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2026 Medicare Special Needs Plans in Caldwell County, NC

Last update: .

In Caldwell County, NC, there are 29 Medicare Special Needs Plans available for 2026. Approximately 3,126 beneficiaries are enrolled, and about 69% 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 Caldwell County, NC to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$27.04/mo
Plans with $0 Premium
3
Average MOOP Limit
$8,441 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 69% · 3 Stars: 31% · Below 3: 0%
Average Part D Deductible
$562.76
Total SNP Enrollment
3,126
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UHC Dual Complete NC-S3 (D-SNP) — 1,042 enrollees
2. UHC Dual Complete NC-D001 (D-SNP) — 634 enrollees
3. UHC Complete Care NC-25 (C-SNP) — 425 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 22
  • Average Monthly Premium: $29.06/mo
  • Beneficiaries Enrolled: 2,589
  • $0 Premium Plans: 0
  • Zero Cost Plans: 15
  • Top D-SNP by Enrollment: UHC Dual Complete NC-S3 (D-SNP) — 1,042 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Caldwell County, North Carolina
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
DEVOTED DUAL 009 NC
☆☆☆☆☆
 $36 6750.00 $615 H5299-009-0
DEVOTED DUAL FULL 013 NC
☆☆☆☆☆
 $36 9250.00 $615 H5299-013-0
DEVOTED DUAL PLUS 006 NC
☆☆☆☆☆
 $35 9250.00 $615 H5299-006-0
Humana Dual Select H1036-307
☆☆☆☆☆
 $13 9250.00 $615 H1036-307-0
Humana Gold Plus SNP-DE H1036-167
☆☆☆☆☆
 $14 9250.00 $615 H1036-167-0
Humana Gold Plus SNP-DE H1036-331
☆☆☆☆☆
 $20 9250.00 $615 H1036-331-0
Aetna Medicare Dual
☆☆☆☆☆
 $36 9250.00 $615 H3146-002-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $28 9250.00 $615 H3146-022-0
UHC Dual Complete NC-D001
☆☆☆☆☆
 $25 9250.00 $615 H5253-041-0
UHC Dual Complete NC-S001
☆☆☆☆☆
 $36 9250.00 $615 H1889-005-0
UHC Dual Complete NC-S2
☆☆☆☆☆
 $36 9250.00 $615 H1889-034-0
UHC Dual Complete NC-S3
☆☆☆☆☆
 $36 9250.00 $615 H5253-184-0
UHC Dual Complete NC-V001
☆☆☆☆☆
 $36 5900.00 $615 H5253-116-0
Healthy Blue + Medicare
☆☆☆☆☆
 $19 9250.00 $615 H9147-001-0
Humana Dual Select H5525-072
☆☆☆☆☆
 $34 9250.00 $615 H5525-072-0
HumanaChoice SNP-DE H5525-036
☆☆☆☆☆
 $30 9250.00 $615 H5525-036-0
Wellcare Dual Access
☆☆☆☆☆
 $32 9250.00 $385 H4073-002-0
Wellcare Dual Liberty
☆☆☆☆☆
 $36 9250.00 $425 H4073-004-0
Wellcare Dual Liberty Open
☆☆☆☆☆
 $26 9250.00 $395 H1914-008-0
Wellcare Dual Reserve
☆☆☆☆☆
 $28 9250.00 $615 H4073-003-0
Troy Medicare for Dual-eligible Beneficiaries
☆☆☆☆☆
 $31 9250.00 $615 H4676-002-0
Liberty Medicare Dual Plan
☆☆☆☆☆
 $15 7550.00 $615 H6351-005-0
What is the total number of D-SNP plans in Caldwell County?

There are 22 D-SNP plans in 2026, covering 2,589 enrollees.

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

The average D-SNP premium in Caldwell County is $29.06 per month, with 0 plans offering $0 premiums.

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

UHC Dual Complete NC-S3 (D-SNP) is the top D-SNP in Caldwell County, with 1,042 enrollees.

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

There are 22 D-SNP plans in 2026, covering 2,589 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
2
Average Monthly Premium
$36.20/mo
Beneficiaries Enrolled
46
$0 Premium Plans
0
Average MOOP
$8,025
Top I-SNP by Enrollment
UHC Nursing Home Plan NC-F001 (I-SNP) — 46 enrollees
Plans without Drug Coverage
0
Comparison table of 2026 I-SNP Medicare Plans available in Caldwell County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Nursing Home Plan NC-F001
☆☆☆☆☆
 $36 9250.00 $615 H0710-034-0
Liberty Medicare Advantage Nursing Home Plan
☆☆☆☆☆
 $36 6800.00 $615 H6351-001-0
What is the most popular I-SNP plan in Caldwell County?

UHC Nursing Home Plan NC-F001 (I-SNP) is the top I-SNP in Caldwell County, with 46 enrollees.

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

There are 2 I-SNP plans in 2026, covering 46 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 5
  • Average Monthly Premium $14.48/mo
  • Beneficiaries Enrolled 491
  • $0 Premium C-SNPs 3
  • Average MOOP $6,560
  • Most Popular C-SNP UHC Complete Care NC-25 (C-SNP) with 425 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2026 C-SNP Medicare Plans available in Caldwell County, North Carolina
Health Plan Name CMS Rating* Premium Per Mo Network
DEVOTED C-SNP PLUS 015 NC
☆☆☆☆☆
 $36 9250.00 $615 H5299-015-0
DEVOTED C-SNP PREMIUM 016 NC
☆☆☆☆☆
 $36 4900.00 $615 H5299-016-0
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
 $0 9250.00 $450 H1036-308-0
UHC Complete Care NC-25
☆☆☆☆☆
 $0 5400.00 $520 H5253-186-0
Liberty Medicare Advantage
☆☆☆☆☆
 $0 4000.00 $0 H6351-004-0

What is the average monthly premium for C-SNP plans in Caldwell County?

C-SNP plans in Caldwell County cost $14.48 per month.

Which C-SNP plan has the highest enrollment in Caldwell County?

The most popular C-SNP plan in Caldwell County is UHC Complete Care NC-25 (C-SNP), with 425 enrollees.

How many C-SNP plans are available in Caldwell County?

In 2026, Caldwell County offers 5 C-SNP plans with 491 enrollees.

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 .

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