2026 Medicare Special Needs Plans in Durham County, NC
Last update: . Enrollment data updated: June 13, 2026
In Durham County, NC, there are 28 Medicare Special Needs Plans available for 2026. Approximately 5,819 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 Durham County, NC to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Durham County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 21
- Average Monthly Premium: $27.61/mo
- Beneficiaries Enrolled: 4,755
- $0 Premium Plans: 0
- Zero Cost Plans: 14
- Top D-SNP by Enrollment: UHC Dual Complete NC-S3 (D-SNP) — 1,917 enrollees
- Plans without Drug Coverage: 0
What is the total number of D-SNP plans in Durham County?
There are 21 D-SNP plans in 2026, covering 4,755 enrollees.
How much do D-SNP plans cost in Durham County?
The average D-SNP premium in Durham County is $27.61 per month, with 0 plans offering $0 premiums.
What is the most popular D-SNP plan in Durham County?
UHC Dual Complete NC-S3 (D-SNP) is the top D-SNP in Durham County, with 1,917 enrollees.
What is the total number of D-SNP plans in Durham County?
There are 21 D-SNP plans in 2026, covering 4,755 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 | ||
|---|---|---|---|---|---|
| Longevity Health Plan | $36 | 9250.00 | $615 | H5374-001-0 | |
| 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 | |
| PruittHealth Premier | $36 | 9250.00 | $615 | H6345-001-0 |
What is the most popular I-SNP plan in Durham County?
UHC Nursing Home Plan NC-F001 (I-SNP) is the top I-SNP in Durham County, with 71 enrollees.
What is the total number of I-SNP plans in Durham County?
There are 4 I-SNP plans in 2026, covering 122 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 3
- Average Monthly Premium $0.00/mo
- Beneficiaries Enrolled 942
- $0 Premium C-SNPs 3
- Average MOOP $11,633
- Most Popular C-SNP UHC Complete Care NC-28 (C-SNP) with 691 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | 9250.00 | $450 | H1036-308-0 | |
| UHC Complete Care NC-28 | $0 | 4200.00 | $355 | H5253-189-0 | |
| Liberty Medicare Advantage | $0 | 4000.00 | $0 | H6351-004-0 |
What is the average monthly premium for C-SNP plans in Durham County?
C-SNP plans in Durham County cost $0.00 per month.
Which C-SNP plan has the highest enrollment in Durham County?
The most popular C-SNP plan in Durham County is UHC Complete Care NC-28 (C-SNP), with 691 enrollees.
How many C-SNP plans are available in Durham County?
In 2026, Durham County offers 3 C-SNP plans with 942 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.