2026 Medicare Special Needs Plans in Madison County, OH
Last update: . Enrollment data updated: May 2, 2026
In Madison County, OH, there are 28 Medicare Special Needs Plans available for 2026. Approximately 951 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 Madison County, OH to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Madison County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
What is the total number of D-SNP plans in Madison County?
Madison County has 19 D-SNP plans for 2026, with 678 enrollees.
How much do D-SNP plans cost in Madison County?
The typical D-SNP premium in Madison County is $24.50, 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: 3
- Average Monthly Premium: $31.40/mo
- Beneficiaries Enrolled: 38
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan OH-F001 (I-SNP) — 38 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan OH-F001 | $31 | 9250.00 | $615 | H0710-027-0 | |
| Aetna Medicare Longevity | $31 | 9250.00 | $615 | H0628-018-0 | |
| Valor Health Plan | $31 | 9250.00 | $615 | H1119-001-0 |
What is the total number of I-SNP plans in Madison County?
There are 3 I-SNP plans in 2026, covering 38 enrollees.
How much do I-SNP plans cost in Madison County?
The average I-SNP premium in Madison County is $31.40 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Madison County?
UHC Nursing Home Plan OH-F001 (I-SNP) is the top I-SNP in Madison County, with 38 enrollees.
What is the total number of I-SNP plans in Madison County?
There are 3 I-SNP plans in 2026, covering 38 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 $15.25/mo
- Beneficiaries Enrolled 235
- $0 Premium C-SNPs 3
- Average MOOP $15,433
- Most Popular C-SNP UHC Complete Care OH-18 (C-SNP) with 128 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care | $0 | 6750.00 | $615 | H0628-038-0 | |
| Aetna Medicare Chronic Care Total | $29 | 9250.00 | $615 | H0628-033-0 | |
| DEVOTED C-SNP PLUS 016 OH | $31 | 9250.00 | $615 | H2697-016-0 | |
| DEVOTED C-SNP PREMIUM 020 OH | $31 | 5200.00 | $615 | H2697-020-0 | |
| UHC Complete Care OH-18 | $0 | 6700.00 | $440 | H5253-190-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9150.00 | $340 | H6622-017-0 |
- What is the average monthly premium for C-SNP plans in Madison County?
- C-SNP plans in Madison County cost $15.25 per month.
- Which C-SNP plan has the highest enrollment in Madison County?
- The most popular C-SNP plan in Madison County is UHC Complete Care OH-18 (C-SNP), with 128 enrollees.
- How many C-SNP plans are available in Madison County?
- In 2026, Madison County offers 6 C-SNP plans with 235 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.