2026 Medicare Special Needs Plans in Herkimer County, NY
Last update: . Enrollment data updated: June 13, 2026
In Herkimer County, NY, there are 14 Medicare Special Needs Plans available for 2026. Approximately 1,944 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 Herkimer 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 Herkimer County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 13
- Average Monthly Premium: $36.78/mo
- Beneficiaries Enrolled: 1,944
- $0 Premium Plans: 1
- Zero Cost Plans: 13
- Top D-SNP by Enrollment: Wellcare Fidelis Dual Liberty Sync (D-SNP) — 520 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 | |
| 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 Liberty Sync | $59 | 9250.00 | $580 | H5599-013-1 | |
| Medicare Blue Dual | $49 | 9250.00 | $615 | H7524-003-0 | |
| Medicare Blue Dual Secure | $21 | 9250.00 | $615 | H7524-004-0 |
What is the total number of D-SNP plans in Herkimer County?
There are 13 D-SNP plans in 2026, covering 1,944 enrollees.
How much do D-SNP plans cost in Herkimer County?
The average D-SNP premium in Herkimer County is $36.78 per month, with 1 plans offering $0 premiums.
What is the most popular D-SNP plan in Herkimer County?
Wellcare Fidelis Dual Liberty Sync (D-SNP) is the top D-SNP in Herkimer County, with 520 enrollees.
What is the total number of D-SNP plans in Herkimer County?
There are 13 D-SNP plans in 2026, covering 1,944 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 Herkimer County?
is the top I-SNP in Herkimer County, with 0 enrollees.
What is the total number of I-SNP plans in Herkimer 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
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 .
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.