2026 Medicare Special Needs Plans in Worcester County, MA
Last update: . Enrollment data updated: May 2, 2026
For 2026, Worcester County, MA includes 15 Medicare Special Needs Plans. Enrollment across these plans totals approximately 13,670, with 78% 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 Worcester County, MA to explore additional plan types and coverage choices.
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
- $15.49/mo
- Beneficiaries Enrolled
- 12,489
- $0 Premium Plans
- 3
- Zero Cost Plans
- 14
- Top D-SNP by Enrollment
- NaviCare (D-SNP) — 4,307 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | |
| 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 average monthly premium for D-SNP plans in Worcester County?
D-SNP plans in Worcester County cost $15.49 per month.
Which D-SNP plan has the highest enrollment in Worcester County?
The most popular D-SNP plan in Worcester County is NaviCare (D-SNP), with 4,307 enrollees.
How many D-SNP plans are available in Worcester County?
In 2026, Worcester County offers 14 D-SNP plans with 12,489 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
- 1
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 1,181
- $0 Premium C-SNPs
- 1
- Average MOOP
- $11,800
- Most Popular C-SNP
- UHC Complete Care MA-7 (C-SNP) with 1,181 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care MA-7 | $0 | 5900.00 | $440 | H5253-155-0 |
What is the most popular C-SNP plan in Worcester County?
UHC Complete Care MA-7 (C-SNP) is the top C-SNP in Worcester County, with 1,181 enrollees.
What is the total number of C-SNP plans in Worcester County?
There are 1 C-SNP plans in 2026, covering 1,181 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
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.