2026 Medicare Special Needs Plans in Philadelphia County, PA
Last update: . Enrollment data updated: June 13, 2026
For 2026, Philadelphia County, PA includes 31 Medicare Special Needs Plans. Enrollment across these plans totals approximately 67,924, with 50% 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 Philadelphia County, PA to explore additional plan types and coverage choices.
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
- 19
- Average Monthly Premium
- $23.34/mo
- Beneficiaries Enrolled
- 63,239
- $0 Premium Plans
- 2
- Zero Cost Plans
- 13
- Top D-SNP by Enrollment
- Aetna Medicare Advantra Dual Care (D-SNP) — 22,511 enrollees
- Plans without Drug Coverage
- 0
- What is the average monthly premium for D-SNP plans in Philadelphia County?
- D-SNP plans in Philadelphia County cost $23.34 per month.
- Which D-SNP plan has the highest enrollment in Philadelphia County?
- The most popular D-SNP plan in Philadelphia County is Aetna Medicare Advantra Dual Care (D-SNP), with 22,511 enrollees.
- How many D-SNP plans are available in Philadelphia County?
- In 2026, Philadelphia County offers 19 D-SNP plans with 63,239 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
- 7
- Average Monthly Premium
- $23.34/mo
- Beneficiaries Enrolled
- 522
- $0 Premium Plans
- 2
- Average MOOP
- $15,643
- Top I-SNP by Enrollment
- Provider Partners Pennsylvania Advantage Plan (I-SNP) — 316 enrollees
- Plans without Drug Coverage
- 0
| 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 | |
| Perennial Advantage Premier | $0 | 5900.00 | $400 | H3419-007-0 | |
| Perennial Advantage Strive | $33 | 9250.00 | $615 | H3419-005-0 | |
| 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 average monthly premium for I-SNP plans in Philadelphia County?
I-SNP plans in Philadelphia County cost $23.34 per month.
Which I-SNP plan has the highest enrollment in Philadelphia County?
The most popular I-SNP plan in Philadelphia County is Provider Partners Pennsylvania Advantage Plan (I-SNP), with 316 enrollees.
How many I-SNP plans are available in Philadelphia County?
In 2026, Philadelphia County offers 7 I-SNP plans with 522 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
- 5
- Average Monthly Premium
- $19.62/mo
- Beneficiaries Enrolled
- 4,163
- $0 Premium C-SNPs
- 2
- Average MOOP
- $15,560
- Most Popular C-SNP
- HealthSpring Achieve (C-SNP) with 1,402 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/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 total number of C-SNP plans in Philadelphia County?
There are 5 C-SNP plans in 2026, covering 4,163 enrollees.
How much do C-SNP plans cost in Philadelphia County?
The average C-SNP premium in Philadelphia County is $19.62 per month, with 2 plans offering $0 premiums.
What is the most popular C-SNP plan in Philadelphia County?
HealthSpring Achieve (C-SNP) is the top C-SNP in Philadelphia County, with 1,402 enrollees.
What is the total number of C-SNP plans in Philadelphia County?
There are 5 C-SNP plans in 2026, covering 4,163 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
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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 .
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.