2026 Medicare Special Needs Plans in Somerset County, NJ
Last update: . Enrollment data updated: May 2, 2026
In Somerset County, NJ, there are 11 Medicare Special Needs Plans available for 2026. Approximately 2,248 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 Somerset 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 Somerset County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
| 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 Somerset County?
Somerset County has 6 D-SNP plans for 2026, with 2,001 enrollees.
How much do D-SNP plans cost in Somerset County?
The typical D-SNP premium in Somerset County is $42.08, and 0 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: $84.80/mo
- Beneficiaries Enrolled: 182
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F003 (I-SNP) — 135 enrollees
- Plans without Drug Coverage: 0
| 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 total number of I-SNP plans in Somerset County?
There are 3 I-SNP plans in 2026, covering 182 enrollees.
How much do I-SNP plans cost in Somerset County?
The average I-SNP premium in Somerset County is $84.80 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Somerset County?
UHC Nursing Home Plan EX-F003 (I-SNP) is the top I-SNP in Somerset County, with 135 enrollees.
What is the total number of I-SNP plans in Somerset County?
There are 3 I-SNP plans in 2026, covering 182 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 65
- $0 Premium C-SNPs 2
- Average MOOP $18,100
- Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 51 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 Somerset County?
- C-SNP plans in Somerset County cost $0.00 per month.
- Which C-SNP plan has the highest enrollment in Somerset County?
- The most popular C-SNP plan in Somerset County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 51 enrollees.
- How many C-SNP plans are available in Somerset County?
- In 2026, Somerset County offers 2 C-SNP plans with 65 enrollees.
- 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 May, 2025
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Data provenance documentation is maintained in alignment 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.