2026 Medicare Special Needs Plans in Guilford County, NC
Last update: . Enrollment data updated: June 13, 2026
For 2026, Guilford County, NC includes 38 Medicare Special Needs Plans. Enrollment across these plans totals approximately 16,766, with 78% 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 Guilford County, NC to explore additional plan types and coverage choices.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.
- Total D-SNP Plans
- 24
- Average Monthly Premium
- $28.84/mo
- Beneficiaries Enrolled
- 12,547
- $0 Premium Plans
- 0
- Zero Cost Plans
- 15
- Top D-SNP by Enrollment
- UHC Dual Complete NC-S3 (D-SNP) — 4,666 enrollees
- Plans without Drug Coverage
- 0
What is the typical premium for D-SNP plans in Guilford County?
D-SNP plans in Guilford County cost $28.84 per month.
Which D-SNP plan do most beneficiaries choose in Guilford County?
The most popular D-SNP plan in Guilford County is UHC Dual Complete NC-S3 (D-SNP), with 4,666 enrollees.
How many Dual Eligible SNP plans are offered in Guilford County?
In 2026, Guilford County offers 24 D-SNP plans with 12,547 enrollees.
Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.
- Total I-SNP Plans
- 6
- Average Monthly Premium
- $30.17/mo
- Beneficiaries Enrolled
- 382
- $0 Premium Plans
- 1
- Average MOOP
- $15,850
- Top I-SNP by Enrollment
- UHC Nursing Home Plan NC-F001 (I-SNP) — 325 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | 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 | |
| Provider Partners North Carolina Advantage Plan | $36 | 9250.00 | $615 | H4439-001-0 | |
| Provider Partners North Carolina Community Plan | $0 | 3750.00 | $615 | H4439-002-0 | |
| Provider Partners North Carolina Essential Plan | $36 | 9250.00 | $615 | H4439-003-0 |
- What is the average monthly premium for I-SNP plans in Guilford County?
- I-SNP plans in Guilford County cost $30.17 per month.
- Which I-SNP plan has the highest enrollment in Guilford County?
- The most popular I-SNP plan in Guilford County is UHC Nursing Home Plan NC-F001 (I-SNP), with 325 enrollees.
- How many I-SNP plans are available in Guilford County?
- In 2026, Guilford County offers 6 I-SNP plans with 382 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
- 8
- Average Monthly Premium
- $13.58/mo
- Beneficiaries Enrolled
- 3,837
- $0 Premium C-SNPs
- 5
- Average MOOP
- $12,013
- Most Popular C-SNP
- UHC Complete Care NC-28 (C-SNP) with 1,561 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Alignment Health Heart & Diabetes Care | $0 | 3400.00 | $250 | H5296-011-0 | |
| Alignment Health Heart & Diabetes NCPlus | $36 | 9250.00 | $615 | H5296-009-0 | |
| DEVOTED C-SNP PLUS 015 NC | $36 | 9250.00 | $615 | H5299-015-0 | |
| DEVOTED C-SNP PREMIUM 017 NC | $36 | 4800.00 | $615 | H5299-017-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9250.00 | $450 | H1036-308-0 | |
| HealthTeam Advantage Diabetes & Heart Care | $0 | 3900.00 | $300 | H2624-001-0 | |
| 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 total number of C-SNP plans in Guilford County?
Guilford County has 8 C-SNP plans for 2026, with 3,837 enrollees.
How much do C-SNP plans cost in Guilford County?
The typical C-SNP premium in Guilford County is $13.58, and 5 plans have no monthly premium.
- 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
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 24 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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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.