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2026 Medicare Special Needs Plans in Mercer County, KY

Last update: .

For 2026, Mercer County, KY includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 557, with 20% 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 Mercer County, KY to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $31.38/mo
  • $0 Premium Plans: 3
  • Average MOOP: $8,395 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 20% · 3 Stars: 80% · Below 3: 0%
  • Average Part D Deductible: $534.75
  • Total SNP Enrollment: 557
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Humana Dual Select H5619-075 (D-SNP) — 121 enrollees
    2. UHC Dual Complete KY-S002 (D-SNP) — 114 enrollees
    3. UHC Complete Care KY-6 (C-SNP) — 57 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
14
Average Monthly Premium
$29.66/mo
Beneficiaries Enrolled
481
$0 Premium Plans
0
Zero Cost Plans
11
Top D-SNP by Enrollment
Humana Dual Select H5619-075 (D-SNP) — 121 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Mercer County, Kentucky (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Humana Gold Plus SNP-DE H1036-320
☆☆☆☆☆
 $38 9250.00 $615 H1036-320-0
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 Mercer County?
D-SNP plans in Mercer County cost $29.66 per month.
Which D-SNP plan has the highest enrollment in Mercer County?
The most popular D-SNP plan in Mercer County is Humana Dual Select H5619-075 (D-SNP), with 121 enrollees.
How many D-SNP plans are available in Mercer County?
In 2026, Mercer County offers 14 D-SNP plans with 481 enrollees.

Medicare Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.

Total I-SNP Plans
3
Average Monthly Premium
$70.77/mo
Beneficiaries Enrolled
19
$0 Premium Plans
0
Average MOOP
$7,800
Top I-SNP by Enrollment
Abilis Health (I-SNP) — 19 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Mercer County, Kentucky (comparison chart)
Plan Name CMS Stars* Premium/Mo 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

What is the average monthly premium for I-SNP plans in Mercer County?

I-SNP plans in Mercer County cost $70.77 per month.

Which I-SNP plan has the highest enrollment in Mercer County?

The most popular I-SNP plan in Mercer County is Abilis Health (I-SNP), with 19 enrollees.

How many I-SNP plans are available in Mercer County?

In 2026, Mercer County offers 3 I-SNP plans with 19 enrollees.

Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.

Total C-SNP Plans
3
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
57
$0 Premium C-SNPs
3
Average MOOP
$7,267
Most Popular C-SNP
UHC Complete Care KY-6 (C-SNP) with 57 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Mercer County, Kentucky (comparison chart)
Plan Name CMS Stars* Premium/Mo 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 total number of C-SNP plans in Mercer County?

There are 3 C-SNP plans in 2026, covering 57 enrollees.

How much do C-SNP plans cost in Mercer County?

The average C-SNP premium in Mercer County is $0.00 per month, with 3 plans offering $0 premiums.

What is the most popular C-SNP plan in Mercer County?

UHC Complete Care KY-6 (C-SNP) is the top C-SNP in Mercer County, with 57 enrollees.

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

There are 3 C-SNP plans in 2026, covering 57 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 .