Medicare Plans

Open Medicare Plan Data.

2026 Medicare Special Needs Plans in Monroe County, PA

Last update: .

For 2026, Monroe County, PA includes 25 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,724, 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 Monroe County, PA to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $22.50/mo
  • $0 Premium Plans: 2
  • Average MOOP: $8,752 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 52% · 3 Stars: 48% · Below 3: 0%
  • Average Part D Deductible: $603.00
  • Total SNP Enrollment: 2,724
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Aetna Medicare Advantra Dual (D-SNP) — 599 enrollees
    2. UHC Dual Complete PA-S3 (D-SNP) — 489 enrollees
    3. UHC Complete Care PA-17 (C-SNP) — 296 enrollees

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
20
Average Monthly Premium
$21.59/mo
Beneficiaries Enrolled
2,323
$0 Premium Plans
1
Zero Cost Plans
14
Top D-SNP by Enrollment
Aetna Medicare Advantra Dual (D-SNP) — 599 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Monroe County, Pennsylvania (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS 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
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
☆☆☆☆☆
 $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
Jefferson Health Plans Dual Pearl
☆☆☆☆☆
 $33 9250.00 $615 H9207-016-0
Jefferson Health Plans Select
☆☆☆☆☆
 $33 9250.00 $615 H9207-017-0
Jefferson Health Plans Special
☆☆☆☆☆
 $33 9250.00 $615 H9207-004-0
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
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 average monthly premium for D-SNP plans in Monroe County?
D-SNP plans in Monroe County cost $21.59 per month.
Which D-SNP plan has the highest enrollment in Monroe County?
The most popular D-SNP plan in Monroe County is Aetna Medicare Advantra Dual (D-SNP), with 599 enrollees.
How many D-SNP plans are available in Monroe County?
In 2026, Monroe County offers 20 D-SNP plans with 2,323 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
32
$0 Premium Plans
0
Average MOOP
$9,250
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F002 (I-SNP) — 32 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Monroe County, Pennsylvania (comparison chart)
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 Monroe County?

I-SNP plans in Monroe County cost $32.65 per month.

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

The most popular I-SNP plan in Monroe County is UHC Nursing Home Plan EX-F002 (I-SNP), with 32 enrollees.

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

In 2026, Monroe County offers 2 I-SNP plans with 32 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
369
$0 Premium C-SNPs
1
Average MOOP
$7,650
Most Popular C-SNP
UHC Complete Care PA-17 (C-SNP) with 296 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Monroe County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/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 total number of C-SNP plans in Monroe County?

There are 3 C-SNP plans in 2026, covering 369 enrollees.

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

The average C-SNP premium in Monroe County is $21.80 per month, with 1 plans offering $0 premiums.

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

UHC Complete Care PA-17 (C-SNP) is the top C-SNP in Monroe County, with 296 enrollees.

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

There are 3 C-SNP plans in 2026, covering 369 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 .