0
Optimum Emerald Full
☆☆☆☆☆
 $0 500.00 $615 H5594-017-0
Optimum Emerald Partial
☆☆☆☆☆
 $0 500.00 $615 H5594-016-0
Simply Complete Platinum
☆☆☆☆☆
 $0 500.00 $490 H5471-138-0
Simply Integrated Platinum
☆☆☆☆☆
 $0 500.00 $615 H5471-139-0
UHC Dual Complete FL-D002
☆☆☆☆☆
 $0 9250.00 $442 H1045-039-0
Advantage Plus by Ultimate
☆☆☆☆☆
 $0 500.00 $615 H2962-036-0
Advantage Plus by Ultimate
☆☆☆☆☆
 $5 500.00 $615 H2962-035-0
UHC Dual Complete FL-D003
☆☆☆☆☆
 $5 9250.00 $615 H1889-002-1
UHC Dual Complete FL-Y4
☆☆☆☆☆
 $5 9250.00 $615 H1889-026-0
Wellcare Dual Access Sync
☆☆☆☆☆
 $5 9250.00 $615 H1032-244-1
Wellcare Dual Reserve
☆☆☆☆☆
 $5 3000.00 $615 H1032-202-0
Wellcare Sunshine Health Dual Align
☆☆☆☆☆
 $5 9250.00 $615 H1032-245-1
HealthSpring TotalCare
☆☆☆☆☆
 $5 2950.00 $615 H5410-046-0
HealthSpring TotalCare Plus
☆☆☆☆☆
 $5 1500.00 $615 H5410-025-0
HumanaChoice Florida SNP-DE H5216-394
☆☆☆☆☆
 $5 4900.00 $615 H5216-394-0
UHC Dual Complete FL-D005
☆☆☆☆☆
 $5 9250.00 $615 R0759-003-0
UHC Dual Complete FL-Y001
☆☆☆☆☆
 $0 9250.00 $615 H2509-001-0
UHC Dual Complete FL-Y5
☆☆☆☆☆
 $0 9250.00 $615 H2509-003-0
What is the total number of D-SNP plans in Sumter County?

There are 31 D-SNP plans in 2026, covering 2,237 enrollees.

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

The average D-SNP premium in Sumter County is $1.79 per month, with 19 plans offering $0 premiums.

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

UHC Dual Complete FL-D002 (D-SNP) is the top D-SNP in Sumter County, with 525 enrollees.

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

There are 31 D-SNP plans in 2026, covering 2,237 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
3
Average Monthly Premium
$3.20/mo
Beneficiaries Enrolled
0
$0 Premium Plans
1
Average MOOP
$6,900
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
Comparison table of 2026 I-SNP Medicare Plans available in Sumter County, Florida
Health Plan Name CMS Rating* Premium Per Mo Network
Longevity Health Plan
☆☆☆☆☆
 $5 9250.00 $615 H1644-001-0
Premier Care
☆☆☆☆☆
 $0 2200.00 $450 H9917-004-0
Senior Care
☆☆☆☆☆
 $5 9250.00 $615 H9917-001-0
What is the most popular I-SNP plan in Sumter County?

is the top I-SNP in Sumter County, with 0 enrollees.

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

There are 3 I-SNP plans in 2026, covering 0 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 21
  • Average Monthly Premium $0.69/mo
  • Beneficiaries Enrolled 4,184
  • $0 Premium C-SNPs 18
  • Average MOOP $3,950
  • Most Popular C-SNP Freedom VIP Savings (C-SNP) with 1,432 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2026 C-SNP Medicare Plans available in Sumter County, Florida
Health Plan Name CMS Rating* Premium Per Mo Network
DEVOTED C-SNP PLUS 091 FL
☆☆☆☆☆
 $5 9250.00 $615 H1290-091-0
DEVOTED C-SNP PREMIUM 070 FL
☆☆☆☆☆
 $5 3900.00 $615 H1290-070-0
Aetna Medicare Chronic Care
☆☆☆☆☆
 $0 5500.00 $200 H1609-085-0
CarePlus Health Plans, Inc. CareBreeze
☆☆☆☆☆
 $0 2000.00 $615 H1019-154-0
CareBreeze Platinum
☆☆☆☆☆
 $0 2000.00 $615 H1019-151-1
CarePlus Health Plans, Inc. CareComplete
☆☆☆☆☆
 $0 2000.00 $615 H1019-150-0
CareComplete Platinum
☆☆☆☆☆
 $0 2400.00 $615 H1019-147-1
Freedom VIP Care
☆☆☆☆☆
 $0 1000.00 $0 H5427-070-0
Freedom VIP Savings
☆☆☆☆☆
 $0 3400.00 $0 H5427-072-0
Freedom VIP Savings COPD
☆☆☆☆☆
 $0 3400.00 $0 H5427-077-0
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
 $0 3100.00 $615 H1036-300-0
Humana Gold Plus Lung
☆☆☆☆☆
 $0 3100.00 $615 H1036-313-0
Optimum Diamond Savings
☆☆☆☆☆
 $0 5000.00 $0 H5594-030-0
Optimum Diamond Savings COPD
☆☆☆☆☆
 $0 5000.00 $0 H5594-031-0
UHC Complete Care FL-14
☆☆☆☆☆
 $0 2600.00 $270 H1045-048-4
Advantage Care by Ultimate
☆☆☆☆☆
 $0 2400.00 $0 H2962-029-0
Advantage Care COPD by Ultimate
☆☆☆☆☆
 $0 2600.00 $0 H2962-023-0
Gold Dialysis & Kidney
☆☆☆☆☆
 $0 3100.00 $0 H1526-003-0
Gold Dialysis & Kidney Complete
☆☆☆☆☆
 $5 9250.00 $615 H1526-004-0
Gold Heart & Diabetes
☆☆☆☆☆
 $0 2700.00 $0 H1526-001-0
Gold Heart & Diabetes Complete
☆☆☆☆☆
 $0 9250.00 $615 H1526-002-0

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

C-SNP plans in Sumter County cost $0.69 per month.

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

The most popular C-SNP plan in Sumter County is Freedom VIP Savings (C-SNP), with 1,432 enrollees.

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

In 2026, Sumter County offers 21 C-SNP plans with 4,184 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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