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2027 Medicare Special Needs Plans in Carbon County, PA

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In Carbon County, PA, there are 29 Medicare Special Needs Plans available for 2027. Approximately 1,263 beneficiaries are enrolled, and about 28% 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 Carbon County, PA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$4.27/mo
Plans with $0 Premium
18
Average MOOP Limit
$9,150 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 28% · 3 Stars: 72% · Below 3: 0%
Average Part D Deductible
$657.83
Total SNP Enrollment
1,263
SNP Plans with the Highest Enrollment
(as of November 10, 2026)
1. Aetna Medicare Dual (D-SNP) — 343 enrollees
2. Amerihealth Caritas VIP Care (D-SNP) — 175 enrollees
3. UHC Dual Complete PA-S002 (D-SNP) — 135 enrollees

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

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 20
  • Average Monthly Premium: $4.93/mo
  • Beneficiaries Enrolled: 1,022
  • $0 Premium Plans: 11
  • Zero Cost Plans: 13
  • Top D-SNP by Enrollment: Aetna Medicare Dual (D-SNP) — 343 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Carbon County, Pennsylvania
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Geisinger Gold Secure Rx
☆☆☆☆☆
 $1 9850.00 $700 H3954-097-0
Humana Dual Select H6622-103
☆☆☆☆☆
 $0 9250.00 $700 H6622-103-0
Humana Gold Plus SNP-DE H5377-003
☆☆☆☆☆
 $0 9850.00 $700 H5377-003-0
Humana Gold Plus SNP-DE H6622-078
☆☆☆☆☆
 $0 9850.00 $700 H6622-078-1
Aetna Medicare Dual
☆☆☆☆☆
 $0 9850.00 $700 H3959-036-0
Aetna Medicare Full Dual Extra
☆☆☆☆☆
 $0 9850.00 $700 H3959-091-0
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 H4279-007-4
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
Jefferson Health Plans Dual Pearl
☆☆☆☆☆
 $13 9850.00 $700 H9207-016-0
Jefferson Health Plans Select
☆☆☆☆☆
 $13 9850.00 $700 H9207-017-0
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
What is the total number of D-SNP plans in Carbon County?

There are 20 D-SNP plans in 2027, covering 1,022 enrollees.

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

The average D-SNP premium in Carbon County is $4.93 per month, with 11 plans offering $0 premiums.

What is the most popular D-SNP plan in Carbon County?

Aetna Medicare Dual (D-SNP) is the top D-SNP in Carbon County, with 343 enrollees.

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

There are 20 D-SNP plans in 2027, covering 1,022 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
2
Average Monthly Premium
$6.25/mo
Beneficiaries Enrolled
20
$0 Premium Plans
1
Average MOOP
$9,850
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F002 (I-SNP) — 20 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Carbon County, Pennsylvania
Health Plan Name CMS Rating* Premium Per 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
What is the most popular I-SNP plan in Carbon County?

UHC Nursing Home Plan EX-F002 (I-SNP) is the top I-SNP in Carbon County, with 20 enrollees.

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

There are 2 I-SNP plans in 2027, covering 20 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 7
  • Average Monthly Premium $1.83/mo
  • Beneficiaries Enrolled 221
  • $0 Premium C-SNPs 6
  • Average MOOP $8,536
  • Most Popular C-SNP UHC Complete Care PA-17 (C-SNP) with 129 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Carbon County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo Network
HumanaChoice - Diabetes and Heart
☆☆☆☆☆
 $0 8700.00 $500 H7617-115-0
UHC Complete Care PA-17
☆☆☆☆☆
 $0 7150.00 $595 H5253-192-0
UHC Complete Care Support PA-1A
☆☆☆☆☆
 $0 9850.00 $580 H5253-234-2
Aetna Medicare Chronic Care Value
☆☆☆☆☆
 $13 9850.00 $700 H3959-074-0
DEVOTED C-SNP ENHANCED 017 PA
☆☆☆☆☆
 $0 7250.00 $461 H6852-017-0
DEVOTED C-SNP GIVEBACK EXTRAS 028 PA
☆☆☆☆☆
 $0 7100.00 $700 H6852-028-0
DEVOTED C-SNP PLUS 022 PA
☆☆☆☆☆
 $0 9850.00 $461 H6852-022-0

What is the average monthly premium for C-SNP plans in Carbon County?

C-SNP plans in Carbon County cost $1.83 per month.

Which C-SNP plan has the highest enrollment in Carbon County?

The most popular C-SNP plan in Carbon County is UHC Complete Care PA-17 (C-SNP), with 129 enrollees.

How many C-SNP plans are available in Carbon County?

In 2027, Carbon County offers 7 C-SNP plans with 221 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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