2026 Medicare Special Needs Plans in Hamilton County, IN
Last update: . Enrollment data updated: May 2, 2026
Hamilton County, IN has 27 Medicare Special Needs Plans available in 2026. These plans serve approximately 2,806 beneficiaries, and roughly 22% achieve 4-star ratings or higher based on CMS data.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Hamilton County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 11
- Average Monthly Premium: $32.78/mo
- Beneficiaries Enrolled: 1,916
- $0 Premium Plans: 0
- Zero Cost Plans: 8
- Top D-SNP by Enrollment: Humana PathWays Dual Care (D-SNP) — 282 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Anthem Dual Advantage | $26 | 9250.00 | $615 | H0629-002-0 | |
| Anthem Full Dual Advantage | $24 | 9250.00 | $615 | H0629-001-0 | |
| Anthem I PathWays Dual Care Advantage | $38 | 9250.00 | $615 | H0629-003-0 | |
| Anthem I PathWays Dual Care Advantage NFLOC | $38 | 9250.00 | $615 | H0629-004-0 | |
| Humana Dual Select H4939-002 | $38 | 9250.00 | $615 | H4939-002-0 | |
| Humana Gold Plus SNP-DE H4939-003 | $22 | 9250.00 | $615 | H4939-003-0 | |
| Humana PathWays Dual Care | $21 | 9250.00 | $615 | H4939-001-0 | |
| UHC Dual Complete IN-D001 | $38 | 9250.00 | $615 | H2385-002-0 | |
| UHC Dual Complete IN-S002 | $38 | 9250.00 | $615 | H2385-001-0 | |
| UHC PathWays Dual Care IN-S1 | $38 | 9250.00 | $615 | H2385-003-0 | |
| UHC PathWays Dual Care IN-S3 | $38 | 9250.00 | $615 | H2385-004-0 |
What is the most popular D-SNP plan in Hamilton County?
Humana PathWays Dual Care (D-SNP) is the top D-SNP in Hamilton County, with 282 enrollees.
What is the total number of D-SNP plans in Hamilton County?
There are 11 D-SNP plans in 2026, covering 1,916 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: 7
- Average Monthly Premium: $30.94/mo
- Beneficiaries Enrolled: 338
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: Provider Partners Indiana Advantage Plan (I-SNP) — 248 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan IN-F001 | $25 | 9250.00 | $615 | H0710-013-0 | |
| Humana Together in Health | $38 | 9250.00 | $615 | H5216-400-0 | |
| American Health Advantage of Indiana | $38 | 9250.00 | $615 | H9690-001-0 | |
| CommuniCare Advantage ISNP | $38 | 9250.00 | $615 | H3727-002-1 | |
| Provider Partners Indiana Advantage Plan | $38 | 9250.00 | $615 | H4444-001-0 | |
| Provider Partners Indiana Community Plan | $0 | 3750.00 | $615 | H4444-002-0 | |
| Provider Partners Indiana Essential Plan | $38 | 9250.00 | $615 | H4444-003-0 |
What is the total number of I-SNP plans in Hamilton County?
Hamilton County has 7 I-SNP plans for 2026, with 338 enrollees.
How much do I-SNP plans cost in Hamilton County?
The typical I-SNP premium in Hamilton County is $30.94, and 1 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care IN-21 | $0 | 6700.00 | $440 | H2802-068-0 | |
| Aetna Medicare Chronic Care Total | $38 | 9250.00 | $615 | H3192-029-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9150.00 | $615 | H5619-055-0 | |
| Humana Gold Plus Chronic Kidney Disease | $0 | 9200.00 | $615 | H5619-170-0 | |
| Zing Open Choice Diabetes & Heart IN | $0 | 4950.00 | $0 | H6876-005-0 | |
| Zing Select Diabetes & Heart IN | $0 | 4500.00 | $0 | H4624-011-0 | |
| Zing Select Dialysis IN | $0 | 4950.00 | $0 | H4624-025-0 | |
| DEVOTED C-SNP CHOICE PLUS 013 IN | $38 | 9250.00 | $615 | H7471-013-0 | |
| DEVOTED C-SNP CHOICE PREMIUM 014 IN | $38 | 5100.00 | $615 | H7471-014-0 |
What is the typical premium for C-SNP plans in Hamilton County?
C-SNP plans in Hamilton County cost $12.80 per month.
Which C-SNP plan do most beneficiaries choose in Hamilton County?
The most popular C-SNP plan in Hamilton County is Zing Select Diabetes & Heart IN (C-SNP), with 155 enrollees.
How many Chronic Condition SNP plans are offered in Hamilton County?
In 2026, Hamilton County offers 9 C-SNP plans with 552 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 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.