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2026 Medicare Special Needs Plans in Philadelphia County, PA

Last update: .

For 2026, Philadelphia County, PA includes 31 Medicare Special Needs Plans. Enrollment across these plans totals approximately 68,650, 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.

At a Glance

  • Average Monthly Premium: $22.74/mo
  • $0 Premium Plans: 6
  • Average MOOP: $8,444 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 50% · 3 Stars: 50% · Below 3: 0%
  • Average Part D Deductible: $587.42
  • Total SNP Enrollment: 68,650
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Aetna Medicare Advantra Dual Care (D-SNP) — 22,683 enrollees
    2. Keystone First VIP Choice (D-SNP) — 9,917 enrollees
    3. Jefferson Health Plans Special (D-SNP) — 5,637 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
19
Average Monthly Premium
$23.34/mo
Beneficiaries Enrolled
63,421
$0 Premium Plans
2
Zero Cost Plans
13
Top D-SNP by Enrollment
Aetna Medicare Advantra Dual Care (D-SNP) — 22,683 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Philadelphia 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
☆☆☆☆☆
 $22 9250.00 $615 H3959-070-0
Aetna Medicare Advantra Dual Care
☆☆☆☆☆
 $32 9250.00 $615 H3959-035-0
Highmark Wholecare Medicare Assured Diamond
☆☆☆☆☆
 $9 9250.00 $615 H5932-012-0
Highmark Wholecare Medicare Assured Ruby
☆☆☆☆☆
 $13 8000.00 $615 H5932-013-0
Keystone First VIP Choice
☆☆☆☆☆
 $33 9250.00 $615 H4227-001-0
UHC Dual Complete PA-S001
☆☆☆☆☆
 $33 9250.00 $615 H1889-007-0
Humana Gold Plus SNP-DE H6622-078
☆☆☆☆☆
 $0 9250.00 $615 H6622-078-2
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
UPMC for Life Complete Care
☆☆☆☆☆
 $33 9250.00 $615 H7123-001-0
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 026 PA
☆☆☆☆☆
 $20 9250.00 $615 H6852-026-0
DEVOTED DUAL PLUS 007 PA
☆☆☆☆☆
 $17 9250.00 $615 H6852-007-0
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 22,683 enrollees.
How many D-SNP plans are available in Philadelphia County?
In 2026, Philadelphia County offers 19 D-SNP plans with 63,421 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
536
$0 Premium Plans
2
Average MOOP
$7,821
Top I-SNP by Enrollment
Provider Partners Pennsylvania Advantage Plan (I-SNP) — 330 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Philadelphia 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
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 330 enrollees.

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

In 2026, Philadelphia County offers 7 I-SNP plans with 536 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
4,693
$0 Premium C-SNPs
2
Average MOOP
$7,780
Most Popular C-SNP
Aetna Medicare Chronic Care Value (C-SNP) with 1,446 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Philadelphia County, Pennsylvania (comparison chart)
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 4,693 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?

Aetna Medicare Chronic Care Value (C-SNP) is the top C-SNP in Philadelphia County, with 1,446 enrollees.

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

There are 5 C-SNP plans in 2026, covering 4,693 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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .