2026 Medicare Special Needs Plans in Lehigh County, PA
Last update: . Enrollment data updated: August 15, 2026
For 2026, Lehigh County, PA includes 27 Medicare Special Needs Plans. Enrollment across these plans totals approximately 9,748, with 52% 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 Lehigh County, PA to explore additional plan types and coverage choices.
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
- 21
- Average Monthly Premium
- $20.57/mo
- Beneficiaries Enrolled
- 8,674
- $0 Premium Plans
- 2
- Zero Cost Plans
- 15
- Top D-SNP by Enrollment
- Highmark Wholecare Medicare Assured Diamond (D-SNP) — 3,193 enrollees
- Plans without Drug Coverage
- 0
- What is the average monthly premium for D-SNP plans in Lehigh County?
- D-SNP plans in Lehigh County cost $20.57 per month.
- Which D-SNP plan has the highest enrollment in Lehigh County?
- The most popular D-SNP plan in Lehigh County is Highmark Wholecare Medicare Assured Diamond (D-SNP), with 3,193 enrollees.
- How many D-SNP plans are available in Lehigh County?
- In 2026, Lehigh County offers 21 D-SNP plans with 8,674 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
- 2
- Average Monthly Premium
- $32.65/mo
- Beneficiaries Enrolled
- 343
- $0 Premium Plans
- 0
- Average MOOP
- $18,500
- Top I-SNP by Enrollment
- UHC Nursing Home Plan EX-F002 (I-SNP) — 290 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/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 |
What is the average monthly premium for I-SNP plans in Lehigh County?
I-SNP plans in Lehigh County cost $32.65 per month.
Which I-SNP plan has the highest enrollment in Lehigh County?
The most popular I-SNP plan in Lehigh County is UHC Nursing Home Plan EX-F002 (I-SNP), with 290 enrollees.
How many I-SNP plans are available in Lehigh County?
In 2026, Lehigh County offers 2 I-SNP plans with 343 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
- $24.53/mo
- Beneficiaries Enrolled
- 731
- $0 Premium C-SNPs
- 1
- Average MOOP
- $16,500
- Most Popular C-SNP
- Aetna Medicare Chronic Care Value (C-SNP) with 389 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| Aetna Medicare Chronic Care Value | $33 | 9250.00 | $615 | H3959-074-0 | |
| 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 016 PA | $33 | 7800.00 | $615 | H6852-016-0 |
What is the total number of C-SNP plans in Lehigh County?
There are 4 C-SNP plans in 2026, covering 731 enrollees.
How much do C-SNP plans cost in Lehigh County?
The average C-SNP premium in Lehigh County is $24.53 per month, with 1 plans offering $0 premiums.
What is the most popular C-SNP plan in Lehigh County?
Aetna Medicare Chronic Care Value (C-SNP) is the top C-SNP in Lehigh County, with 389 enrollees.
What is the total number of C-SNP plans in Lehigh County?
There are 4 C-SNP plans in 2026, covering 731 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 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, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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 .
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.