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  1. 🏠
  2. Special Needs Plans
  3. North Carolina
  4. Washington County

2026 Medicare Special Needs Plans in Washington County, NC

Last update: August 24, 2026.

In Washington County, NC, there are 14 Medicare Special Needs Plans available for 2026. Approximately 660 beneficiaries are enrolled, and about 79% 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 Washington County, NC to explore other types of coverage available locally.

  • D-SNP Plans
  • C-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

Average Monthly Premium
$24.01/mo
Plans with $0 Premium
2
Average MOOP Limit
$8,736 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 79% · 3 Stars: 21% · Below 3: 0%
Average Part D Deductible
$590.71
Total SNP Enrollment
660
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UHC Dual Complete NC-S3 (D-SNP) — 218 enrollees
2. UHC Dual Complete NC-S001 (D-SNP) — 105 enrollees
3. UHC Complete Care NC-27 (C-SNP) — 65 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Washington County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Total D-SNP Plans
12
Average Monthly Premium
$28.01/mo
Beneficiaries Enrolled
564
$0 Premium D-SNPs
0
Zero Cost D-SNPs
8
D-SNP with the Highest Enrollment
UHC Dual Complete NC-S3 (D-SNP) with 218 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Washington County, North Carolina, 2026
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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
HumanaChoice SNP-DE H5525-036
☆☆☆☆☆
$30 9250.00 $615 H5525-036-0
What is the total number of D-SNP plans in Washington County?

Washington County has 12 D-SNP plans for 2026, with 564 enrollees.

How much do D-SNP plans cost in Washington County?

The typical D-SNP premium in Washington County is $28.01, and 0 plans have no monthly premium.

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 2
  • Average Monthly Premium $0.00/mo
  • Beneficiaries Enrolled 96
  • $0 Premium C-SNPs 2
  • Average MOOP $7,325
  • Most Popular C-SNP UHC Complete Care NC-27 (C-SNP) with 65 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Washington County, North Carolina, 2026
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-27
☆☆☆☆☆
$0 5400.00 $440 H5253-188-0
What is the average monthly premium for C-SNP plans in Washington County?
C-SNP plans in Washington County cost $0.00 per month.
Which C-SNP plan has the highest enrollment in Washington County?
The most popular C-SNP plan in Washington County is UHC Complete Care NC-27 (C-SNP), with 65 enrollees.
How many C-SNP plans are available in Washington County?
In 2026, Washington County offers 2 C-SNP plans with 96 enrollees.
  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08

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 20 August, 2026
  • Medicare.gov, "Your coverage options" — Last accessed 22 August, 2026
  • AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 24 August, 2026

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

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.

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