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2026 Medicare Special Needs Plans in Northampton County, PA

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Northampton County, PA has 26 Medicare Special Needs Plans available in 2026. These plans serve approximately 5,960 beneficiaries, and roughly 55% achieve 4-star ratings or higher based on CMS data.

Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Northampton County, PA to compare other coverage categories available in your area.

At a Glance

Average Monthly Premium: $22.19/mo
$0 Premium Plans: 3
Average MOOP: $8,802 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix): 4+ Stars: 55% · 3 Stars: 45% · Below 3: 0%
Average Part D Deductible: $603.46
Total SNP Enrollment: 5,960
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 1,619 enrollees
2. Aetna Medicare Advantra Dual (D-SNP) — 1,171 enrollees
3. AmeriHealth Caritas VIP Care (D-SNP) — 599 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Northampton County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Comparison table of 2026 D-SNP Medicare Plans available in Northampton County, Pennsylvania
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 H3959-073-0
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-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
HealthSpring TotalCare Plus
☆☆☆☆☆
 $0 9250.00 $615 H3949-009-0
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 most popular D-SNP plan in Northampton County?

Highmark Wholecare Medicare Assured Diamond (D-SNP) is the top D-SNP in Northampton County, with 1,619 enrollees.

What is the total number of D-SNP plans in Northampton County?

There are 20 D-SNP plans in 2026, covering 4,939 enrollees.

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: 325
  • $0 Premium Plans: 0
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 272 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 I-SNP Medicare Plans available in Northampton County, Pennsylvania
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 Northampton County?

Northampton County has 2 I-SNP plans for 2026, with 325 enrollees.

How much do I-SNP plans cost in Northampton County?

The typical I-SNP premium in Northampton County is $32.65, and 0 plans have no monthly premium.

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
4
Average Monthly Premium
$24.53/mo
Beneficiaries Enrolled
696
$0 Premium C-SNPs
1
Average MOOP
$8,250
Most Popular C-SNP
Aetna Medicare Chronic Care Value (C-SNP) with 320 enrollees
C-SNPs Without Drug Coverage
0
Comparison table of 2026 C-SNP Medicare Plans available in Northampton County, Pennsylvania
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
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 typical premium for C-SNP plans in Northampton County?

C-SNP plans in Northampton County cost $24.53 per month.

Which C-SNP plan do most beneficiaries choose in Northampton County?

The most popular C-SNP plan in Northampton County is Aetna Medicare Chronic Care Value (C-SNP), with 320 enrollees.

How many Chronic Condition SNP plans are offered in Northampton County?

In 2026, Northampton County offers 4 C-SNP plans with 696 enrollees.

County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.

Data sources and methodology documentation .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .