2026 Medicare Special Needs Plans in Pender County, NC
Last update: . Enrollment data updated: June 13, 2026
For 2026, Pender County, NC includes 25 Medicare Special Needs Plans. Enrollment across these plans totals approximately 1,606, with 84% 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 Pender 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
- 16
- Average Monthly Premium
- $28.64/mo
- Beneficiaries Enrolled
- 1,307
- $0 Premium Plans
- 0
- Zero Cost Plans
- 10
- Top D-SNP by Enrollment
- UHC Dual Complete NC-S3 (D-SNP) — 338 enrollees
- Plans without Drug Coverage
- 0
What is the typical premium for D-SNP plans in Pender County?
D-SNP plans in Pender County cost $28.64 per month.
Which D-SNP plan do most beneficiaries choose in Pender County?
The most popular D-SNP plan in Pender County is UHC Dual Complete NC-S3 (D-SNP), with 338 enrollees.
How many Dual Eligible SNP plans are offered in Pender County?
In 2026, Pender County offers 16 D-SNP plans with 1,307 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
- 4
- Average Monthly Premium
- $27.15/mo
- Beneficiaries Enrolled
- 0
- $0 Premium Plans
- 1
- Average MOOP
- $14,525
- Top I-SNP by Enrollment
- — 0 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| 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 Pender County?
- I-SNP plans in Pender County cost $27.15 per month.
- Which I-SNP plan has the highest enrollment in Pender County?
- The most popular I-SNP plan in Pender County is , with 0 enrollees.
- How many I-SNP plans are available in Pender County?
- In 2026, Pender County offers 4 I-SNP plans with 0 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
- 5
- Average Monthly Premium
- $14.48/mo
- Beneficiaries Enrolled
- 299
- $0 Premium C-SNPs
- 3
- Average MOOP
- $13,640
- Most Popular C-SNP
- Humana Gold Plus - Diabetes and Heart (C-SNP) with 160 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| DEVOTED C-SNP PLUS 015 NC | $36 | 9250.00 | $615 | H5299-015-0 | |
| DEVOTED C-SNP PREMIUM 014 NC | $36 | 6200.00 | $615 | H5299-014-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9250.00 | $450 | H1036-308-0 | |
| UHC Complete Care NC-27 | $0 | 5400.00 | $440 | H5253-188-0 | |
| Liberty Medicare Advantage | $0 | 4000.00 | $0 | H6351-004-0 |
What is the total number of C-SNP plans in Pender County?
Pender County has 5 C-SNP plans for 2026, with 299 enrollees.
How much do C-SNP plans cost in Pender County?
The typical C-SNP premium in Pender County is $14.48, and 3 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.