2026 Medicare Special Needs Plans in Monmouth County, NJ
Last update: . Enrollment data updated: May 2, 2026
For 2026, Monmouth County, NJ includes 13 Medicare Special Needs Plans. Enrollment across these plans totals approximately 3,373, with 46% 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 Monmouth County, NJ to explore additional plan types and coverage choices.
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
- 6
- Average Monthly Premium
- $42.08/mo
- Beneficiaries Enrolled
- 3,082
- $0 Premium Plans
- 0
- Zero Cost Plans
- 6
- Top D-SNP by Enrollment
- UHC Dual Complete NJ-Y001 (D-SNP) — 1,365 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 typical premium for D-SNP plans in Monmouth County?
D-SNP plans in Monmouth County cost $42.08 per month.
Which D-SNP plan do most beneficiaries choose in Monmouth County?
The most popular D-SNP plan in Monmouth County is UHC Dual Complete NJ-Y001 (D-SNP), with 1,365 enrollees.
How many Dual Eligible SNP plans are offered in Monmouth County?
In 2026, Monmouth County offers 6 D-SNP plans with 3,082 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
- 4
- Average Monthly Premium
- $63.60/mo
- Beneficiaries Enrolled
- 219
- $0 Premium Plans
- 1
- Average MOOP
- $11,875
- Top I-SNP by Enrollment
- UHC Nursing Home Plan EX-F003 (I-SNP) — 120 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Erickson Advantage Guardian | $0 | 1000.00 | $0 | H5652-003-0 | |
| 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 Monmouth County?
- I-SNP plans in Monmouth County cost $63.60 per month.
- Which I-SNP plan has the highest enrollment in Monmouth County?
- The most popular I-SNP plan in Monmouth County is UHC Nursing Home Plan EX-F003 (I-SNP), with 120 enrollees.
- How many I-SNP plans are available in Monmouth County?
- In 2026, Monmouth County offers 4 I-SNP plans with 219 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
- 3
- Average Monthly Premium
- $60.67/mo
- Beneficiaries Enrolled
- 72
- $0 Premium C-SNPs
- 2
- Average MOOP
- $14,333
- Most Popular C-SNP
- Humana Gold Plus - Diabetes and Heart (C-SNP) with 56 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Erickson Advantage Champion | $182 | 3400.00 | $270 | H5652-004-0 | |
| 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 total number of C-SNP plans in Monmouth County?
Monmouth County has 3 C-SNP plans for 2026, with 72 enrollees.
How much do C-SNP plans cost in Monmouth County?
The typical C-SNP premium in Monmouth County is $60.67, and 2 plans have no monthly premium.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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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.