2026 Medicare Special Needs Plans in Transylvania County, NC
Last update: . Enrollment data updated: May 2, 2026
In Transylvania County, NC, there are 31 Medicare Special Needs Plans available for 2026. Approximately 677 beneficiaries are enrolled, and about 70% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Transylvania County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
What is the total number of D-SNP plans in Transylvania County?
Transylvania County has 24 D-SNP plans for 2026, with 558 enrollees.
How much do D-SNP plans cost in Transylvania County?
The typical D-SNP premium in Transylvania County is $29.57, and 0 plans have no monthly premium.
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.
- Total I-SNP Plans: 1
- Average Monthly Premium: $36.20/mo
- Beneficiaries Enrolled: 20
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: PruittHealth Premier (I-SNP) — 20 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| PruittHealth Premier | $36 | 9250.00 | $615 | H6345-001-0 |
What is the total number of I-SNP plans in Transylvania County?
There are 1 I-SNP plans in 2026, covering 20 enrollees.
How much do I-SNP plans cost in Transylvania County?
The average I-SNP premium in Transylvania County is $36.20 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Transylvania County?
PruittHealth Premier (I-SNP) is the top I-SNP in Transylvania County, with 20 enrollees.
What is the total number of I-SNP plans in Transylvania County?
There are 1 I-SNP plans in 2026, covering 20 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 6
- Average Monthly Premium $18.10/mo
- Beneficiaries Enrolled 99
- $0 Premium C-SNPs 3
- Average MOOP $14,050
- Most Popular C-SNP UHC Complete Care NC-25 (C-SNP) with 78 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | 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 018 NC | $36 | 5600.00 | $615 | H5299-018-0 | |
| 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 average monthly premium for C-SNP plans in Transylvania County?
- C-SNP plans in Transylvania County cost $18.10 per month.
- Which C-SNP plan has the highest enrollment in Transylvania County?
- The most popular C-SNP plan in Transylvania County is UHC Complete Care NC-25 (C-SNP), with 78 enrollees.
- How many C-SNP plans are available in Transylvania County?
- In 2026, Transylvania County offers 6 C-SNP plans with 99 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 May, 2025
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Data provenance documentation is maintained in alignment 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.