2026 Medicare Special Needs Plans in Passaic County, NJ
Last update: . Enrollment data updated: June 13, 2026
In Passaic County, NJ, there are 11 Medicare Special Needs Plans available for 2026. Approximately 10,794 beneficiaries are enrolled, and about 36% 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 Passaic County, NJ to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Passaic 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: 10,403
- $0 Premium Plans: 0
- Zero Cost Plans: 6
- Top D-SNP by Enrollment: UHC Dual Complete NJ-Y001 (D-SNP) — 3,081 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 total number of D-SNP plans in Passaic County?
There are 6 D-SNP plans in 2026, covering 10,403 enrollees.
How much do D-SNP plans cost in Passaic County?
The average D-SNP premium in Passaic County is $42.08 per month, with 0 plans offering $0 premiums.
What is the most popular D-SNP plan in Passaic County?
UHC Dual Complete NJ-Y001 (D-SNP) is the top D-SNP in Passaic County, with 3,081 enrollees.
What is the total number of D-SNP plans in Passaic County?
There are 6 D-SNP plans in 2026, covering 10,403 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.
| 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 most popular I-SNP plan in Passaic County?
UHC Nursing Home Plan EX-F003 (I-SNP) is the top I-SNP in Passaic County, with 116 enrollees.
What is the total number of I-SNP plans in Passaic County?
There are 3 I-SNP plans in 2026, covering 220 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 2
- Average Monthly Premium $0.00/mo
- Beneficiaries Enrolled 171
- $0 Premium C-SNPs 2
- Average MOOP $18,100
- Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 121 enrollees
- C-SNPs Without Drug Coverage 0
| 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 average monthly premium for C-SNP plans in Passaic County?
C-SNP plans in Passaic County cost $0.00 per month.
Which C-SNP plan has the highest enrollment in Passaic County?
The most popular C-SNP plan in Passaic County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 121 enrollees.
How many C-SNP plans are available in Passaic County?
In 2026, Passaic County offers 2 C-SNP plans with 171 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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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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.