2026 Medicare Special Needs Plans in Berks County, PA
Last update: . Enrollment data updated: May 2, 2026
Berks County, PA has 28 Medicare Special Needs Plans available in 2026. These plans serve approximately 9,453 beneficiaries, and roughly 52% achieve 4-star ratings or higher based on CMS data.
Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Berks County, PA to compare other coverage categories available in your area.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Berks County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 21
- Average Monthly Premium: $20.57/mo
- Beneficiaries Enrolled: 8,218
- $0 Premium Plans: 2
- Zero Cost Plans: 15
- Top D-SNP by Enrollment: Highmark Wholecare Medicare Assured Diamond (D-SNP) — 2,146 enrollees
- Plans without Drug Coverage: 0
What is the most popular D-SNP plan in Berks County?
Highmark Wholecare Medicare Assured Diamond (D-SNP) is the top D-SNP in Berks County, with 2,146 enrollees.
What is the total number of D-SNP plans in Berks County?
There are 21 D-SNP plans in 2026, covering 8,218 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.
- Total I-SNP Plans: 3
- Average Monthly Premium: $32.67/mo
- Beneficiaries Enrolled: 482
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 258 enrollees
- Plans without Drug Coverage: 0
| 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 |
What is the total number of I-SNP plans in Berks County?
Berks County has 3 I-SNP plans for 2026, with 482 enrollees.
How much do I-SNP plans cost in Berks County?
The typical I-SNP premium in Berks County is $32.67, 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care Value | $33 | 9250.00 | $615 | H3959-074-0 | |
| 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 017 PA | $33 | 7000.00 | $615 | H6852-017-0 |
What is the typical premium for C-SNP plans in Berks County?
C-SNP plans in Berks County cost $24.53 per month.
Which C-SNP plan do most beneficiaries choose in Berks County?
The most popular C-SNP plan in Berks County is UHC Complete Care PA-17 (C-SNP), with 457 enrollees.
How many Chronic Condition SNP plans are offered in Berks County?
In 2026, Berks County offers 4 C-SNP plans with 753 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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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.