- Entity
- county:north-carolina-durham-37063
- Digest
- 2027-county-snp-aggregate
- Source URL
- https://www.medicareplans.com/special-needs/north-carolina/durham/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total SNP Plans
- 28
- D-SNP Plans
- 20
- C-SNP Plans
- 3
- I-SNP Plans
- 5
- Average Monthly Premium
- 5.51
- Average MOOP
- 8946.43
- Average Part D Deductible
- 605.18
- $0 Premium Plans
- 16
- Plans Without Part D Coverage
- 0
- Average CMS Star Rating
- 3.79
- $0 Premium Plan Share
- 57.14
- 5-Star Plan Share
- 8
- 4+ Star Plan Share
- 46
- 3-Star Plan Share
- 54
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 7
- D-SNP Average Monthly Premium
- 5.72
- D-SNP Average MOOP
- 9507.5
- D-SNP Enrollment
- 1729
- D-SNP $0 Premium Plans
- 11
- D-SNP Plans Without Part D Coverage
- 0
- D-SNP Zero-Cost Sharing Plans
- 13
- C-SNP Average Monthly Premium
- 0
- C-SNP Average MOOP
- 6033.33
- C-SNP Enrollment
- 1037
- C-SNP $0 Premium Plans
- 3
- C-SNP Plans Without Part D Coverage
- 0
- I-SNP Average Monthly Premium
- 7.98
- I-SNP Average MOOP
- 8450
- I-SNP Enrollment
- 114
- I-SNP $0 Premium Plans
- 2
- I-SNP Plans Without Part D Coverage
- 0
- Entity
- county:north-carolina-durham-37063
- Digest
- 2027-county-snp-aggregate
- Source URL
- https://www.medicareplans.com/special-needs/north-carolina/durham/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-north-carolina-durham-37063-landscape-stats
- Plans Indexed
- 28
- SNP Plans
-
-
Longevity Health Plan
H5374-001-0 -
UHC Nursing Home Plan NC-F001
H0710-034-0 -
Humana Dual Select H1036-307
H1036-307-0 -
Humana Gold Plus - Diabetes and Heart
H1036-308-0 -
Humana Gold Plus SNP-DE H1036-167
H1036-167-0 -
Humana Gold Plus SNP-DE H1036-331
H1036-331-0 -
Humana Dual Select H5525-072
H5525-072-0 -
HumanaChoice SNP-DE H5525-036
H5525-036-0 -
UHC Complete Care NC-28
H5253-189-0 -
UHC Dual Advantage NC-V1
H5253-116-0 -
UHC Dual Complete NC-Q2
H5253-217-1 -
UHC Dual Complete NC-S3
H5253-216-1 -
Aetna Medicare Full Dual
H3146-002-0 -
Aetna Medicare Full Dual Care
H3146-022-0 -
Liberty Medicare Advantage
H6351-004-0 -
Liberty Medicare Advantage Nursing Home Plan
H6351-001-0 -
Liberty Medicare Dual Plan
H6351-005-0 -
UHC Dual Complete NC-Q1
H1889-005-0 -
UHC Dual Complete NC-S2
H1889-034-0 -
Wellcare Carolina Complete Dual Liberty
H4073-004-0 -
Wellcare Carolina Complete Dual Reserve
H4073-003-0 -
HealthSpring TotalCare
H9725-003-0 -
HealthSpring TotalCare Plus
H9725-013-0 -
Healthy Blue + Medicare
H9147-001-0 -
Troy Medicare for Dual-eligible Beneficiaries
H4676-002-0 -
Wellcare Carolina Complete Dual Liberty Open
H1914-008-0 -
PruittHealth Premier
H6345-003-0 -
PruittHealth Premier
H6345-001-0
-
Longevity Health Plan
- Total SNP Enrollment
- 2880
2027 Medicare Special Needs Plans in Durham County, NC
Last update: .
For 2027, Durham County, NC includes 28 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,880, with 46% 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 Durham County, NC 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
- 20
- Average Monthly Premium
- $5.72/mo
- Beneficiaries Enrolled
- 1,729
- $0 Premium Plans
- 11
- Zero Cost Plans
- 13
- Top D-SNP by Enrollment
- Humana Gold Plus SNP-DE H1036-331 (D-SNP) — 675 enrollees
- Plans without Drug Coverage
- 0
- What is the average monthly premium for D-SNP plans in Durham County?
- D-SNP plans in Durham County cost $5.72 per month.
- Which D-SNP plan has the highest enrollment in Durham County?
- The most popular D-SNP plan in Durham County is Humana Gold Plus SNP-DE H1036-331 (D-SNP), with 675 enrollees.
- How many D-SNP plans are available in Durham County?
- In 2027, Durham County offers 20 D-SNP plans with 1,729 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
- 5
- Average Monthly Premium
- $7.98/mo
- Beneficiaries Enrolled
- 114
- $0 Premium Plans
- 2
- Average MOOP
- $8,450
- Top I-SNP by Enrollment
- UHC Nursing Home Plan NC-F001 (I-SNP) — 66 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| Longevity Health Plan | $13 | 9850.00 | $700 | H5374-001-0 | |
| UHC Nursing Home Plan NC-F001 | $0 | 9850.00 | $700 | H0710-034-0 | |
| Liberty Medicare Advantage Nursing Home Plan | $13 | 6800.00 | $700 | H6351-001-0 | |
| PruittHealth Premier | $0 | 5900.00 | $350 | H6345-003-0 | |
| PruittHealth Premier | $13 | 9850.00 | $700 | H6345-001-0 |
What is the average monthly premium for I-SNP plans in Durham County?
I-SNP plans in Durham County cost $7.98 per month.
Which I-SNP plan has the highest enrollment in Durham County?
The most popular I-SNP plan in Durham County is UHC Nursing Home Plan NC-F001 (I-SNP), with 66 enrollees.
How many I-SNP plans are available in Durham County?
In 2027, Durham County offers 5 I-SNP plans with 114 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
- 3
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 1,037
- $0 Premium C-SNPs
- 3
- Average MOOP
- $6,033
- Most Popular C-SNP
- UHC Complete Care NC-28 (C-SNP) with 760 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | 9850.00 | $550 | H1036-308-0 | |
| UHC Complete Care NC-28 | $0 | 4450.00 | $595 | H5253-189-0 | |
| Liberty Medicare Advantage | $0 | 3800.00 | $0 | H6351-004-0 |
What is the total number of C-SNP plans in Durham County?
There are 3 C-SNP plans in 2027, covering 1,037 enrollees.
How much do C-SNP plans cost in Durham County?
The average C-SNP premium in Durham County is $0.00 per month, with 3 plans offering $0 premiums.
What is the most popular C-SNP plan in Durham County?
UHC Complete Care NC-28 (C-SNP) is the top C-SNP in Durham County, with 760 enrollees.
What is the total number of C-SNP plans in Durham County?
There are 3 C-SNP plans in 2027, covering 1,037 enrollees.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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 20 August, 2026
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 22 August, 2026
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 24 August, 2026
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.