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2026 Medicare Special Needs Plans in Macon County, NC

Last update: .

For 2026, Macon County, NC includes 19 Medicare Special Needs Plans. Enrollment across these plans totals approximately 963, with 58% 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 Macon County, NC to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $25.62/mo
  • $0 Premium Plans: 2
  • Average MOOP: $8,871 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 58% · 3 Stars: 42% · Below 3: 0%
  • Average Part D Deductible: $567.63
  • Total SNP Enrollment: 963
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. UHC Dual Complete NC-S3 (D-SNP) — 211 enrollees
    2. Humana Gold Plus SNP-DE H1036-331 (D-SNP) — 146 enrollees
    3. UHC Dual Complete NC-D001 (D-SNP) — 129 enrollees

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
17
Average Monthly Premium
$28.64/mo
Beneficiaries Enrolled
794
$0 Premium Plans
0
Zero Cost Plans
11
Top D-SNP by Enrollment
UHC Dual Complete NC-S3 (D-SNP) — 211 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Macon County, North Carolina (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
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 average monthly premium for D-SNP plans in Macon County?
D-SNP plans in Macon County cost $28.64 per month.
Which D-SNP plan has the highest enrollment in Macon County?
The most popular D-SNP plan in Macon County is UHC Dual Complete NC-S3 (D-SNP), with 211 enrollees.
How many D-SNP plans are available in Macon County?
In 2026, Macon County offers 17 D-SNP plans with 794 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
2
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
169
$0 Premium C-SNPs
2
Average MOOP
$7,325
Most Popular C-SNP
UHC Complete Care NC-25 (C-SNP) with 85 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Macon County, North Carolina (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
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 total number of C-SNP plans in Macon County?

There are 2 C-SNP plans in 2026, covering 169 enrollees.

How much do C-SNP plans cost in Macon County?

The average C-SNP premium in Macon County is $0.00 per month, with 2 plans offering $0 premiums.

What is the most popular C-SNP plan in Macon County?

UHC Complete Care NC-25 (C-SNP) is the top C-SNP in Macon County, with 85 enrollees.

What is the total number of C-SNP plans in Macon County?

There are 2 C-SNP plans in 2026, covering 169 enrollees.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .