2026 Medicare Special Needs Plans in Fulton County, NY
Last update: . Enrollment data updated: June 13, 2026
In Fulton County, NY, there are 14 Medicare Special Needs Plans available for 2026. Approximately 2,347 beneficiaries are enrolled, and about 43% 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 Fulton 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 Fulton 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 |
|---|---|---|---|---|---|
| MVP DualAccess Complete | $59 | 9250.00 | $615 | H3305-034-0 | |
| 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 | |
| Humana Gold Plus SNP-DE H3533-002 | $0 | 9250.00 | $615 | H3533-002-0 | |
| HumanaChoice SNP-DE H5970-020 | $1 | 9250.00 | $615 | H5970-020-0 | |
| 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 Fulton County?
Fulton County has 11 D-SNP plans for 2026, with 1,936 enrollees.
How much do D-SNP plans cost in Fulton County?
The typical D-SNP premium in Fulton County is $37.61, and 1 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: 2
- Average Monthly Premium: $58.80/mo
- Beneficiaries Enrolled: 77
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan NY-F001 (I-SNP) — 77 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Aetna Medicare Longevity | $59 | 9250.00 | $615 | H5521-461-0 | |
| UHC Nursing Home Plan NY-F001 | $59 | 9250.00 | $615 | H2292-001-0 |
What is the total number of I-SNP plans in Fulton County?
There are 2 I-SNP plans in 2026, covering 77 enrollees.
How much do I-SNP plans cost in Fulton County?
The average I-SNP premium in Fulton County is $58.80 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Fulton County?
UHC Nursing Home Plan NY-F001 (I-SNP) is the top I-SNP in Fulton County, with 77 enrollees.
What is the total number of I-SNP plans in Fulton County?
There are 2 I-SNP plans in 2026, covering 77 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 1
- Average Monthly Premium $0.00/mo
- Beneficiaries Enrolled 334
- $0 Premium C-SNPs 1
- Average MOOP $13,400
- Most Popular C-SNP UHC Complete Care NY-33 (C-SNP) with 334 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care NY-33 | $0 | 6700.00 | $440 | H3379-056-0 |
- What is the average monthly premium for C-SNP plans in Fulton County?
- C-SNP plans in Fulton County cost $0.00 per month.
- Which C-SNP plan has the highest enrollment in Fulton County?
- The most popular C-SNP plan in Fulton County is UHC Complete Care NY-33 (C-SNP), with 334 enrollees.
- How many C-SNP plans are available in Fulton County?
- In 2026, Fulton County offers 1 C-SNP plans with 334 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
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
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.
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.