2026 Medicare Special Needs Plans in Allegheny County, PA
Last update: . Enrollment data updated: June 13, 2026
In Allegheny County, PA, there are 33 Medicare Special Needs Plans available for 2026. Approximately 29,069 beneficiaries are enrolled, and about 61% 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 Allegheny County, PA to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Allegheny County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 20
- Average Monthly Premium: $21.42/mo
- Beneficiaries Enrolled: 26,186
- $0 Premium Plans: 2
- Zero Cost Plans: 14
- Top D-SNP by Enrollment: UPMC for Life Complete Care (D-SNP) — 9,320 enrollees
- Plans without Drug Coverage: 0
What is the total number of D-SNP plans in Allegheny County?
There are 20 D-SNP plans in 2026, covering 26,186 enrollees.
How much do D-SNP plans cost in Allegheny County?
The average D-SNP premium in Allegheny County is $21.42 per month, with 2 plans offering $0 premiums.
What is the most popular D-SNP plan in Allegheny County?
UPMC for Life Complete Care (D-SNP) is the top D-SNP in Allegheny County, with 9,320 enrollees.
What is the total number of D-SNP plans in Allegheny County?
There are 20 D-SNP plans in 2026, covering 26,186 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 | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F002 | $33 | 9250.00 | $615 | H0710-017-0 | |
| Aetna Medicare Longevity | $33 | 9250.00 | $615 | H3959-066-0 | |
| American Health Advantage of Pennsylvania | $33 | 9250.00 | $615 | H9968-001-0 | |
| Perennial Advantage Premier | $0 | 5900.00 | $400 | H3419-007-0 | |
| Perennial Advantage Strive | $33 | 9250.00 | $615 | H3419-005-0 | |
| Provider Partners Pennsylvania Advantage Plan | $33 | 9250.00 | $615 | H4093-001-0 | |
| Provider Partners Pennsylvania Community Plan | $0 | 2600.00 | $615 | H4093-004-0 | |
| Provider Partners Pennsylvania Essential Plan | $33 | 9250.00 | $615 | H4093-008-0 |
What is the most popular I-SNP plan in Allegheny County?
UHC Nursing Home Plan EX-F002 (I-SNP) is the top I-SNP in Allegheny County, with 281 enrollees.
What is the total number of I-SNP plans in Allegheny County?
There are 8 I-SNP plans in 2026, covering 430 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 5
- Average Monthly Premium $18.84/mo
- Beneficiaries Enrolled 2,453
- $0 Premium C-SNPs 2
- Average MOOP $15,580
- Most Popular C-SNP Aetna Medicare Chronic Care (C-SNP) with 875 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care | $0 | 6750.00 | $615 | H3959-076-0 | |
| Aetna Medicare Chronic Care Value | $29 | 9250.00 | $615 | H3959-075-0 | |
| UHC Complete Care PA-17 | $0 | 6700.00 | $440 | H5253-192-0 | |
| DEVOTED C-SNP PLUS 022 PA | $33 | 9250.00 | $615 | H6852-022-0 | |
| DEVOTED C-SNP PREMIUM 020 PA | $33 | 7000.00 | $615 | H6852-020-0 |
What is the average monthly premium for C-SNP plans in Allegheny County?
C-SNP plans in Allegheny County cost $18.84 per month.
Which C-SNP plan has the highest enrollment in Allegheny County?
The most popular C-SNP plan in Allegheny County is Aetna Medicare Chronic Care (C-SNP), with 875 enrollees.
How many C-SNP plans are available in Allegheny County?
In 2026, Allegheny County offers 5 C-SNP plans with 2,453 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
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.
This page follows data provenance practices aligned with the 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.