2026 Medicare Special Needs Plans in Macomb County, MI
Last update: . Enrollment data updated: June 13, 2026
For 2026, Macomb County, MI includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 17,620, with 7% 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 Macomb County, MI 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
- 8
- Average Monthly Premium
- $6.35/mo
- Beneficiaries Enrolled
- 14,596
- $0 Premium Plans
- 2
- Zero Cost Plans
- 8
- Top D-SNP by Enrollment
- Humana Dual Integrated (D-SNP) — 4,982 enrollees
- Plans without Drug Coverage
- 0
| Medicare SNP Plan | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| PriorityMedicare Dual Premier | $9 | 9250.00 | $615 | H8379-003-4 | |
| UHC Dual Complete MI-Y1 | $7 | 9250.00 | $615 | H2247-005-0 | |
| Molina Dual MI Coordinated Health | $0 | 9250.00 | $100 | H5926-008-0 | |
| Aetna Medicare HIDE | $9 | 9250.00 | $615 | H9314-001-0 | |
| AmeriHealth Caritas VIP Care | $9 | 9250.00 | $615 | H6341-001-0 | |
| HAP CareSource MI Coordinated Health | $9 | 9050.00 | $615 | H4193-001-0 | |
| Humana Dual Integrated | $0 | 9250.00 | $45 | H0963-001-0 | |
| Wellcare Meridian Dual Align | $9 | 9250.00 | $200 | H7435-001-0 |
- What is the average monthly premium for D-SNP plans in Macomb County?
- D-SNP plans in Macomb County cost $6.35 per month.
- Which D-SNP plan has the highest enrollment in Macomb County?
- The most popular D-SNP plan in Macomb County is Humana Dual Integrated (D-SNP), with 4,982 enrollees.
- How many D-SNP plans are available in Macomb County?
- In 2026, Macomb County offers 8 D-SNP plans with 14,596 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
- $5.87/mo
- Beneficiaries Enrolled
- 394
- $0 Premium Plans
- 1
- Average MOOP
- $13,633
- Top I-SNP by Enrollment
- Longevity Health Plan (I-SNP) — 245 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| Premier Care | $0 | 4700.00 | $615 | H6832-004-0 | |
| Senior Care | $9 | 6500.00 | $615 | H6832-001-0 | |
| Longevity Health Plan | $9 | 9250.00 | $615 | H7557-001-0 |
What is the average monthly premium for I-SNP plans in Macomb County?
I-SNP plans in Macomb County cost $5.87 per month.
Which I-SNP plan has the highest enrollment in Macomb County?
The most popular I-SNP plan in Macomb County is Longevity Health Plan (I-SNP), with 245 enrollees.
How many I-SNP plans are available in Macomb County?
In 2026, Macomb County offers 3 I-SNP plans with 394 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
- 9
- Average Monthly Premium
- $0.98/mo
- Beneficiaries Enrolled
- 2,630
- $0 Premium C-SNPs
- 8
- Average MOOP
- $12,343
- Most Popular C-SNP
- HumanaChoice - Diabetes and Heart (C-SNP) with 929 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| HAP Medicare Diabetes and Heart | $9 | 9250.00 | $615 | H2354-030-0 | |
| HumanaChoice - Diabetes and Heart | $0 | 6550.00 | $300 | H5216-375-0 | |
| Aetna Medicare Chronic Care | $0 | 6750.00 | $615 | H3192-033-0 | |
| Humana Gold Plus Chronic Kidney Disease | $0 | 9100.00 | $615 | H8908-006-0 | |
| Zing Open Choice Diabetes & Heart MI | $0 | 4950.00 | $0 | H6876-003-0 | |
| Zing Elite Balance MI | $0 | 4500.00 | $0 | H4624-046-0 | |
| Zing Elite Diabetes & Heart MI | $0 | 4500.00 | $0 | H4624-032-0 | |
| Zing Select Diabetes & Heart MI | $0 | 4500.00 | $0 | H4624-012-0 | |
| Zing Select Dialysis MI | $0 | 5445.00 | $0 | H4624-023-0 |
What is the total number of C-SNP plans in Macomb County?
There are 9 C-SNP plans in 2026, covering 2,630 enrollees.
How much do C-SNP plans cost in Macomb County?
The average C-SNP premium in Macomb County is $0.98 per month, with 8 plans offering $0 premiums.
What is the most popular C-SNP plan in Macomb County?
HumanaChoice - Diabetes and Heart (C-SNP) is the top C-SNP in Macomb County, with 929 enrollees.
What is the total number of C-SNP plans in Macomb County?
There are 9 C-SNP plans in 2026, covering 2,630 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
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
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
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.