2026 Medicare Special Needs Plans in Bergen County, NJ
Last update: . Enrollment data updated: June 13, 2026
Bergen County, NJ has 11 Medicare Special Needs Plans available in 2026. These plans serve approximately 8,079 beneficiaries, and roughly 36% achieve 4-star ratings or higher based on CMS data.
Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Bergen County, NJ to compare other coverage categories available in your area.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Bergen County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 6
- Average Monthly Premium: $42.08/mo
- Beneficiaries Enrolled: 7,546
- $0 Premium Plans: 0
- Zero Cost Plans: 6
- Top D-SNP by Enrollment: UHC Dual Complete NJ-Y001 (D-SNP) — 2,567 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Horizon NJ TotalCare | $43 | 9250.00 | $615 | H8298-001-0 | |
| UHC Dual Complete NJ-Y001 | $37 | 9250.00 | $615 | H3113-005-0 | |
| Wellcare Fidelis Dual Align | $54 | 9250.00 | $615 | H0913-013-0 | |
| Aetna Medicare FIDE | $54 | 9250.00 | $615 | H6399-001-0 | |
| Wellpoint Full Dual Advantage | $32 | 9250.00 | $615 | H3240-013-0 | |
| Wellpoint Full Dual Advantage Secure | $32 | 9250.00 | $615 | H3240-024-0 |
What is the most popular D-SNP plan in Bergen County?
UHC Dual Complete NJ-Y001 (D-SNP) is the top D-SNP in Bergen County, with 2,567 enrollees.
What is the total number of D-SNP plans in Bergen County?
There are 6 D-SNP plans in 2026, covering 7,546 enrollees.
I-SNP Plans (Institutional Special Needs Plans)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in long-term or institutional care settings. Plan availability varies by county.
- Total I-SNP Plans: 3
- Average Monthly Premium: $84.80/mo
- Beneficiaries Enrolled: 370
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F003 (I-SNP) — 249 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F003 | $42 | 9250.00 | $615 | H0710-026-0 | |
| Longevity Health Plan | $172 | 4250.00 | $615 | H9942-002-0 | |
| Longevity Health Plan | $40 | 9250.00 | $615 | H9942-001-0 |
What is the total number of I-SNP plans in Bergen County?
Bergen County has 3 I-SNP plans for 2026, with 370 enrollees.
How much do I-SNP plans cost in Bergen County?
The typical I-SNP premium in Bergen County is $84.80, and 0 plans have no monthly premium.
C-SNP Plans (Chronic Condition Special Needs Plans)
Chronic Condition Special Needs Plans (C-SNPs) are a category of Medicare Advantage plans offered to beneficiaries with qualifying chronic conditions, as defined by CMS program rules.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | 8850.00 | $450 | H6622-098-0 | |
| Wellpoint Kidney Care | $0 | 9250.00 | $340 | H3240-017-0 |
What is the typical premium for C-SNP plans in Bergen County?
C-SNP plans in Bergen County cost $0.00 per month.
Which C-SNP plan do most beneficiaries choose in Bergen County?
The most popular C-SNP plan in Bergen County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 148 enrollees.
How many Chronic Condition SNP plans are offered in Bergen County?
In 2026, Bergen County offers 2 C-SNP plans with 163 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 May, 2025
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Data provenance documentation is maintained in alignment 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.