- Entity
- county:iowa-madison-19121
- Digest
- 2026-county-snp-aggregate
- Source URL
- https://www.medicareplans.com/special-needs/iowa/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total SNP Plans
- 14
- D-SNP Plans
- 9
- C-SNP Plans
- 1
- I-SNP Plans
- 4
- Average Monthly Premium
- 39.48
- Average MOOP
- 8396.43
- Average Part D Deductible
- 591.43
- $0 Premium Plans
- 1
- Plans Without Part D Coverage
- 0
- Average CMS Star Rating
- 3.73
- $0 Premium Plan Share
- 7.14
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 45
- 3-Star Plan Share
- 55
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 21
- D-SNP Average Monthly Premium
- 29.24
- D-SNP Average MOOP
- 8777.78
- D-SNP Enrollment
- 132
- D-SNP $0 Premium Plans
- 1
- D-SNP Plans Without Part D Coverage
- 0
- D-SNP Zero-Cost Sharing Plans
- 8
- C-SNP Average Monthly Premium
- 27
- C-SNP Average MOOP
- 5900
- C-SNP Enrollment
- 16
- C-SNP $0 Premium Plans
- 0
- C-SNP Plans Without Part D Coverage
- 0
- I-SNP Average Monthly Premium
- 65.63
- I-SNP Average MOOP
- 8162.5
- I-SNP Enrollment
- 0
- I-SNP $0 Premium Plans
- 0
- I-SNP Plans Without Part D Coverage
- 0
- Entity
- county:iowa-madison-19121
- Digest
- 2026-county-snp-aggregate
- Source URL
- https://www.medicareplans.com/special-needs/iowa/madison/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-iowa-madison-19121-landscape-stats
- Plans Indexed
- 14
- SNP Plans
-
-
Iowa Health Advantage
H6765-001-0 -
Iowa Health Advantage Choice
H6765-002-0 -
Aetna Medicare Dual Care
H5593-001-0 -
UHC Complete Care IA-5
H5253-180-0 -
UHC Dual Complete IA-S001
H0169-001-0 -
Humana Together in Health
H5216-413-0 -
Humana Together in Health Select
H5216-453-0 -
HumanaChoice SNP-DE H5216-268
H5216-268-0 -
Molina Medicare Complete Care
H1799-005-0 -
Wellpoint Full Dual Advantage
H0907-001-0 -
Wellpoint Full Dual Advantage 2
H0907-003-0 -
Wellcare Dual Access
H1862-004-0 -
Wellcare Dual Liberty Sync
H1862-003-0 -
Wellcare Dual Reserve
H1862-006-0
-
Iowa Health Advantage
- Total SNP Enrollment
- 148
2026 Medicare Special Needs Plans in Madison County, IA
Last update: .
In Madison County, IA, there are 14 Medicare Special Needs Plans available for 2026. Approximately 148 beneficiaries are enrolled, and about 45% 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 Madison County, IA to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Madison 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 |
|---|---|---|---|---|---|
| Aetna Medicare Dual Care | $38 | 9250.00 | $615 | H5593-001-0 | |
| UHC Dual Complete IA-S001 | $42 | 9250.00 | $615 | H0169-001-0 | |
| HumanaChoice SNP-DE H5216-268 | $32 | 9250.00 | $615 | H5216-268-0 | |
| Molina Medicare Complete Care | $0 | 9250.00 | $615 | H1799-005-0 | |
| Wellpoint Full Dual Advantage | $29 | 9250.00 | $615 | H0907-001-0 | |
| Wellpoint Full Dual Advantage 2 | $32 | 9250.00 | $615 | H0907-003-0 | |
| Wellcare Dual Access | $29 | 9250.00 | $615 | H1862-004-0 | |
| Wellcare Dual Liberty Sync | $32 | 9250.00 | $615 | H1862-003-0 | |
| Wellcare Dual Reserve | $30 | 5000.00 | $615 | H1862-006-0 |
What is the total number of D-SNP plans in Madison County?
Madison County has 9 D-SNP plans for 2026, with 132 enrollees.
How much do D-SNP plans cost in Madison County?
The typical D-SNP premium in Madison County is $29.24, 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: 4
- Average Monthly Premium: $65.63/mo
- Beneficiaries Enrolled: 0
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: — 0 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Iowa Health Advantage | $42 | 9250.00 | $615 | H6765-001-0 | |
| Iowa Health Advantage Choice | $42 | 9250.00 | $615 | H6765-002-0 | |
| Humana Together in Health | $42 | 9250.00 | $615 | H5216-413-0 | |
| Humana Together in Health Select | $138 | 4900.00 | $300 | H5216-453-0 |
What is the total number of I-SNP plans in Madison County?
There are 4 I-SNP plans in 2026, covering 0 enrollees.
How much do I-SNP plans cost in Madison County?
The average I-SNP premium in Madison County is $65.63 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Madison County?
is the top I-SNP in Madison County, with 0 enrollees.
What is the total number of I-SNP plans in Madison County?
There are 4 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 1
- Average Monthly Premium $27.00/mo
- Beneficiaries Enrolled 16
- $0 Premium C-SNPs 0
- Average MOOP $5,900
- Most Popular C-SNP UHC Complete Care IA-5 (C-SNP) with 16 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care IA-5 | $27 | 5900.00 | $600 | H5253-180-0 |
- What is the average monthly premium for C-SNP plans in Madison County?
- C-SNP plans in Madison County cost $27.00 per month.
- Which C-SNP plan has the highest enrollment in Madison County?
- The most popular C-SNP plan in Madison County is UHC Complete Care IA-5 (C-SNP), with 16 enrollees.
- How many C-SNP plans are available in Madison County?
- In 2026, Madison County offers 1 C-SNP plans with 16 enrollees.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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 20 August, 2026
- Medicare.gov, "Your coverage options" — Last accessed 22 August, 2026
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 24 August, 2026
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.