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2026 Medicare Special Needs Plans in Essex County, MA

Last update: .

In Essex County, MA, there are 18 Medicare Special Needs Plans available for 2026. Approximately 15,309 beneficiaries are enrolled, and about 80% 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 Essex County, MA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$26.14/mo
Plans with $0 Premium
4
Average MOOP Limit
$7,904 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 80% · 3 Stars: 20% · Below 3: 0%
Average Part D Deductible
$517.44
Total SNP Enrollment
15,309
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UHC Senior Care Options MA-Y001 (D-SNP) — 3,421 enrollees
2. CCA Senior Care Options (D-SNP) — 2,671 enrollees
3. CCA One Care (D-SNP) — 2,635 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Essex County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Total D-SNP Plans
16
Average Monthly Premium
$18.03/mo
Beneficiaries Enrolled
15,309
$0 Premium D-SNPs
3
Zero Cost D-SNPs
16
D-SNP with the Highest Enrollment
UHC Senior Care Options MA-Y001 (D-SNP) with 3,421 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Essex County, Massachusetts, 2026
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Senior Whole Health SCO
☆☆☆☆☆
 $0 9250.00 $115 H2224-001-0
Senior Whole Health SCO NHC
☆☆☆☆☆
 $5 9250.00 $615 H2224-003-0
CCA Senior Care Options
☆☆☆☆☆
 $36 8980.00 $615 H2225-001-0
Fallon Health NaviCare
☆☆☆☆☆
 $31 7550.00 $615 H8928-001-0
UHC Senior Care Options MA-Y001
☆☆☆☆☆
 $15 9250.00 $615 H2226-001-0
UHC Senior Care Options NHC MA-Y002
☆☆☆☆☆
 $22 9250.00 $615 H2226-003-0
Tufts Health Plan Senior Care Options
☆☆☆☆☆
 $7 9250.00 $615 H8330-001-0
Tufts Health Plan Senior Care Options CW
☆☆☆☆☆
 $0 9250.00 $400 H8330-002-0
CCA One Care
☆☆☆☆☆
 $25 8845.00 $615 H1486-001-0
Mass General Brigham One Care
☆☆☆☆☆
 $36 9250.00 $615 H1611-001-0
Mass General Brigham SCO
☆☆☆☆☆
 $36 9250.00 $615 H0777-001-0
Molina One Care
☆☆☆☆☆
 $18 1500.00 $615 H4371-001-0
Tufts Health One Care
☆☆☆☆☆
 $37 9250.00 $615 H5314-001-0
Tufts Health One Care CW
☆☆☆☆☆
 $15 9250.00 $615 H5314-002-0
UHC One Care MA-Y3
☆☆☆☆☆
 $0 9250.00 $534 H4610-001-0
UHC One Care MA-Y4
☆☆☆☆☆
 $9 9250.00 $615 H4610-002-0
What is the total number of D-SNP plans in Essex County?

Essex County has 16 D-SNP plans for 2026, with 15,309 enrollees.

How much do D-SNP plans cost in Essex County?

The typical D-SNP premium in Essex County is $18.03, and 3 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: 1
  • Average Monthly Premium: $0.00/mo
  • Beneficiaries Enrolled: 0
  • $0 Premium Plans: 1
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: — 0 enrollees
  • Plans without Drug Coverage: 0
I-SNP Medicare plan comparison – Essex County, Massachusetts, 2026
Health Plan Name CMS Rating* Premium Per Mo Network
Erickson Advantage Guardian
☆☆☆☆☆
 $0 1000.00 $0 H5652-003-0
What is the total number of I-SNP plans in Essex County?

There are 1 I-SNP plans in 2026, covering 0 enrollees.

How much do I-SNP plans cost in Essex County?

The average I-SNP premium in Essex County is $0.00 per month, with 1 plans offering $0 premiums.

What is the most popular I-SNP plan in Essex County?

is the top I-SNP in Essex County, with 0 enrollees.

What is the total number of I-SNP plans in Essex County?

There are 1 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 $182.00/mo
  • Beneficiaries Enrolled 0
  • $0 Premium C-SNPs 0
  • Average MOOP $3,400
  • Most Popular C-SNP with 0 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Essex County, Massachusetts, 2026
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 Essex County?
C-SNP plans in Essex County cost $182.00 per month.
Which C-SNP plan has the highest enrollment in Essex County?
The most popular C-SNP plan in Essex County is , with 0 enrollees.
How many C-SNP plans are available in Essex County?
In 2026, Essex County offers 1 C-SNP plans with 0 enrollees.

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 .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .