2026 Medicare Special Needs Plans in Montgomery County, PA
Last update: . Enrollment data updated: June 13, 2026
In Montgomery County, PA, there are 30 Medicare Special Needs Plans available for 2026. Approximately 9,145 beneficiaries are enrolled, and about 48% are rated 4 stars or higher based on CMS quality ratings.
Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Montgomery County, PA to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Montgomery County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
What is the total number of D-SNP plans in Montgomery County?
Montgomery County has 20 D-SNP plans for 2026, with 7,369 enrollees.
How much do D-SNP plans cost in Montgomery County?
The typical D-SNP premium in Montgomery County is $23.10, and 2 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: 5
- Average Monthly Premium: $26.14/mo
- Beneficiaries Enrolled: 639
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 458 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 | |
| Provider Partners Pennsylvania Advantage Plan | $33 | 9250.00 | $615 | H4093-001-0 | |
| Provider Partners Pennsylvania Community Plan | $0 | 2600.00 | $615 | H4093-004-0 | |
| Provider Partners Pennsylvania Essential Plan | $33 | 9250.00 | $615 | H4093-008-0 |
What is the total number of I-SNP plans in Montgomery County?
There are 5 I-SNP plans in 2026, covering 639 enrollees.
How much do I-SNP plans cost in Montgomery County?
The average I-SNP premium in Montgomery County is $26.14 per month, with 1 plans offering $0 premiums.
What is the most popular I-SNP plan in Montgomery County?
UHC Nursing Home Plan EX-F002 (I-SNP) is the top I-SNP in Montgomery County, with 458 enrollees.
What is the total number of I-SNP plans in Montgomery County?
There are 5 I-SNP plans in 2026, covering 639 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 5
- Average Monthly Premium $19.62/mo
- Beneficiaries Enrolled 1,137
- $0 Premium C-SNPs 2
- Average MOOP $15,560
- Most Popular C-SNP UHC Complete Care PA-17 (C-SNP) with 421 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per 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 | |
| HealthSpring Achieve | $0 | 5900.00 | $275 | H3949-024-0 | |
| DEVOTED C-SNP PLUS 021 PA | $33 | 9250.00 | $615 | H6852-021-0 | |
| DEVOTED C-SNP PREMIUM 016 PA | $33 | 7800.00 | $615 | H6852-016-0 |
- What is the average monthly premium for C-SNP plans in Montgomery County?
- C-SNP plans in Montgomery County cost $19.62 per month.
- Which C-SNP plan has the highest enrollment in Montgomery County?
- The most popular C-SNP plan in Montgomery County is UHC Complete Care PA-17 (C-SNP), with 421 enrollees.
- How many C-SNP plans are available in Montgomery County?
- In 2026, Montgomery County offers 5 C-SNP plans with 1,137 enrollees.
- 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
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.