2026 Medicare Special Needs Plans in Wilson County, NC
Last update: . Enrollment data updated: June 13, 2026
In Wilson County, NC, there are 21 Medicare Special Needs Plans available for 2026. Approximately 3,974 beneficiaries are enrolled, and about 67% 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 Wilson County, NC to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Wilson County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 16
- Average Monthly Premium: $27.92/mo
- Beneficiaries Enrolled: 3,222
- $0 Premium Plans: 0
- Zero Cost Plans: 10
- Top D-SNP by Enrollment: UHC Dual Complete NC-S3 (D-SNP) — 1,471 enrollees
- Plans without Drug Coverage: 0
What is the total number of D-SNP plans in Wilson County?
There are 16 D-SNP plans in 2026, covering 3,222 enrollees.
How much do D-SNP plans cost in Wilson County?
The average D-SNP premium in Wilson County is $27.92 per month, with 0 plans offering $0 premiums.
What is the most popular D-SNP plan in Wilson County?
UHC Dual Complete NC-S3 (D-SNP) is the top D-SNP in Wilson County, with 1,471 enrollees.
What is the total number of D-SNP plans in Wilson County?
There are 16 D-SNP plans in 2026, covering 3,222 enrollees.
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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Longevity Health Plan | $36 | 9250.00 | $615 | H5374-001-0 | |
| Liberty Medicare Advantage Nursing Home Plan | $36 | 6800.00 | $615 | H6351-001-0 |
What is the most popular I-SNP plan in Wilson County?
Longevity Health Plan (I-SNP) is the top I-SNP in Wilson County, with 22 enrollees.
What is the total number of I-SNP plans in Wilson County?
There are 2 I-SNP plans in 2026, covering 22 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 3
- Average Monthly Premium $0.00/mo
- Beneficiaries Enrolled 730
- $0 Premium C-SNPs 3
- Average MOOP $11,633
- Most Popular C-SNP UHC Complete Care NC-28 (C-SNP) with 572 enrollees
- C-SNPs Without Drug Coverage 0
| 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-28 | $0 | 4200.00 | $355 | H5253-189-0 | |
| Liberty Medicare Advantage | $0 | 4000.00 | $0 | H6351-004-0 |
What is the average monthly premium for C-SNP plans in Wilson County?
C-SNP plans in Wilson County cost $0.00 per month.
Which C-SNP plan has the highest enrollment in Wilson County?
The most popular C-SNP plan in Wilson County is UHC Complete Care NC-28 (C-SNP), with 572 enrollees.
How many C-SNP plans are available in Wilson County?
In 2026, Wilson County offers 3 C-SNP plans with 730 enrollees.
- 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
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.
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
- Medicare.gov, "Joining a plan" — Last accessed 21 May, 2025
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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.