Medicare Plans

Open Medicare Plan Data.

2027 Medicare Special Needs Plans in Fayette County, PA

Last update: .

For 2027, Fayette County, PA includes 25 Medicare Special Needs Plans. Enrollment across these plans totals approximately 3,282, with 25% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Fayette County, PA to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $4.95/mo
  • $0 Premium Plans: 14
  • Average MOOP: $8,924 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 25% · 3 Stars: 75% · Below 3: 0%
  • Average Part D Deductible: $638.60
  • Total SNP Enrollment: 3,282
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. UHC Dual Complete PA-S3 (D-SNP) — 904 enrollees
    2. Aetna Medicare Dual (D-SNP) — 865 enrollees
    3. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 371 enrollees

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

Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.

Total D-SNP Plans
15
Average Monthly Premium
$4.01/mo
Beneficiaries Enrolled
2,679
$0 Premium Plans
9
Zero Cost Plans
11
Top D-SNP by Enrollment
UHC Dual Complete PA-S3 (D-SNP) — 904 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Fayette County, Pennsylvania (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
HumanaChoice SNP-DE H7617-048
☆☆☆☆☆
 $0 9850.00 $50 H7617-048-0
Geisinger Gold Secure Rx
☆☆☆☆☆
 $1 9850.00 $700 H3954-097-0
HumanaChoice SNP-DE H5216-227
☆☆☆☆☆
 $0 9850.00 $700 H5216-227-0
Aetna Medicare Dual
☆☆☆☆☆
 $0 9850.00 $700 H3959-036-0
Aetna Medicare Full Dual Extra
☆☆☆☆☆
 $0 9850.00 $700 H3959-090-0
Amerihealth Caritas VIP Care
☆☆☆☆☆
 $9 9850.00 $700 H4227-002-0
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 H4279-007-1
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
UHC Dual Advantage PA-V1
☆☆☆☆☆
 $13 7150.00 $700 H3113-014-0
UHC Dual Complete PA-S002
☆☆☆☆☆
 $0 9850.00 $380 H3113-009-0
UHC Dual Complete PA-S3
☆☆☆☆☆
 $0 9850.00 $360 H3113-016-0
What is the average monthly premium for D-SNP plans in Fayette County?
D-SNP plans in Fayette County cost $4.01 per month.
Which D-SNP plan has the highest enrollment in Fayette County?
The most popular D-SNP plan in Fayette County is UHC Dual Complete PA-S3 (D-SNP), with 904 enrollees.
How many D-SNP plans are available in Fayette County?
In 2027, Fayette County offers 15 D-SNP plans with 2,679 enrollees.

Medicare Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.

Total I-SNP Plans
6
Average Monthly Premium
$8.48/mo
Beneficiaries Enrolled
87
$0 Premium Plans
2
Average MOOP
$8,642
Top I-SNP by Enrollment
Provider Partners Pennsylvania Advantage Plan (I-SNP) — 72 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Fayette County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/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
Provider Partners Pennsylvania Advantage Plan
☆☆☆☆☆
 $13 9850.00 $700 H4093-001-0
Provider Partners Pennsylvania Community Plan
☆☆☆☆☆
 $0 2600.00 $700 H4093-009-0
Provider Partners Pennsylvania Essential Plan
☆☆☆☆☆
 $13 9850.00 $700 H4093-010-0
American Health Advantage of Pennsylvania
☆☆☆☆☆
 $13 9850.00 $700 H9968-001-0

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

I-SNP plans in Fayette County cost $8.48 per month.

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

The most popular I-SNP plan in Fayette County is Provider Partners Pennsylvania Advantage Plan (I-SNP), with 72 enrollees.

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

In 2027, Fayette County offers 6 I-SNP plans with 87 enrollees.

Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.

Total C-SNP Plans
4
Average Monthly Premium
$3.20/mo
Beneficiaries Enrolled
516
$0 Premium C-SNPs
3
Average MOOP
$8,500
Most Popular C-SNP
Aetna Medicare Chronic Care Value (C-SNP) with 195 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Fayette County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
UHC Complete Care PA-17
☆☆☆☆☆
 $0 7150.00 $595 H5253-192-0
UHC Complete Care Support PA-1A
☆☆☆☆☆
 $0 9850.00 $580 H5253-234-1
Aetna Medicare Chronic Care
☆☆☆☆☆
 $0 7150.00 $700 H3959-076-0
Aetna Medicare Chronic Care Value
☆☆☆☆☆
 $13 9850.00 $700 H3959-075-0
What is the total number of C-SNP plans in Fayette County?

There are 4 C-SNP plans in 2027, covering 516 enrollees.

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

The average C-SNP premium in Fayette County is $3.20 per month, with 3 plans offering $0 premiums.

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

Aetna Medicare Chronic Care Value (C-SNP) is the top C-SNP in Fayette County, with 195 enrollees.

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

There are 4 C-SNP plans in 2027, covering 516 enrollees.

All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.

Data sources and methodology documentation .

MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .