2026 Medicare Special Needs Plans in Mercer County, NJ
Last update: . Enrollment data updated: June 13, 2026
For 2026, Mercer County, NJ includes 10 Medicare Special Needs Plans. Enrollment across these plans totals approximately 4,031, with 40% 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 Mercer County, NJ 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
- 6
- Average Monthly Premium
- $42.08/mo
- Beneficiaries Enrolled
- 3,782
- $0 Premium Plans
- 0
- Zero Cost Plans
- 6
- Top D-SNP by Enrollment
- UHC Dual Complete NJ-Y001 (D-SNP) — 1,309 enrollees
- Plans without Drug Coverage
- 0
| Medicare SNP Plan | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 average monthly premium for D-SNP plans in Mercer County?
- D-SNP plans in Mercer County cost $42.08 per month.
- Which D-SNP plan has the highest enrollment in Mercer County?
- The most popular D-SNP plan in Mercer County is UHC Dual Complete NJ-Y001 (D-SNP), with 1,309 enrollees.
- How many D-SNP plans are available in Mercer County?
- In 2026, Mercer County offers 6 D-SNP plans with 3,782 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
- $84.80/mo
- Beneficiaries Enrolled
- 249
- $0 Premium Plans
- 0
- Average MOOP
- $15,167
- Top I-SNP by Enrollment
- UHC Nursing Home Plan EX-F003 (I-SNP) — 174 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/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 average monthly premium for I-SNP plans in Mercer County?
I-SNP plans in Mercer County cost $84.80 per month.
Which I-SNP plan has the highest enrollment in Mercer County?
The most popular I-SNP plan in Mercer County is UHC Nursing Home Plan EX-F003 (I-SNP), with 174 enrollees.
How many I-SNP plans are available in Mercer County?
In 2026, Mercer County offers 3 I-SNP plans with 249 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
- 1
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 0
- $0 Premium C-SNPs
- 1
- Average MOOP
- $18,500
- Most Popular C-SNP
- with 0 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| Wellpoint Kidney Care | $0 | 9250.00 | $340 | H3240-017-0 |
What is the total number of C-SNP plans in Mercer County?
There are 1 C-SNP plans in 2026, covering 0 enrollees.
How much do C-SNP plans cost in Mercer County?
The average C-SNP premium in Mercer County is $0.00 per month, with 1 plans offering $0 premiums.
What is the most popular C-SNP plan in Mercer County?
is the top C-SNP in Mercer County, with 0 enrollees.
What is the total number of C-SNP plans in Mercer County?
There are 1 C-SNP plans in 2026, covering 0 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
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.