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2027 Medicare Special Needs Plans in Madison County, NY

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In Madison County, NY, there are 17 Medicare Special Needs Plans available for 2027. Approximately 1,545 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 Madison County, NY to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$13.51/mo
Plans with $0 Premium
8
Average MOOP Limit
$9,794 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 43% · 3 Stars: 57% · Below 3: 0%
Average Part D Deductible
$699.12
Total SNP Enrollment
1,545
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. UHC Dual Complete NY-S002 (D-SNP) — 771 enrollees
2. UHC Complete Care NY-31 (C-SNP) — 375 enrollees
3. Wellcare Dual Access Open (D-SNP) — 148 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Madison County, NY are summarized separately. For a broader perspective, explore New York Medicare Special Needs plans.

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Madison County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

  • Total D-SNP Plans: 12
  • Average Monthly Premium: $15.78/mo
  • Beneficiaries Enrolled: 1,142
  • $0 Premium Plans: 6
  • Zero Cost Plans: 11
  • Top D-SNP by Enrollment: UHC Dual Complete NY-S002 (D-SNP) — 771 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Madison County, New York
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
UHC Dual Complete NY-S001
☆☆☆☆☆
 $19 9850.00 $700 H2001-063-1
UHC Dual Complete NY-Q001
☆☆☆☆☆
 $0 9850.00 $700 H3387-015-1
UHC Dual Complete NY-S002
☆☆☆☆☆
 $32 9850.00 $700 H3387-014-3
UHC Dual Complete NY-YL
☆☆☆☆☆
 $41 9850.00 $700 H3387-013-0
Aetna Medicare Full Dual
☆☆☆☆☆
 $0 9850.00 $700 H3312-070-0
Humana Gold Plus SNP-DE H3533-036
☆☆☆☆☆
 $0 9850.00 $700 H3533-036-1
Wellcare Dual Access Open
☆☆☆☆☆
 $0 9850.00 $700 H2775-112-0
Wellcare Fidelis Dual Access
☆☆☆☆☆
 $0 9850.00 $700 H5599-016-0
Wellcare Fidelis Dual Align Unity
☆☆☆☆☆
 $41 9850.00 $700 H5599-003-0
Wellcare Fidelis Dual Liberty Sync
☆☆☆☆☆
 $0 9850.00 $700 H5599-014-0
Nascentia Dual Advantage
☆☆☆☆☆
 $27 9850.00 $700 H9066-003-0
Nascentia Medicaid Advantage Plus
☆☆☆☆☆
 $30 9850.00 $700 H9066-001-0
What is the total number of D-SNP plans in Madison County?

There are 12 D-SNP plans in 2027, covering 1,142 enrollees.

How much do D-SNP plans cost in Madison County?

The average D-SNP premium in Madison County is $15.78 per month, with 6 plans offering $0 premiums.

What is the most popular D-SNP plan in Madison County?

UHC Dual Complete NY-S002 (D-SNP) is the top D-SNP in Madison County, with 771 enrollees.

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

There are 12 D-SNP plans in 2027, covering 1,142 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
$13.43/mo
Beneficiaries Enrolled
28
$0 Premium Plans
0
Average MOOP
$9,850
Top I-SNP by Enrollment
UHC Nursing Home Plan NY-F001 (I-SNP) — 28 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Madison County, New York
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Nursing Home Plan NY-F001
☆☆☆☆☆
 $4 9850.00 $700 H2292-001-0
Aetna Medicare Longevity
☆☆☆☆☆
 $11 9850.00 $700 H5521-461-0
Nascentia Skilled Nursing Facility
☆☆☆☆☆
 $25 9850.00 $700 H9066-002-0
What is the most popular I-SNP plan in Madison County?

UHC Nursing Home Plan NY-F001 (I-SNP) is the top I-SNP in Madison County, with 28 enrollees.

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

There are 3 I-SNP plans in 2027, covering 28 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 375
  • $0 Premium C-SNPs 2
  • Average MOOP $9,375
  • Most Popular C-SNP UHC Complete Care NY-31 (C-SNP) with 375 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Madison County, New York
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Complete Care NY-31
☆☆☆☆☆
 $0 8900.00 $685 H3379-054-0
Aetna Medicare Chronic Care Total
☆☆☆☆☆
 $0 9850.00 $700 H3312-112-0

What is the average monthly premium for C-SNP plans in Madison County?

C-SNP plans in Madison County cost $0.00 per month.

Which C-SNP plan has the highest enrollment in Madison County?

The most popular C-SNP plan in Madison County is UHC Complete Care NY-31 (C-SNP), with 375 enrollees.

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

In 2027, Madison County offers 2 C-SNP plans with 375 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 .

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