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  1. 🏠
  2. Special Needs Plans
  3. New York
  4. Monroe County

2026 Medicare Special Needs Plans in Monroe County, NY

Last update: May 10, 2026. Enrollment data updated: June 13, 2026

In Monroe County, NY, there are 24 Medicare Special Needs Plans available for 2026. Approximately 20,816 beneficiaries are enrolled, and about 44% 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 Monroe County, NY to explore other types of coverage available locally.

  • D-SNP Plans
  • I-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

Average Monthly Premium
$46.12/mo
Plans with $0 Premium
2
Average MOOP Limit
$8,429 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix)
4+ Stars: 44% · 3 Stars: 56% · Below 3: 0%
Average Part D Deductible
$579.38
Total SNP Enrollment
20,816
SNP Plans with the Highest Enrollment
(as of June 13, 2026)
1. UHC Dual Complete NY-S002 (D-SNP) — 13,733 enrollees
2. HumanaChoice SNP-DE H5970-020 (D-SNP) — 1,269 enrollees
3. UHC Dual Complete NY-S001 (D-SNP) — 1,065 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 19
  • Average Monthly Premium: $46.61/mo
  • Beneficiaries Enrolled: 19,954
  • $0 Premium Plans: 1
  • Zero Cost Plans: 17
  • Top D-SNP by Enrollment: UHC Dual Complete NY-S002 (D-SNP) — 13,733 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Monroe County, New York
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
☆☆☆☆☆
$55 9250.00 $615 H3305-033-0
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
VNS Health EasyCare Plus
☆☆☆☆☆
$52 9250.00 $615 H5549-011-0
VNS Health Total
☆☆☆☆☆
$59 0.00 $615 H5549-003-0
Aetna Medicare Full Dual
☆☆☆☆☆
$36 9250.00 $615 H3312-087-0
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
☆☆☆☆☆
$59 9250.00 $410 H4868-004-0
Wellcare Fidelis Dual Align
☆☆☆☆☆
$59 9250.00 $615 H5599-003-0
Wellcare Fidelis Dual Liberty Sync
☆☆☆☆☆
$59 9250.00 $580 H5599-013-1
ICircle Dual Advantage
☆☆☆☆☆
$59 9250.00 $615 H7813-001-0
Medicare Blue Dual
☆☆☆☆☆
$49 9250.00 $615 H7524-003-0
Medicare Blue Dual Secure
☆☆☆☆☆
$21 9250.00 $615 H7524-004-0
Nascentia Dual Advantage
☆☆☆☆☆
$59 8500.00 $615 H9066-003-0
Nascentia Medicaid Advantage Plus
☆☆☆☆☆
$59 8500.00 $615 H9066-001-0
What is the total number of D-SNP plans in Monroe County?

There are 19 D-SNP plans in 2026, covering 19,954 enrollees.

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

The average D-SNP premium in Monroe County is $46.61 per month, with 1 plans offering $0 premiums.

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

UHC Dual Complete NY-S002 (D-SNP) is the top D-SNP in Monroe County, with 13,733 enrollees.

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

There are 19 D-SNP plans in 2026, covering 19,954 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
5
Average Monthly Premium
$44.24/mo
Beneficiaries Enrolled
862
$0 Premium Plans
1
Average MOOP
$16,500
Top I-SNP by Enrollment
UHC Nursing Home Plan NY-F001 (I-SNP) — 510 enrollees
Plans without Drug Coverage
0
Comparison table of 2026 I-SNP Medicare Plans available in Monroe County, New York
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
Elderplan Advantage For Nursing Home Residents
☆☆☆☆☆
$45 9250.00 $615 H3347-003-0
Elderplan Select
☆☆☆☆☆
$0 7500.00 $0 H3347-018-0
Nascentia Skilled Nursing Facility
☆☆☆☆☆
$59 6000.00 $615 H9066-002-0
What is the most popular I-SNP plan in Monroe County?

UHC Nursing Home Plan NY-F001 (I-SNP) is the top I-SNP in Monroe County, with 510 enrollees.

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

There are 5 I-SNP plans in 2026, covering 862 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.

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