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2027 Medicare Special Needs Plans in Mercer County, NJ

Last update: .

In Mercer County, NJ, there are 13 Medicare Special Needs Plans available for 2027. Approximately 3,938 beneficiaries are enrolled, and about 44% are rated 4 stars or higher based on CMS quality ratings.

Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Mercer County, NJ to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$34.27/mo
Plans with $0 Premium
2
Average MOOP Limit
$9,256 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 44% · 3 Stars: 56% · Below 3: 0%
Average Part D Deductible
$633.89
Total SNP Enrollment
3,938
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. UHC Dual Complete NJ-Y001 (D-SNP) — 1,255 enrollees
2. Horizon NJ TotalCare (D-SNP) — 1,185 enrollees
3. Aetna Medicare FIDE (D-SNP) — 584 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Mercer County, NJ are summarized separately. For a broader perspective, explore New Jersey Medicare Special Needs plans.

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Mercer County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Total D-SNP Plans
5
Average Monthly Premium
$19.90/mo
Beneficiaries Enrolled
3,699
$0 Premium D-SNPs
1
Zero Cost D-SNPs
5
D-SNP with the Highest Enrollment
UHC Dual Complete NJ-Y001 (D-SNP) with 1,255 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Mercer County, New Jersey, 2027
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Horizon NJ TotalCare
☆☆☆☆☆
 $36 9850.00 $700 H8298-001-0
Aetna Medicare FIDE
☆☆☆☆☆
 $0 9850.00 $700 H6399-001-0
UHC Dual Complete NJ-Y001
☆☆☆☆☆
 $4 9850.00 $700 H3113-005-0
Wellcare Fidelis Dual Align
☆☆☆☆☆
 $28 9850.00 $700 H0913-013-0
Wellpoint Full Dual Advantage
☆☆☆☆☆
 $31 9850.00 $700 H3240-013-0
What is the total number of D-SNP plans in Mercer County?

Mercer County has 5 D-SNP plans for 2027, with 3,699 enrollees.

How much do D-SNP plans cost in Mercer County?

The typical D-SNP premium in Mercer County is $19.90, and 1 plans have no monthly premium.

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: $69.63/mo
  • Beneficiaries Enrolled: 239
  • $0 Premium Plans: 0
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F003 (I-SNP) — 176 enrollees
  • Plans without Drug Coverage: 0
I-SNP Medicare plan comparison – Mercer County, New Jersey, 2027
Health Plan Name CMS Rating* Premium Per Mo Network
Longevity Health Plan
☆☆☆☆☆
 $172 4500.00 $700 H9942-002-0
Longevity Health Plan
☆☆☆☆☆
 $19 9850.00 $700 H9942-001-0
UHC Nursing Home Plan EX-F003
☆☆☆☆☆
 $18 9850.00 $700 H0710-026-0
What is the total number of I-SNP plans in Mercer County?

There are 3 I-SNP plans in 2027, covering 239 enrollees.

How much do I-SNP plans cost in Mercer County?

The average I-SNP premium in Mercer County is $69.63 per month, with 0 plans offering $0 premiums.

What is the most popular I-SNP plan in Mercer County?

UHC Nursing Home Plan EX-F003 (I-SNP) is the top I-SNP in Mercer County, with 176 enrollees.

What is the total number of I-SNP plans in Mercer County?

There are 3 I-SNP plans in 2027, covering 239 enrollees.

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.

  • Total C-SNP Plans 1
  • Average Monthly Premium $0.00/mo
  • Beneficiaries Enrolled 0
  • $0 Premium C-SNPs 1
  • Average MOOP $9,850
  • Most Popular C-SNP with 0 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Mercer County, New Jersey, 2027
Health Plan Name CMS Rating* Premium Per Mo Network
Wellpoint Kidney Care
☆☆☆☆☆
 $0 9850.00 $105 H3240-017-0
What is the average monthly premium for C-SNP plans in Mercer County?
C-SNP plans in Mercer County cost $0.00 per month.
Which C-SNP plan has the highest enrollment in Mercer County?
The most popular C-SNP plan in Mercer County is , with 0 enrollees.
How many C-SNP plans are available in Mercer County?
In 2027, Mercer County offers 1 C-SNP plans with 0 enrollees.

This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.

Data sources and methodology documentation .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .