2026 Medicare Special Needs Plans in Northampton County, PA
Last update: . Enrollment data updated: May 2, 2026
Northampton County, PA has 26 Medicare Special Needs Plans available in 2026. These plans serve approximately 5,822 beneficiaries, and roughly 55% achieve 4-star ratings or higher based on CMS data.
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.
- Total D-SNP Plans: 20
- Average Monthly Premium: $20.68/mo
- Beneficiaries Enrolled: 4,900
- $0 Premium Plans: 2
- Zero Cost Plans: 14
- Top D-SNP by Enrollment: Highmark Wholecare Medicare Assured Diamond (D-SNP) — 1,630 enrollees
- Plans without Drug Coverage: 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 1,630 enrollees.
What is the total number of D-SNP plans in Northampton County?
There are 20 D-SNP plans in 2026, covering 4,900 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: 320
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 267 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 Northampton County?
Northampton County has 2 I-SNP plans for 2026, with 320 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.
| 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 UHC Complete Care PA-17 (C-SNP), with 302 enrollees.
How many Chronic Condition SNP plans are offered in Northampton County?
In 2026, Northampton County offers 4 C-SNP plans with 602 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 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.