2026 Medicare Special Needs Plans in Washington County, NY
Last update: . Enrollment data updated: June 13, 2026
In Washington County, NY, there are 15 Medicare Special Needs Plans available for 2026. Approximately 2,296 beneficiaries are enrolled, and about 40% 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 Washington County, NY to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Washington County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 12
- Average Monthly Premium: $34.47/mo
- Beneficiaries Enrolled: 1,735
- $0 Premium Plans: 1
- Zero Cost Plans: 12
- Top D-SNP by Enrollment: UHC Dual Complete NY-S4 (D-SNP) — 567 enrollees
- Plans without Drug Coverage: 0
| 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 Complete | $59 | 9250.00 | $615 | H3305-034-0 | |
| UHC Dual Complete NY-Q001 | $31 | 9250.00 | $615 | H3387-015-1 | |
| UHC Dual Complete NY-S4 | $6 | 9250.00 | $615 | H3387-017-0 | |
| Aetna Medicare Full Dual | $23 | 9250.00 | $615 | H3312-070-0 | |
| Aetna Medicare Partial Dual | $6 | 9250.00 | $615 | H3312-089-0 | |
| EmblemHealth VIP Dual | $59 | 9250.00 | $615 | H5991-012-2 | |
| 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 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 |
What is the total number of D-SNP plans in Washington County?
There are 12 D-SNP plans in 2026, covering 1,735 enrollees.
How much do D-SNP plans cost in Washington County?
The average D-SNP premium in Washington County is $34.47 per month, with 1 plans offering $0 premiums.
What is the most popular D-SNP plan in Washington County?
UHC Dual Complete NY-S4 (D-SNP) is the top D-SNP in Washington County, with 567 enrollees.
What is the total number of D-SNP plans in Washington County?
There are 12 D-SNP plans in 2026, covering 1,735 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.
| 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 |
What is the most popular I-SNP plan in Washington County?
UHC Nursing Home Plan NY-F001 (I-SNP) is the top I-SNP in Washington County, with 166 enrollees.
What is the total number of I-SNP plans in Washington County?
There are 2 I-SNP plans in 2026, covering 166 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 1
- Average Monthly Premium $0.00/mo
- Beneficiaries Enrolled 395
- $0 Premium C-SNPs 1
- Average MOOP $13,400
- Most Popular C-SNP UHC Complete Care NY-33 (C-SNP) with 395 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care NY-33 | $0 | 6700.00 | $440 | H3379-056-0 |
What is the average monthly premium for C-SNP plans in Washington County?
C-SNP plans in Washington County cost $0.00 per month.
Which C-SNP plan has the highest enrollment in Washington County?
The most popular C-SNP plan in Washington County is UHC Complete Care NY-33 (C-SNP), with 395 enrollees.
How many C-SNP plans are available in Washington County?
In 2026, Washington County offers 1 C-SNP plans with 395 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
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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.