2026 Medicare Special Needs Plans in Lackawanna County, PA
Last update: . Enrollment data updated: June 13, 2026
For 2026, Lackawanna County, PA includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 4,662, with 56% 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 Lackawanna County, PA to explore additional plan types and coverage choices.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.
- Total D-SNP Plans
- 15
- Average Monthly Premium
- $20.01/mo
- Beneficiaries Enrolled
- 4,363
- $0 Premium Plans
- 1
- Zero Cost Plans
- 10
- Top D-SNP by Enrollment
- Geisinger Gold Secure Rx (D-SNP) — 1,379 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Geisinger Gold Secure Rx | $33 | 9250.00 | $615 | H3954-097-0 | |
| Aetna Community HealthChoices | $14 | 9250.00 | $615 | H3959-072-0 | |
| Aetna Medicare Advantra Dual | $14 | 9250.00 | $615 | H3959-036-0 | |
| AmeriHealth Caritas VIP Care | $33 | 9250.00 | $615 | H4227-002-0 | |
| 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 | |
| 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 | |
| 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 typical premium for D-SNP plans in Lackawanna County?
D-SNP plans in Lackawanna County cost $20.01 per month.
Which D-SNP plan do most beneficiaries choose in Lackawanna County?
The most popular D-SNP plan in Lackawanna County is Geisinger Gold Secure Rx (D-SNP), with 1,379 enrollees.
How many Dual Eligible SNP plans are offered in Lackawanna County?
In 2026, Lackawanna County offers 15 D-SNP plans with 4,363 enrollees.
Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.
- Total I-SNP Plans
- 2
- Average Monthly Premium
- $32.65/mo
- Beneficiaries Enrolled
- 116
- $0 Premium Plans
- 0
- Average MOOP
- $18,500
- Top I-SNP by Enrollment
- UHC Nursing Home Plan EX-F002 (I-SNP) — 116 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F002 | $33 | 9250.00 | $615 | H0710-017-0 | |
| Aetna Medicare Longevity | $33 | 9250.00 | $615 | H3959-066-0 |
- What is the average monthly premium for I-SNP plans in Lackawanna County?
- I-SNP plans in Lackawanna County cost $32.65 per month.
- Which I-SNP plan has the highest enrollment in Lackawanna County?
- The most popular I-SNP plan in Lackawanna County is UHC Nursing Home Plan EX-F002 (I-SNP), with 116 enrollees.
- How many I-SNP plans are available in Lackawanna County?
- In 2026, Lackawanna County offers 2 I-SNP plans with 116 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
- 3
- Average Monthly Premium
- $21.80/mo
- Beneficiaries Enrolled
- 183
- $0 Premium C-SNPs
- 1
- Average MOOP
- $15,300
- Most Popular C-SNP
- UHC Complete Care PA-17 (C-SNP) with 144 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| 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 total number of C-SNP plans in Lackawanna County?
Lackawanna County has 3 C-SNP plans for 2026, with 183 enrollees.
How much do C-SNP plans cost in Lackawanna County?
The typical C-SNP premium in Lackawanna County is $21.80, and 1 plans have no monthly premium.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.