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2026 Medicare Special Needs Plans in Macomb County, MI

Last update: .

For 2026, Macomb County, MI includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 17,471, 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.

At a Glance

  • Average Monthly Premium: $3.86/mo
  • $0 Premium Plans: 11
  • Average MOOP: $7,490 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 7% · 3 Stars: 50% · Below 3: 43%
  • Average Part D Deductible: $370.50
  • Total SNP Enrollment: 17,471
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Humana Dual Integrated (D-SNP) — 4,654 enrollees
    2. Aetna Medicare HIDE (D-SNP) — 4,155 enrollees
    3. Molina Dual MI Coordinated Health (D-SNP) — 1,775 enrollees

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
14,147
$0 Premium Plans
2
Zero Cost Plans
8
Top D-SNP by Enrollment
Humana Dual Integrated (D-SNP) — 4,654 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Macomb County, Michigan (comparison chart)
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 4,654 enrollees.
How many D-SNP plans are available in Macomb County?
In 2026, Macomb County offers 8 D-SNP plans with 14,147 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
409
$0 Premium Plans
1
Average MOOP
$6,817
Top I-SNP by Enrollment
Longevity Health Plan (I-SNP) — 237 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Macomb County, Michigan (comparison chart)
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 237 enrollees.

How many I-SNP plans are available in Macomb County?

In 2026, Macomb County offers 3 I-SNP plans with 409 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
2,915
$0 Premium C-SNPs
8
Average MOOP
$6,172
Most Popular C-SNP
HumanaChoice - Diabetes and Heart (C-SNP) with 958 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Macomb County, Michigan (comparison chart)
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 2,915 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 958 enrollees.

What is the total number of C-SNP plans in Macomb County?

There are 9 C-SNP plans in 2026, covering 2,915 enrollees.

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 .