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2027 Medicare Special Needs Plans in Allegheny County, PA

Last update: .

For 2027, Allegheny County, PA includes 35 Medicare Special Needs Plans. Enrollment across these plans totals approximately 20,260, with 19% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Allegheny County, PA to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $5.00/mo
  • $0 Premium Plans: 20
  • Average MOOP: $8,901 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 19% · 3 Stars: 81% · Below 3: 0%
  • Average Part D Deductible: $633.91
  • Total SNP Enrollment: 20,260
  • SNP Plans with the Highest Enrollment
    (as of November 10, 2026)
    1. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 6,306 enrollees
    2. UHC Dual Complete PA-S3 (D-SNP) — 3,789 enrollees
    3. Aetna Medicare Dual (D-SNP) — 3,470 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Allegheny County, PA are summarized separately. For a broader perspective, explore Pennsylvania Medicare Special Needs plans.

Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.

Total D-SNP Plans
20
Average Monthly Premium
$4.93/mo
Beneficiaries Enrolled
16,716
$0 Premium Plans
11
Zero Cost Plans
14
Top D-SNP by Enrollment
Highmark Wholecare Medicare Assured Diamond (D-SNP) — 6,306 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Allegheny County, Pennsylvania (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
HumanaChoice SNP-DE H7617-048
☆☆☆☆☆
 $0 9850.00 $50 H7617-048-0
Geisinger Gold Secure Rx
☆☆☆☆☆
 $1 9850.00 $700 H3954-097-0
HumanaChoice SNP-DE H5216-227
☆☆☆☆☆
 $0 9850.00 $700 H5216-227-0
Aetna Medicare Dual
☆☆☆☆☆
 $0 9850.00 $700 H3959-036-0
Aetna Medicare Full Dual Extra
☆☆☆☆☆
 $0 9850.00 $700 H3959-090-0
Amerihealth Caritas VIP Care
☆☆☆☆☆
 $9 9850.00 $700 H4227-002-0
DEVOTED DUAL FULL 025 PA
☆☆☆☆☆
 $0 9850.00 $700 H6852-025-0
DEVOTED DUAL PLUS 005 PA
☆☆☆☆☆
 $0 9850.00 $700 H6852-005-0
Highmark Wholecare Medicare Assured Diamond
☆☆☆☆☆
 $13 9850.00 $700 H5932-001-0
Highmark Wholecare Medicare Assured Ruby
☆☆☆☆☆
 $13 6500.00 $700 H5932-009-0
UHC Dual Complete PA-S001
☆☆☆☆☆
 $12 9850.00 $700 H1889-007-0
UPMC for Life Complete Care
☆☆☆☆☆
 $0 9850.00 $700 H4279-007-1
Wellcare PA Health & Wellness Dual Liberty Sync
☆☆☆☆☆
 $0 9850.00 $700 H2915-002-0
Wellcare PA Health & Wellness Dual Select
☆☆☆☆☆
 $0 5400.00 $700 H2915-018-0
HealthSpring TotalCare Plus
☆☆☆☆☆
 $13 9850.00 $700 H3949-009-0
Jefferson Health Plans Dual Pearl
☆☆☆☆☆
 $13 9850.00 $700 H9207-016-0
Jefferson Health Plans Special
☆☆☆☆☆
 $13 9850.00 $700 H9207-004-0
UHC Dual Advantage PA-V1
☆☆☆☆☆
 $13 7150.00 $700 H3113-014-0
UHC Dual Complete PA-S002
☆☆☆☆☆
 $0 9850.00 $380 H3113-009-0
UHC Dual Complete PA-S3
☆☆☆☆☆
 $0 9850.00 $360 H3113-016-0
What is the average monthly premium for D-SNP plans in Allegheny County?
D-SNP plans in Allegheny County cost $4.93 per month.
Which D-SNP plan has the highest enrollment in Allegheny County?
The most popular D-SNP plan in Allegheny County is Highmark Wholecare Medicare Assured Diamond (D-SNP), with 6,306 enrollees.
How many D-SNP plans are available in Allegheny County?
In 2027, Allegheny County offers 20 D-SNP plans with 16,716 enrollees.

Medicare Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.

Total I-SNP Plans
8
Average Monthly Premium
$7.96/mo
Beneficiaries Enrolled
546
$0 Premium Plans
3
Average MOOP
$8,275
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F002 (I-SNP) — 368 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Allegheny County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
UHC Nursing Home Plan EX-F002
☆☆☆☆☆
 $13 9850.00 $700 H0710-017-0
Aetna Medicare Longevity
☆☆☆☆☆
 $0 9850.00 $700 H3959-066-0
Provider Partners Pennsylvania Advantage Plan
☆☆☆☆☆
 $13 9850.00 $700 H4093-001-0
Provider Partners Pennsylvania Community Plan
☆☆☆☆☆
 $0 2600.00 $700 H4093-009-0
Provider Partners Pennsylvania Essential Plan
☆☆☆☆☆
 $13 9850.00 $700 H4093-010-0
American Health Advantage of Pennsylvania
☆☆☆☆☆
 $13 9850.00 $700 H9968-001-0
Perennial Advantage Premier
☆☆☆☆☆
 $0 4500.00 $400 H3419-007-0
Perennial Advantage Strive
☆☆☆☆☆
 $13 9850.00 $700 H3419-005-0

What is the average monthly premium for I-SNP plans in Allegheny County?

I-SNP plans in Allegheny County cost $7.96 per month.

Which I-SNP plan has the highest enrollment in Allegheny County?

The most popular I-SNP plan in Allegheny County is UHC Nursing Home Plan EX-F002 (I-SNP), with 368 enrollees.

How many I-SNP plans are available in Allegheny County?

In 2027, Allegheny County offers 8 I-SNP plans with 546 enrollees.

Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.

Total C-SNP Plans
7
Average Monthly Premium
$1.83/mo
Beneficiaries Enrolled
2,998
$0 Premium C-SNPs
6
Average MOOP
$8,407
Most Popular C-SNP
Aetna Medicare Chronic Care Value (C-SNP) with 1,022 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Allegheny County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
UHC Complete Care PA-17
☆☆☆☆☆
 $0 7150.00 $595 H5253-192-0
UHC Complete Care Support PA-1A
☆☆☆☆☆
 $0 9850.00 $580 H5253-234-1
Aetna Medicare Chronic Care
☆☆☆☆☆
 $0 7150.00 $700 H3959-076-0
Aetna Medicare Chronic Care Value
☆☆☆☆☆
 $13 9850.00 $700 H3959-075-0
DEVOTED C-SNP ENHANCED 020 PA
☆☆☆☆☆
 $0 7050.00 $461 H6852-020-0
DEVOTED C-SNP GIVEBACK EXTRAS 031 PA
☆☆☆☆☆
 $0 7950.00 $700 H6852-031-0
DEVOTED C-SNP PLUS 022 PA
☆☆☆☆☆
 $0 9850.00 $461 H6852-022-0
What is the total number of C-SNP plans in Allegheny County?

There are 7 C-SNP plans in 2027, covering 2,998 enrollees.

How much do C-SNP plans cost in Allegheny County?

The average C-SNP premium in Allegheny County is $1.83 per month, with 6 plans offering $0 premiums.

What is the most popular C-SNP plan in Allegheny County?

Aetna Medicare Chronic Care Value (C-SNP) is the top C-SNP in Allegheny County, with 1,022 enrollees.

What is the total number of C-SNP plans in Allegheny County?

There are 7 C-SNP plans in 2027, covering 2,998 enrollees.

All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.

Data sources and methodology documentation .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .