Medicare Plans

Open Medicare Plan Data.

2026 Medicare Special Needs Plans in Passaic County, NJ

Last update: .

In Passaic County, NJ, there are 11 Medicare Special Needs Plans available for 2026. Approximately 10,987 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.

At a Glance

Average Monthly Premium
$46.08/mo
Plans with $0 Premium
2
Average MOOP Limit
$8,759 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 36% · 3 Stars: 64% · Below 3: 0%
Average Part D Deductible
$575.00
Total SNP Enrollment
10,987
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UHC Dual Complete NJ-Y001 (D-SNP) — 3,061 enrollees
2. Horizon NJ TotalCare (D-SNP) — 2,968 enrollees
3. Wellpoint Full Dual Advantage (D-SNP) — 2,653 enrollees

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: 10,556
  • $0 Premium Plans: 0
  • Zero Cost Plans: 6
  • Top D-SNP by Enrollment: UHC Dual Complete NJ-Y001 (D-SNP) — 3,061 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Passaic County, New Jersey
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 10,556 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 3,061 enrollees.

What is the total number of D-SNP plans in Passaic County?

There are 6 D-SNP plans in 2026, covering 10,556 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
208
$0 Premium Plans
0
Average MOOP
$7,583
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F003 (I-SNP) — 113 enrollees
Plans without Drug Coverage
0
Comparison table of 2026 I-SNP Medicare Plans available in Passaic County, New Jersey
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 113 enrollees.

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

There are 3 I-SNP plans in 2026, covering 208 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 223
  • $0 Premium C-SNPs 2
  • Average MOOP $9,050
  • Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 167 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2026 C-SNP Medicare Plans available in Passaic County, New Jersey
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 167 enrollees.

How many C-SNP plans are available in Passaic County?

In 2026, Passaic County offers 2 C-SNP plans with 223 enrollees.

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 .

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

This page follows data provenance practices aligned with the USCDI Provenance standard .