2026 Medicare Special Needs Plans in Luzerne County, PA
Last update: . Enrollment data updated: May 2, 2026
In Luzerne County, PA, there are 20 Medicare Special Needs Plans available for 2026. Approximately 6,777 beneficiaries are enrolled, and about 56% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Luzerne County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
| 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 | |
| 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 total number of D-SNP plans in Luzerne County?
Luzerne County has 15 D-SNP plans for 2026, with 6,286 enrollees.
How much do D-SNP plans cost in Luzerne County?
The typical D-SNP premium in Luzerne County is $20.01, and 1 plans have no monthly premium.
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: $32.65/mo
- Beneficiaries Enrolled: 209
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 147 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per 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 total number of I-SNP plans in Luzerne County?
There are 2 I-SNP plans in 2026, covering 209 enrollees.
How much do I-SNP plans cost in Luzerne County?
The average I-SNP premium in Luzerne County is $32.65 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Luzerne County?
UHC Nursing Home Plan EX-F002 (I-SNP) is the top I-SNP in Luzerne County, with 147 enrollees.
What is the total number of I-SNP plans in Luzerne County?
There are 2 I-SNP plans in 2026, covering 209 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 $21.80/mo
- Beneficiaries Enrolled 282
- $0 Premium C-SNPs 1
- Average MOOP $15,300
- Most Popular C-SNP UHC Complete Care PA-17 (C-SNP) with 237 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | 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 average monthly premium for C-SNP plans in Luzerne County?
- C-SNP plans in Luzerne County cost $21.80 per month.
- Which C-SNP plan has the highest enrollment in Luzerne County?
- The most popular C-SNP plan in Luzerne County is UHC Complete Care PA-17 (C-SNP), with 237 enrollees.
- How many C-SNP plans are available in Luzerne County?
- In 2026, Luzerne County offers 3 C-SNP plans with 282 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 May, 2025
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Data provenance documentation is maintained in alignment 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.