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2026 Medicare Special Needs Plans in Madison County, KY

Last update: .

For 2026, Madison County, KY includes 23 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,162, with 26% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Madison County, KY to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $30.42/mo
  • $0 Premium Plans: 4
  • Average MOOP: $8,507 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 26% · 3 Stars: 74% · Below 3: 0%
  • Average Part D Deductible: $545.22
  • Total SNP Enrollment: 2,162
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Humana Dual Select H5619-075 (D-SNP) — 463 enrollees
    2. Aetna Medicare Partial Dual (D-SNP) — 284 enrollees
    3. UHC Dual Complete KY-S002 (D-SNP) — 202 enrollees

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
16
Average Monthly Premium
$30.46/mo
Beneficiaries Enrolled
2,034
$0 Premium Plans
0
Zero Cost Plans
13
Top D-SNP by Enrollment
Humana Dual Select H5619-075 (D-SNP) — 463 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Madison County, Kentucky (comparison chart)
SNP Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Humana Gold Plus SNP-DE H1036-320
☆☆☆☆☆
 $38 9250.00 $615 H1036-320-0
Aetna Medicare HIDE
☆☆☆☆☆
 $34 9250.00 $615 H0628-012-0
Aetna Medicare Partial Dual
☆☆☆☆☆
 $38 9250.00 $615 H0628-040-0
UHC Dual Complete KY-S001
☆☆☆☆☆
 $38 9250.00 $615 H1889-008-0
UHC Dual Complete KY-S3
☆☆☆☆☆
 $38 9250.00 $615 H1889-030-0
HumanaChoice SNP-DE H5525-045
☆☆☆☆☆
 $38 9250.00 $615 H5525-045-0
Passport Advantage
☆☆☆☆☆
 $29 9250.00 $615 H1799-003-2
UHC Dual Complete KY-S002
☆☆☆☆☆
 $13 9250.00 $615 H6595-004-0
UHC Dual Complete KY-S4
☆☆☆☆☆
 $23 9250.00 $615 H6595-005-0
UHC Dual Complete KY-V001
☆☆☆☆☆
 $38 6700.00 $615 H6595-003-0
Wellcare Dual Access Sync
☆☆☆☆☆
 $38 9250.00 $510 H9730-003-0
Wellcare Dual Liberty Sync
☆☆☆☆☆
 $36 9250.00 $430 H9730-004-0
Wellcare Dual Reserve
☆☆☆☆☆
 $32 5000.00 $570 H9730-011-0
Humana Dual Select H5619-075
☆☆☆☆☆
 $8 9250.00 $615 H5619-075-0
Humana Gold Plus SNP-DE H5619-163
☆☆☆☆☆
 $11 9250.00 $615 H5619-163-0
Wellcare Dual Access Sync Open
☆☆☆☆☆
 $32 9250.00 $400 H3975-004-0

What is the average monthly premium for D-SNP plans in Madison County?

D-SNP plans in Madison County cost $30.46 per month.

Which D-SNP plan has the highest enrollment in Madison County?

The most popular D-SNP plan in Madison County is Humana Dual Select H5619-075 (D-SNP), with 463 enrollees.

How many D-SNP plans are available in Madison County?

In 2026, Madison County offers 16 D-SNP plans with 2,034 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
4
Average Monthly Premium
$53.08/mo
Beneficiaries Enrolled
0
$0 Premium Plans
1
Average MOOP
$8,163
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Madison County, Kentucky (comparison chart)
SNP Plan Name Rating* Premium Network
Humana Together in Health
☆☆☆☆☆
 $38 9250.00 $615 H5216-446-0
Humana Together in Health Select
☆☆☆☆☆
 $138 4900.00 $300 H5216-453-0
Abilis Health
☆☆☆☆☆
 $36 9250.00 $615 H2400-001-0
Abilis Health Community
☆☆☆☆☆
 $0 9250.00 $615 H2400-002-0

What is the typical premium for I-SNP plans in Madison County?

I-SNP plans in Madison County cost $53.08 per month.

Which I-SNP plan do most beneficiaries choose in Madison County?

The most popular I-SNP plan in Madison County is , with 0 enrollees.

How many Institutional SNP plans are offered in Madison County?

In 2026, Madison County offers 4 I-SNP plans with 0 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
3
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
128
$0 Premium C-SNPs
3
Average MOOP
$7,267
Most Popular C-SNP
UHC Complete Care KY-6 (C-SNP) with 98 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Madison County, Kentucky (comparison chart)
SNP Plan Name Rating* Premium Network
UHC Complete Care KY-6
☆☆☆☆☆
 $0 6700.00 $440 H5253-182-0
Anthem Kidney Care
☆☆☆☆☆
 $0 5900.00 $50 H9525-011-0
Humana Gold Plus Chronic Kidney Disease
☆☆☆☆☆
 $0 9200.00 $615 H5619-170-0
What is the most popular C-SNP plan in Madison County?

UHC Complete Care KY-6 (C-SNP) is the top C-SNP in Madison County, with 98 enrollees.

What is the total number of C-SNP plans in Madison County?

There are 3 C-SNP plans in 2026, covering 128 enrollees.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .