2026 Medicare Special Needs Plans in Ontario County, NY
Last update: . Enrollment data updated: June 13, 2026
For 2026, Ontario County, NY includes 15 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,247, with 50% rated 4 stars or higher.
Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Ontario County, NY to explore additional plan types and coverage choices.
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.
- Total D-SNP Plans
- 12
- Average Monthly Premium
- $50.18/mo
- Beneficiaries Enrolled
- 2,157
- $0 Premium Plans
- 0
- Zero Cost Plans
- 12
- Top D-SNP by Enrollment
- UHC Dual Complete NY-S002 (D-SNP) — 1,530 enrollees
- Plans without Drug Coverage
- 0
| Medicare SNP Plan | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 | $36 | 9250.00 | $615 | H3312-087-0 | |
| 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 | |
| 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 |
- What is the average monthly premium for D-SNP plans in Ontario County?
- D-SNP plans in Ontario County cost $50.18 per month.
- Which D-SNP plan has the highest enrollment in Ontario County?
- The most popular D-SNP plan in Ontario County is UHC Dual Complete NY-S002 (D-SNP), with 1,530 enrollees.
- How many D-SNP plans are available in Ontario County?
- In 2026, Ontario County offers 12 D-SNP plans with 2,157 enrollees.
Medicare Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.
- Total I-SNP Plans
- 3
- Average Monthly Premium
- $34.53/mo
- Beneficiaries Enrolled
- 90
- $0 Premium Plans
- 1
- Average MOOP
- $17,333
- Top I-SNP by Enrollment
- Elderplan Advantage For Nursing Home Residents (I-SNP) — 48 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| Aetna Medicare Longevity | $59 | 9250.00 | $615 | H5521-461-0 | |
| Elderplan Advantage For Nursing Home Residents | $45 | 9250.00 | $615 | H3347-003-0 | |
| Elderplan Select | $0 | 7500.00 | $0 | H3347-018-0 |
What is the average monthly premium for I-SNP plans in Ontario County?
I-SNP plans in Ontario County cost $34.53 per month.
Which I-SNP plan has the highest enrollment in Ontario County?
The most popular I-SNP plan in Ontario County is Elderplan Advantage For Nursing Home Residents (I-SNP), with 48 enrollees.
How many I-SNP plans are available in Ontario County?
In 2026, Ontario County offers 3 I-SNP plans with 90 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
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance 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.