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

2027 Medicare Special Needs Plans in Ontario County, NY

Last update: October 4, 2026.

In Ontario County, NY, there are 14 Medicare Special Needs Plans available for 2027. Approximately 2,136 beneficiaries are enrolled, and about 36% 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 Ontario 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
$15.89/mo
Plans with $0 Premium
6
Average MOOP Limit
$9,850 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 36% · 3 Stars: 64% · Below 3: 0%
Average Part D Deductible
$675.00
Total SNP Enrollment
2,136
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. UHC Dual Complete NY-S002 (D-SNP) — 1,511 enrollees
2. UHC Dual Complete NY-S001 (D-SNP) — 160 enrollees
3. Medicare Blue Dual (D-SNP) — 143 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Ontario 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 Ontario County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Total D-SNP Plans
11
Average Monthly Premium
$16.18/mo
Beneficiaries Enrolled
2,047
$0 Premium D-SNPs
5
Zero Cost D-SNPs
11
D-SNP with the Highest Enrollment
UHC Dual Complete NY-S002 (D-SNP) with 1,511 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Ontario County, New York, 2027
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
MVP DualAccess Complete
☆☆☆☆☆
$22 9850.00 $700 H3305-034-0
Medicare Blue Dual
☆☆☆☆☆
$24 9850.00 $700 H7524-003-0
Medicare Blue Dual Secure
☆☆☆☆☆
$0 9850.00 $700 H7524-004-0
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
What is the total number of D-SNP plans in Ontario County?

Ontario County has 11 D-SNP plans for 2027, with 2,047 enrollees.

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

The typical D-SNP premium in Ontario County is $16.18, and 5 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: 3
  • Average Monthly Premium: $14.80/mo
  • Beneficiaries Enrolled: 89
  • $0 Premium Plans: 1
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: Elderplan Advantage For Nursing Home Residents (I-SNP) — 46 enrollees
  • Plans without Drug Coverage: 0
I-SNP Medicare plan comparison – Ontario County, New York, 2027
Health Plan Name CMS Rating* Premium Per Mo Network
Aetna Medicare Longevity
☆☆☆☆☆
$11 9850.00 $700 H5521-461-0
Elderplan Advantage For Nursing Home Residents
☆☆☆☆☆
$34 9850.00 $700 H3347-003-0
Elderplan Select
☆☆☆☆☆
$0 9850.00 $350 H3347-018-0
What is the total number of I-SNP plans in Ontario County?

There are 3 I-SNP plans in 2027, covering 89 enrollees.

How much do I-SNP plans cost in Ontario County?

The average I-SNP premium in Ontario County is $14.80 per month, with 1 plans offering $0 premiums.

What is the most popular I-SNP plan in Ontario County?

Elderplan Advantage For Nursing Home Residents (I-SNP) is the top I-SNP in Ontario County, with 46 enrollees.

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

There are 3 I-SNP plans in 2027, covering 89 enrollees.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08

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 20 August, 2026
  • Medicare.gov, "Your coverage options" — Last accessed 22 August, 2026
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 24 August, 2026

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.

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