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2026 Medicare Special Needs Plans in Monroe County, MI

Last update: .

For 2026, Monroe County, MI includes 21 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,191, with 20% 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 Monroe County, MI to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $6.30/mo
  • $0 Premium Plans: 5
  • Average MOOP: $8,171 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 20% · 3 Stars: 70% · Below 3: 10%
  • Average Part D Deductible: $584.05
  • Total SNP Enrollment: 2,191
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. HumanaChoice SNP-DE H5216-388 (D-SNP) — 454 enrollees
    2. Aetna Medicare Full Dual Care (D-SNP) — 397 enrollees
    3. HumanaChoice - Diabetes and Heart (C-SNP) — 218 enrollees

Medicare Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.

Total D-SNP Plans
14
Average Monthly Premium
$6.93/mo
Beneficiaries Enrolled
1,671
$0 Premium Plans
2
Zero Cost Plans
10
Top D-SNP by Enrollment
HumanaChoice SNP-DE H5216-388 (D-SNP) — 454 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Monroe County, Michigan (comparison chart)
SNP Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
UHC Dual Complete MI-S001
☆☆☆☆☆
 $9 9250.00 $615 H2001-039-0
HAP Medicare Complete Assist
☆☆☆☆☆
 $9 9250.00 $615 H2322-020-0
HAP Medicare Complete Duals
☆☆☆☆☆
 $9 9250.00 $615 H2354-025-0
Humana Dual Select H5216-385
☆☆☆☆☆
 $9 9250.00 $615 H5216-385-0
HumanaChoice SNP-DE H5216-388
☆☆☆☆☆
 $9 9250.00 $615 H5216-388-0
PriorityMedicare D-SNP
☆☆☆☆☆
 $9 9250.00 $615 H8379-001-0
UHC Dual Complete MI-S002
☆☆☆☆☆
 $0 9250.00 $615 H2247-001-0
UHC Dual Complete MI-S3
☆☆☆☆☆
 $9 9250.00 $615 H2247-004-0
UHC Dual Complete MI-V001
☆☆☆☆☆
 $0 6700.00 $615 H2247-003-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $9 9250.00 $615 H3192-007-0
Molina Medicare Complete Care
☆☆☆☆☆
 $0 9250.00 $425 H5926-001-0
Wellcare Dual Access
☆☆☆☆☆
 $9 9250.00 $615 H5475-001-0
Wellcare Dual Access Open
☆☆☆☆☆
 $9 9250.00 $470 H2117-002-0
Wellcare Dual Reserve
☆☆☆☆☆
 $9 4200.00 $615 H5475-039-0

What is the typical premium for D-SNP plans in Monroe County?

D-SNP plans in Monroe County cost $6.93 per month.

Which D-SNP plan do most beneficiaries choose in Monroe County?

The most popular D-SNP plan in Monroe County is HumanaChoice SNP-DE H5216-388 (D-SNP), with 454 enrollees.

How many Dual Eligible SNP plans are offered in Monroe County?

In 2026, Monroe County offers 14 D-SNP plans with 1,671 enrollees.

Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.

Total I-SNP Plans
3
Average Monthly Premium
$5.87/mo
Beneficiaries Enrolled
26
$0 Premium Plans
1
Average MOOP
$6,817
Top I-SNP by Enrollment
Senior Care (I-SNP) — 26 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Monroe County, Michigan (comparison chart)
SNP Plan Name Rating* Premium 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 Monroe County?
I-SNP plans in Monroe County cost $5.87 per month.
Which I-SNP plan has the highest enrollment in Monroe County?
The most popular I-SNP plan in Monroe County is Senior Care (I-SNP), with 26 enrollees.
How many I-SNP plans are available in Monroe County?
In 2026, Monroe County offers 3 I-SNP plans with 26 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
4
Average Monthly Premium
$4.40/mo
Beneficiaries Enrolled
494
$0 Premium C-SNPs
2
Average MOOP
$7,313
Most Popular C-SNP
HumanaChoice - Diabetes and Heart (C-SNP) with 218 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Monroe County, Michigan (comparison chart)
SNP Plan Name Rating* Premium Network
HAP Medicare Diabetes and Heart
☆☆☆☆☆
 $9 9250.00 $615 H2354-030-0
HumanaChoice - Diabetes and Heart
☆☆☆☆☆
 $0 6550.00 $300 H5216-375-0
UHC Complete Care Support MI-3
☆☆☆☆☆
 $9 6700.00 $615 H0294-048-0
Aetna Medicare Chronic Care
☆☆☆☆☆
 $0 6750.00 $615 H3192-033-0
What is the total number of C-SNP plans in Monroe County?

Monroe County has 4 C-SNP plans for 2026, with 494 enrollees.

How much do C-SNP plans cost in Monroe County?

The typical C-SNP premium in Monroe County is $4.40, and 2 plans have no monthly premium.

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 .