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2026 Medicare Special Needs Plans in Butler County, PA

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In Butler County, PA, there are 29 Medicare Special Needs Plans available for 2026. Approximately 3,420 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 Butler County, PA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$21.40/mo
Plans with $0 Premium
5
Average MOOP Limit
$8,505 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 67% · 3 Stars: 33% · Below 3: 0%
Average Part D Deductible
$604.66
Total SNP Enrollment
3,420
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UPMC for Life Complete Care (D-SNP) — 1,003 enrollees
2. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 728 enrollees
3. Aetna Medicare Advantra Dual (D-SNP) — 525 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Butler County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Total D-SNP Plans
18
Average Monthly Premium
$20.16/mo
Beneficiaries Enrolled
2,807
$0 Premium D-SNPs
2
Zero Cost D-SNPs
12
D-SNP with the Highest Enrollment
UPMC for Life Complete Care (D-SNP) with 1,003 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Butler County, Pennsylvania, 2026
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
HumanaChoice SNP-DE H7617-048
☆☆☆☆☆
 $12 9250.00 $615 H7617-048-0
Aetna Community HealthChoices
☆☆☆☆☆
 $16 9250.00 $615 H3959-071-0
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
☆☆☆☆☆
 $27 9250.00 $615 H4279-001-0
HumanaChoice SNP-DE H5216-227
☆☆☆☆☆
 $0 9250.00 $615 H5216-227-0
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 total number of D-SNP plans in Butler County?

Butler County has 18 D-SNP plans for 2026, with 2,807 enrollees.

How much do D-SNP plans cost in Butler County?

The typical D-SNP premium in Butler County is $20.16, and 2 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: 6
  • Average Monthly Premium: $27.23/mo
  • Beneficiaries Enrolled: 220
  • $0 Premium Plans: 1
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 162 enrollees
  • Plans without Drug Coverage: 0
I-SNP Medicare plan comparison – Butler County, Pennsylvania, 2026
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
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 total number of I-SNP plans in Butler County?

There are 6 I-SNP plans in 2026, covering 220 enrollees.

How much do I-SNP plans cost in Butler County?

The average I-SNP premium in Butler County is $27.23 per month, with 1 plans offering $0 premiums.

What is the most popular I-SNP plan in Butler County?

UHC Nursing Home Plan EX-F002 (I-SNP) is the top I-SNP in Butler County, with 162 enrollees.

What is the total number of I-SNP plans in Butler County?

There are 6 I-SNP plans in 2026, covering 220 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 393
  • $0 Premium C-SNPs 2
  • Average MOOP $7,790
  • Most Popular C-SNP Aetna Medicare Chronic Care (C-SNP) with 144 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Butler County, Pennsylvania, 2026
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 Butler County?
C-SNP plans in Butler County cost $18.84 per month.
Which C-SNP plan has the highest enrollment in Butler County?
The most popular C-SNP plan in Butler County is Aetna Medicare Chronic Care (C-SNP), with 144 enrollees.
How many C-SNP plans are available in Butler County?
In 2026, Butler County offers 5 C-SNP plans with 393 enrollees.

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 .

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