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2026 Medicare Special Needs Plans in Pike County, KY

Last update: .

For 2026, Pike County, KY includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,308, with 30% 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 Pike County, KY to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $31.72/mo
  • $0 Premium Plans: 3
  • Average MOOP: $8,395 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 30% · 3 Stars: 70% · Below 3: 0%
  • Average Part D Deductible: $534.75
  • Total SNP Enrollment: 2,308
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. UHC Dual Complete KY-S002 (D-SNP) — 380 enrollees
    2. Humana Dual Select H5619-075 (D-SNP) — 339 enrollees
    3. Wellcare Dual Liberty Sync (D-SNP) — 308 enrollees

Medicare Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.

Total D-SNP Plans
15
Average Monthly Premium
$30.53/mo
Beneficiaries Enrolled
2,110
$0 Premium Plans
0
Zero Cost Plans
12
Top D-SNP by Enrollment
UHC Dual Complete KY-S002 (D-SNP) — 380 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Pike 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
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 typical premium for D-SNP plans in Pike County?

D-SNP plans in Pike County cost $30.53 per month.

Which D-SNP plan do most beneficiaries choose in Pike County?

The most popular D-SNP plan in Pike County is UHC Dual Complete KY-S002 (D-SNP), with 380 enrollees.

How many Dual Eligible SNP plans are offered in Pike County?

In 2026, Pike County offers 15 D-SNP plans with 2,110 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
2
Average Monthly Premium
$88.20/mo
Beneficiaries Enrolled
0
$0 Premium Plans
0
Average MOOP
$7,075
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Pike 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
What is the average monthly premium for I-SNP plans in Pike County?
I-SNP plans in Pike County cost $88.20 per month.
Which I-SNP plan has the highest enrollment in Pike County?
The most popular I-SNP plan in Pike County is , with 0 enrollees.
How many I-SNP plans are available in Pike County?
In 2026, Pike County offers 2 I-SNP plans with 0 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
198
$0 Premium C-SNPs
3
Average MOOP
$7,267
Most Popular C-SNP
UHC Complete Care KY-6 (C-SNP) with 198 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Pike 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 total number of C-SNP plans in Pike County?

Pike County has 3 C-SNP plans for 2026, with 198 enrollees.

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

The typical C-SNP premium in Pike County is $0.00, and 3 plans have no monthly premium.

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 .