2026 Medicare Special Needs Plans in Essex County, NY
Last update: . Enrollment data updated: June 13, 2026
In Essex County, NY, there are 10 Medicare Special Needs Plans available for 2026. Approximately 838 beneficiaries are enrolled, and about 50% 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 Essex County, NY to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Essex County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 9
- Average Monthly Premium: $45.20/mo
- Beneficiaries Enrolled: 838
- $0 Premium Plans: 0
- Zero Cost Plans: 9
- Top D-SNP by Enrollment: UHC Dual Complete NY-S002 (D-SNP) — 318 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| UHC Dual Complete NY-S001 | $53 | 9250.00 | $615 | H2001-063-1 | |
| UHC Dual Complete NY-Q001 | $31 | 9250.00 | $615 | H3387-015-1 | |
| UHC Dual Complete NY-S002 | $59 | 9250.00 | $615 | H3387-014-1 | |
| UHC Dual Complete NY-Y001 | $59 | 9250.00 | $615 | H3387-013-0 | |
| Aetna Medicare Full Dual | $23 | 9250.00 | $615 | H3312-070-0 | |
| Aetna Medicare Partial Dual | $6 | 9250.00 | $615 | H3312-089-0 | |
| Wellcare Dual Access Open | $59 | 9250.00 | $510 | H2775-112-0 | |
| Wellcare Fidelis Dual Align | $59 | 9250.00 | $615 | H5599-003-0 | |
| Wellcare Fidelis Dual Liberty Sync | $59 | 9250.00 | $580 | H5599-013-1 |
What is the total number of D-SNP plans in Essex County?
There are 9 D-SNP plans in 2026, covering 838 enrollees.
How much do D-SNP plans cost in Essex County?
The average D-SNP premium in Essex County is $45.20 per month, with 0 plans offering $0 premiums.
What is the most popular D-SNP plan in Essex County?
UHC Dual Complete NY-S002 (D-SNP) is the top D-SNP in Essex County, with 318 enrollees.
What is the total number of D-SNP plans in Essex County?
There are 9 D-SNP plans in 2026, covering 838 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 | ||
|---|---|---|---|---|---|
| Aetna Medicare Longevity | $59 | 9250.00 | $615 | H5521-461-0 |
What is the most popular I-SNP plan in Essex County?
is the top I-SNP in Essex County, with 0 enrollees.
What is the total number of I-SNP plans in Essex County?
There are 1 I-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
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.