2026 Medicare Special Needs Plans in Gem County, ID
Last update: . Enrollment data updated: May 2, 2026
In Gem County, ID, there are 9 Medicare Special Needs Plans available for 2026. Approximately 473 beneficiaries are enrolled, and about 67% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Gem County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Molina Medicare Complete Care | $38 | 9250.00 | $615 | H5628-013-1 | |
| Molina Medicare Complete Care Select | $0 | 9250.00 | $615 | H5628-014-1 | |
| UHC Dual Complete ID-Q1 | $21 | 9250.00 | $615 | H4032-002-0 | |
| UHC Dual Complete ID-Y1 | $38 | 9250.00 | $615 | H4032-001-0 |
What is the total number of D-SNP plans in Gem County?
Gem County has 4 D-SNP plans for 2026, with 279 enrollees.
How much do D-SNP plans cost in Gem County?
The typical D-SNP premium in Gem County is $24.15, and 1 plans have no monthly premium.
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: $37.60/mo
- Beneficiaries Enrolled: 11
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: American Health Advantage of Idaho (I-SNP) — 11 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| American Health Advantage of Idaho | $38 | 9250.00 | $615 | H4232-003-0 |
What is the total number of I-SNP plans in Gem County?
There are 1 I-SNP plans in 2026, covering 11 enrollees.
How much do I-SNP plans cost in Gem County?
The average I-SNP premium in Gem County is $37.60 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Gem County?
American Health Advantage of Idaho (I-SNP) is the top I-SNP in Gem County, with 11 enrollees.
What is the total number of I-SNP plans in Gem County?
There are 1 I-SNP plans in 2026, covering 11 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 $13.13/mo
- Beneficiaries Enrolled 183
- $0 Premium C-SNPs 2
- Average MOOP $15,100
- Most Popular C-SNP UHC Complete Care Support ID-1A (C-SNP) with 74 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| HumanaChoice - Diabetes and Heart | $0 | 5000.00 | $615 | H7617-034-0 | |
| HumanaChoice - Diabetes and Heart | $15 | 9250.00 | $615 | H7617-033-0 | |
| UHC Complete Care Support ID-1A | $38 | 9250.00 | $615 | H2001-050-0 | |
| UHC Complete Care ID-12 | $0 | 6700.00 | $600 | H4604-024-0 |
- What is the average monthly premium for C-SNP plans in Gem County?
- C-SNP plans in Gem County cost $13.13 per month.
- Which C-SNP plan has the highest enrollment in Gem County?
- The most popular C-SNP plan in Gem County is UHC Complete Care Support ID-1A (C-SNP), with 74 enrollees.
- How many C-SNP plans are available in Gem County?
- In 2026, Gem County offers 4 C-SNP plans with 183 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
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
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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.