2026 Medicare Special Needs Plans in Madison County, MO
Last update: . Enrollment data updated: August 15, 2026
For 2026, Madison County, MO includes 21 Medicare Special Needs Plans. Enrollment across these plans totals approximately 531, with 56% 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 Madison County, MO 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
- 13
- Average Monthly Premium
- $26.60/mo
- Beneficiaries Enrolled
- 381
- $0 Premium Plans
- 0
- Zero Cost Plans
- 8
- Top D-SNP by Enrollment
- UHC Dual Complete MO-S3 (D-SNP) — 146 enrollees
- Plans without Drug Coverage
- 0
| Medicare SNP Plan | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| UHC Dual Complete MO-S002 | $43 | 9250.00 | $615 | H2001-040-0 | |
| Humana Gold Plus SNP-DE H4461-044 | $17 | 9250.00 | $615 | H4461-044-0 | |
| UHC Dual Complete MO-S001 | $25 | 9250.00 | $615 | H0169-002-0 | |
| UHC Dual Complete MO-S3 | $43 | 9250.00 | $615 | H0169-009-0 | |
| UHC Dual Complete MO-V001 | $14 | 3200.00 | $615 | H0169-008-0 | |
| Aetna Medicare Dual | $14 | 9250.00 | $615 | H5325-006-0 | |
| Aetna Medicare Full Dual | $20 | 9250.00 | $615 | H5325-015-0 | |
| Anthem Full Dual Advantage | $33 | 9250.00 | $615 | H3447-018-0 | |
| Anthem Full Dual Advantage 2 | $24 | 9250.00 | $615 | H3447-053-0 | |
| Humana Gold Plus SNP-DE H0028-015 | $5 | 9250.00 | $615 | H0028-015-0 | |
| DEVOTED DUAL 008 MO | $37 | 3600.00 | $615 | H2041-008-0 | |
| DEVOTED DUAL FULL 011 MO | $36 | 9250.00 | $615 | H2041-011-0 | |
| DEVOTED DUAL PLUS 007 MO | $34 | 9250.00 | $615 | H2041-007-0 |
- What is the average monthly premium for D-SNP plans in Madison County?
- D-SNP plans in Madison County cost $26.60 per month.
- Which D-SNP plan has the highest enrollment in Madison County?
- The most popular D-SNP plan in Madison County is UHC Dual Complete MO-S3 (D-SNP), with 146 enrollees.
- How many D-SNP plans are available in Madison County?
- In 2026, Madison County offers 13 D-SNP plans with 381 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
- $28.67/mo
- Beneficiaries Enrolled
- 21
- $0 Premium Plans
- 1
- Average MOOP
- $14,833
- Top I-SNP by Enrollment
- Provider Partners Missouri Advantage Plan (I-SNP) — 21 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| Provider Partners Missouri Advantage Plan | $43 | 9250.00 | $615 | H9191-001-0 | |
| Provider Partners Missouri Community Plan | $0 | 3750.00 | $615 | H9191-004-0 | |
| Provider Partners Missouri Essential Plan | $43 | 9250.00 | $615 | H9191-005-0 |
What is the average monthly premium for I-SNP plans in Madison County?
I-SNP plans in Madison County cost $28.67 per month.
Which I-SNP plan has the highest enrollment in Madison County?
The most popular I-SNP plan in Madison County is Provider Partners Missouri Advantage Plan (I-SNP), with 21 enrollees.
How many I-SNP plans are available in Madison County?
In 2026, Madison County offers 3 I-SNP plans with 21 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
- 5
- Average Monthly Premium
- $34.42/mo
- Beneficiaries Enrolled
- 129
- $0 Premium C-SNPs
- 1
- Average MOOP
- $13,240
- Most Popular C-SNP
- UHC Complete Care MO-1 (C-SNP) with 117 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care MO-1 | $0 | 4900.00 | $440 | H2001-055-0 | |
| UHC Complete Care AM-1 | $56 | 6700.00 | $600 | R3444-009-0 | |
| UHC Complete Care Support AM-1A | $30 | 9250.00 | $615 | R3444-008-0 | |
| DEVOTED C-SNP PLUS 016 MO | $43 | 9250.00 | $615 | H2041-016-0 | |
| DEVOTED C-SNP PREMIUM 012 MO | $43 | 3000.00 | $615 | H2041-012-0 |
What is the total number of C-SNP plans in Madison County?
There are 5 C-SNP plans in 2026, covering 129 enrollees.
How much do C-SNP plans cost in Madison County?
The average C-SNP premium in Madison County is $34.42 per month, with 1 plans offering $0 premiums.
What is the most popular C-SNP plan in Madison County?
UHC Complete Care MO-1 (C-SNP) is the top C-SNP in Madison County, with 117 enrollees.
What is the total number of C-SNP plans in Madison County?
There are 5 C-SNP plans in 2026, covering 129 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 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.