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2026 Medicare Special Needs Plans in Berks County, PA

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Berks County, PA has 28 Medicare Special Needs Plans available in 2026. These plans serve approximately 9,598 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.

At a Glance

Average Monthly Premium: $22.43/mo
$0 Premium Plans: 3
Average MOOP: $8,805 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix): 4+ Stars: 52% · 3 Stars: 48% · Below 3: 0%
Average Part D Deductible: $604.29
Total SNP Enrollment: 9,598
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 2,119 enrollees
2. Aetna Medicare Advantra Dual (D-SNP) — 1,777 enrollees
3. UHC Dual Complete PA-S3 (D-SNP) — 1,762 enrollees

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.

Comparison table of 2026 D-SNP Medicare Plans available in Berks County, Pennsylvania
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Geisinger Gold Secure Rx
☆☆☆☆☆
 $33 9250.00 $615 H3954-097-0
Aetna Community HealthChoices
☆☆☆☆☆
 $14 9250.00 $615 H3959-073-0
Aetna Medicare Advantra Dual
☆☆☆☆☆
 $14 9250.00 $615 H3959-036-0
AmeriHealth Caritas VIP Care
☆☆☆☆☆
 $33 9250.00 $615 H4227-002-0
Highmark Wholecare Medicare Assured Diamond
☆☆☆☆☆
 $16 9250.00 $615 H5932-001-0
Highmark Wholecare Medicare Assured Ruby
☆☆☆☆☆
 $18 8000.00 $615 H5932-009-0
UHC Dual Complete PA-S001
☆☆☆☆☆
 $33 9250.00 $615 H1889-007-0
UPMC for Life Complete Care
☆☆☆☆☆
 $8 9250.00 $615 H4279-004-0
Humana Gold Plus SNP-DE H5377-003
☆☆☆☆☆
 $3 9250.00 $615 H5377-003-0
Humana Gold Plus SNP-DE H6622-078
☆☆☆☆☆
 $0 9250.00 $615 H6622-078-1
Jefferson Health Plans Dual Pearl
☆☆☆☆☆
 $33 9250.00 $615 H9207-016-0
Jefferson Health Plans Select
☆☆☆☆☆
 $33 9250.00 $615 H9207-017-0
Jefferson Health Plans Special
☆☆☆☆☆
 $33 9250.00 $615 H9207-004-0
UHC Dual Complete PA-S002
☆☆☆☆☆
 $7 9250.00 $615 H3113-009-0
UHC Dual Complete PA-S3
☆☆☆☆☆
 $19 9250.00 $615 H3113-016-0
UHC Dual Complete PA-V001
☆☆☆☆☆
 $30 6700.00 $615 H3113-014-0
Wellcare Dual Liberty Sync
☆☆☆☆☆
 $33 9250.00 $490 H2915-002-0
Wellcare Dual Select
☆☆☆☆☆
 $33 5400.00 $615 H2915-018-0
HealthSpring TotalCare Plus
☆☆☆☆☆
 $0 9250.00 $615 H3949-009-0
DEVOTED DUAL FULL 025 PA
☆☆☆☆☆
 $20 9250.00 $615 H6852-025-0
DEVOTED DUAL PLUS 005 PA
☆☆☆☆☆
 $23 9250.00 $615 H6852-005-0
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 2,119 enrollees.

What is the total number of D-SNP plans in Berks County?

There are 21 D-SNP plans in 2026, covering 8,212 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: 476
  • $0 Premium Plans: 0
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 257 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 I-SNP Medicare Plans available in Berks County, Pennsylvania
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 476 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.

Total C-SNP Plans
4
Average Monthly Premium
$24.53/mo
Beneficiaries Enrolled
910
$0 Premium C-SNPs
1
Average MOOP
$8,050
Most Popular C-SNP
UHC Complete Care PA-17 (C-SNP) with 514 enrollees
C-SNPs Without Drug Coverage
0
Comparison table of 2026 C-SNP Medicare Plans available in Berks County, Pennsylvania
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 514 enrollees.

How many Chronic Condition SNP plans are offered in Berks County?

In 2026, Berks County offers 4 C-SNP plans with 910 enrollees.

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 .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .