2026 Medicare Special Needs Plans in Orleans County, NY
Last update: . Enrollment data updated: May 2, 2026
For 2026, Orleans County, NY includes 17 Medicare Special Needs Plans. Enrollment across these plans totals approximately 1,588, with 43% 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 Orleans County, NY to explore additional plan types and coverage choices.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.
- Total D-SNP Plans
- 12
- Average Monthly Premium
- $41.92/mo
- Beneficiaries Enrolled
- 1,301
- $0 Premium Plans
- 1
- Zero Cost Plans
- 12
- Top D-SNP by Enrollment
- UHC Dual Complete NY-S002 (D-SNP) — 897 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| UHC Dual Complete NY-S001 | $53 | 9250.00 | $615 | H2001-063-1 | |
| 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 | |
| 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 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 | |
| Univera Medicare Dual | $59 | 9250.00 | $615 | H7524-001-0 | |
| Univera Medicare Total Care | $29 | 9250.00 | $615 | H7524-002-0 |
What is the typical premium for D-SNP plans in Orleans County?
D-SNP plans in Orleans County cost $41.92 per month.
Which D-SNP plan do most beneficiaries choose in Orleans County?
The most popular D-SNP plan in Orleans County is UHC Dual Complete NY-S002 (D-SNP), with 897 enrollees.
How many Dual Eligible SNP plans are offered in Orleans County?
In 2026, Orleans County offers 12 D-SNP plans with 1,301 enrollees.
Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.
- Total I-SNP Plans
- 4
- Average Monthly Premium
- $40.60/mo
- Beneficiaries Enrolled
- 0
- $0 Premium Plans
- 1
- Average MOOP
- $14,500
- Top I-SNP by Enrollment
- — 0 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Independent Health's Medicare Family Choice | $59 | 3000.00 | $0 | H3362-020-0 | |
| 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 Orleans County?
- I-SNP plans in Orleans County cost $40.60 per month.
- Which I-SNP plan has the highest enrollment in Orleans County?
- The most popular I-SNP plan in Orleans County is , with 0 enrollees.
- How many I-SNP plans are available in Orleans County?
- In 2026, Orleans County offers 4 I-SNP plans with 0 enrollees.
Chronic Condition Special Needs Plans (C-SNPs)
Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.
- Total C-SNP Plans
- 1
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 287
- $0 Premium C-SNPs
- 1
- Average MOOP
- $16,600
- Most Popular C-SNP
- UHC Complete Care NY-30 (C-SNP) with 287 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care NY-30 | $0 | 8300.00 | $440 | H3379-053-0 |
What is the total number of C-SNP plans in Orleans County?
Orleans County has 1 C-SNP plans for 2026, with 287 enrollees.
How much do C-SNP plans cost in Orleans County?
The typical C-SNP premium in Orleans County is $0.00, and 1 plans have no monthly premium.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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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.