2026 Medicare Special Needs Plans in Montgomery County, MD
Last update: . Enrollment data updated: June 13, 2026
In Montgomery County, MD, there are 13 Medicare Special Needs Plans available for 2026. Approximately 5,280 beneficiaries are enrolled, and about 42% 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 Montgomery County, MD to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Montgomery County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 9
- Average Monthly Premium: $13.61/mo
- Beneficiaries Enrolled: 4,946
- $0 Premium Plans: 4
- Zero Cost Plans: 6
- Top D-SNP by Enrollment: UHC Dual Complete MD-S002 (D-SNP) — 1,496 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Kaiser Permanente Dual Complete Plan 1 MD | $0 | 9250.00 | $210 | H2172-016-0 | |
| Kaiser Permanente Dual Essential Plan 1 MD | $0 | 9250.00 | $200 | H2172-018-0 | |
| Alterwood Advantage Dual Secure | $28 | 9250.00 | $615 | H9306-004-0 | |
| Alterwood Advantage Dual Value | $31 | 9250.00 | $615 | H9306-007-0 | |
| HumanaChoice SNP-DE H5216-377 | $28 | 9250.00 | $615 | H5216-377-0 | |
| HumanaChoice SNP-DE H5216-459 | $0 | 9250.00 | $615 | H5216-459-0 | |
| Johns Hopkins Advantage MD D-SNP | $31 | 9250.00 | $615 | H1225-003-0 | |
| UHC Dual Complete MD-S002 | $4 | 9250.00 | $615 | H7464-008-1 | |
| CareFirst BlueCross BlueShield Advantage DualPrime | $0 | 8850.00 | $615 | H8854-002-0 |
What is the total number of D-SNP plans in Montgomery County?
There are 9 D-SNP plans in 2026, covering 4,946 enrollees.
How much do D-SNP plans cost in Montgomery County?
The average D-SNP premium in Montgomery County is $13.61 per month, with 4 plans offering $0 premiums.
What is the most popular D-SNP plan in Montgomery County?
UHC Dual Complete MD-S002 (D-SNP) is the top D-SNP in Montgomery County, with 1,496 enrollees.
What is the total number of D-SNP plans in Montgomery County?
There are 9 D-SNP plans in 2026, covering 4,946 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Erickson Advantage Guardian | $0 | 1000.00 | $0 | H5652-003-0 | |
| UHC Nursing Home Plan EX-F004 | $28 | 9250.00 | $615 | H0710-032-0 | |
| CommuniCare Advantage ISNP | $31 | 9250.00 | $615 | H3727-002-2 |
What is the most popular I-SNP plan in Montgomery County?
UHC Nursing Home Plan EX-F004 (I-SNP) is the top I-SNP in Montgomery County, with 296 enrollees.
What is the total number of I-SNP plans in Montgomery County?
There are 3 I-SNP plans in 2026, covering 334 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 $182.00/mo
- Beneficiaries Enrolled 0
- $0 Premium C-SNPs 0
- Average MOOP $6,800
- Most Popular C-SNP with 0 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Erickson Advantage Champion | $182 | 3400.00 | $270 | H5652-004-0 |
What is the average monthly premium for C-SNP plans in Montgomery County?
C-SNP plans in Montgomery County cost $182.00 per month.
Which C-SNP plan has the highest enrollment in Montgomery County?
The most popular C-SNP plan in Montgomery County is , with 0 enrollees.
How many C-SNP plans are available in Montgomery County?
In 2026, Montgomery County offers 1 C-SNP plans with 0 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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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.