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2026 Medicare Special Needs Plans in Fayette County, PA

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In Fayette County, PA, there are 23 Medicare Special Needs Plans available for 2026. Approximately 5,342 beneficiaries are enrolled, and about 68% 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 Fayette County, PA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$20.88/mo
Plans with $0 Premium
4
Average MOOP Limit
$8,409 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 68% · 3 Stars: 32% · Below 3: 0%
Average Part D Deductible
$601.96
Total SNP Enrollment
5,342
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. UPMC for Life Complete Care (D-SNP) — 2,079 enrollees
2. UHC Dual Complete PA-S3 (D-SNP) — 905 enrollees
3. Aetna Medicare Advantra Dual (D-SNP) — 870 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 15
  • Average Monthly Premium: $21.38/mo
  • Beneficiaries Enrolled: 4,756
  • $0 Premium Plans: 1
  • Zero Cost Plans: 11
  • Top D-SNP by Enrollment: UPMC for Life Complete Care (D-SNP) — 2,079 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Fayette 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
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
What is the total number of D-SNP plans in Fayette County?

There are 15 D-SNP plans in 2026, covering 4,756 enrollees.

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

The average D-SNP premium in Fayette County is $21.38 per month, with 1 plans offering $0 premiums.

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

UPMC for Life Complete Care (D-SNP) is the top D-SNP in Fayette County, with 2,079 enrollees.

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

There are 15 D-SNP plans in 2026, covering 4,756 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
5
Average Monthly Premium
$26.16/mo
Beneficiaries Enrolled
88
$0 Premium Plans
1
Average MOOP
$7,920
Top I-SNP by Enrollment
Provider Partners Pennsylvania Advantage Plan (I-SNP) — 73 enrollees
Plans without Drug Coverage
0
Comparison table of 2026 I-SNP Medicare Plans available in Fayette County, Pennsylvania
Health Plan Name CMS Rating* Premium Per Mo Network
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 most popular I-SNP plan in Fayette County?

Provider Partners Pennsylvania Advantage Plan (I-SNP) is the top I-SNP in Fayette County, with 73 enrollees.

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

There are 5 I-SNP plans in 2026, covering 88 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 3
  • Average Monthly Premium $9.60/mo
  • Beneficiaries Enrolled 498
  • $0 Premium C-SNPs 2
  • Average MOOP $7,567
  • Most Popular C-SNP Aetna Medicare Chronic Care Value (C-SNP) with 195 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2026 C-SNP Medicare Plans available in Fayette County, Pennsylvania
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

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

C-SNP plans in Fayette County cost $9.60 per month.

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

The most popular C-SNP plan in Fayette County is Aetna Medicare Chronic Care Value (C-SNP), with 195 enrollees.

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

In 2026, Fayette County offers 3 C-SNP plans with 498 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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