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  1. 🏠
  2. Special Needs Plans
  3. North Carolina
  4. Clay County

2026 Medicare Special Needs Plans in Clay County, NC

Last update: May 10, 2026. Enrollment data updated: May 2, 2026

In Clay County, NC, there are 24 Medicare Special Needs Plans available for 2026. Approximately 255 beneficiaries are enrolled, and about 67% 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 Clay County, NC to explore other types of coverage available locally.

  • D-SNP Plans
  • C-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

Average Monthly Premium
$27.78/mo
Plans with $0 Premium
2
Average MOOP Limit
$8,036 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix)
4+ Stars: 67% · 3 Stars: 33% · Below 3: 0%
Average Part D Deductible
$577.50
Total SNP Enrollment
255
SNP Plans with the Highest Enrollment
(as of May 2, 2026)
1. UHC Dual Complete NC-S001 (D-SNP) — 51 enrollees
2. UHC Dual Complete NC-S3 (D-SNP) — 41 enrollees
3. Humana Gold Plus SNP-DE H1036-331 (D-SNP) — 34 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

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

Total D-SNP Plans
20
Average Monthly Premium
$29.71/mo
Beneficiaries Enrolled
224
$0 Premium D-SNPs
0
Zero Cost D-SNPs
13
D-SNP with the Highest Enrollment
UHC Dual Complete NC-S001 (D-SNP) with 51 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Clay County, North Carolina, 2026
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
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
Humana Dual Select H6622-027
☆☆☆☆☆
$29 9250.00 $615 H6622-027-0
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
What is the total number of D-SNP plans in Clay County?

Clay County has 20 D-SNP plans for 2026, with 224 enrollees.

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

The typical D-SNP premium in Clay County is $29.71, and 0 plans have no monthly premium.

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 4
  • Average Monthly Premium $18.10/mo
  • Beneficiaries Enrolled 31
  • $0 Premium C-SNPs 2
  • Average MOOP $14,750
  • Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 19 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Clay County, North Carolina, 2026
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 018 NC
☆☆☆☆☆
$36 5600.00 $615 H5299-018-0
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
What is the average monthly premium for C-SNP plans in Clay County?
C-SNP plans in Clay County cost $18.10 per month.
Which C-SNP plan has the highest enrollment in Clay County?
The most popular C-SNP plan in Clay County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 19 enrollees.
How many C-SNP plans are available in Clay County?
In 2026, Clay County offers 4 C-SNP plans with 31 enrollees.
  • 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

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 25 May, 2025
  • Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 May, 2025

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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