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2027 Medicare Special Needs Plans in Philadelphia County, PA

Last update: .

In Philadelphia County, PA, there are 35 Medicare Special Needs Plans available for 2027. Approximately 68,841 beneficiaries are enrolled, and about 21% 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 Philadelphia County, PA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$4.74/mo
Plans with $0 Premium
21
Average MOOP Limit
$8,864 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 21% · 3 Stars: 79% · Below 3: 0%
Average Part D Deductible
$650.77
Total SNP Enrollment
68,841
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. Aetna Medicare Dual Care (D-SNP) — 22,758 enrollees
2. Keystone First VIP Choice (D-SNP) — 9,887 enrollees
3. Humana Gold Plus SNP-DE H6622-078 (D-SNP) — 5,622 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Philadelphia County, PA are summarized separately. For a broader perspective, explore Pennsylvania Medicare Special Needs plans.

D-SNP Plans (Dual Eligible Special Needs Plans)

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

Total D-SNP Plans
20
Average Monthly Premium
$5.12/mo
Beneficiaries Enrolled
63,440
$0 Premium D-SNPs
11
Zero Cost D-SNPs
13
D-SNP with the Highest Enrollment
Aetna Medicare Dual Care (D-SNP) with 22,758 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Philadelphia County, Pennsylvania, 2027
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
Geisinger Gold Secure Rx
☆☆☆☆☆
 $1 9850.00 $700 H3954-097-0
Humana Dual Select H6622-103
☆☆☆☆☆
 $0 9250.00 $700 H6622-103-0
Humana Gold Plus SNP-DE H6622-078
☆☆☆☆☆
 $0 9850.00 $700 H6622-078-2
Aetna Medicare Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H3959-035-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H3959-089-0
DEVOTED DUAL FULL 026 PA
☆☆☆☆☆
 $0 9850.00 $700 H6852-026-0
DEVOTED DUAL PLUS 007 PA
☆☆☆☆☆
 $0 9850.00 $700 H6852-007-0
Highmark Wholecare Medicare Assured Diamond
☆☆☆☆☆
 $0 9850.00 $700 H5932-012-0
Highmark Wholecare Medicare Assured Ruby
☆☆☆☆☆
 $13 6500.00 $700 H5932-013-0
Keystone First VIP Choice
☆☆☆☆☆
 $13 9850.00 $700 H4227-001-0
UHC Dual Complete PA-S001
☆☆☆☆☆
 $12 9850.00 $700 H1889-007-0
Wellcare PA Health & Wellness Dual Liberty Sync
☆☆☆☆☆
 $0 9850.00 $700 H2915-002-0
Wellcare PA Health & Wellness Dual Select
☆☆☆☆☆
 $0 5400.00 $700 H2915-018-0
HealthSpring TotalCare Plus
☆☆☆☆☆
 $13 9850.00 $700 H3949-009-0
Jefferson Health Plans Dual Pearl
☆☆☆☆☆
 $13 9850.00 $700 H9207-016-0
Jefferson Health Plans Select
☆☆☆☆☆
 $13 9850.00 $700 H9207-017-0
Jefferson Health Plans Special
☆☆☆☆☆
 $13 9850.00 $700 H9207-004-0
UHC Dual Advantage PA-V1
☆☆☆☆☆
 $13 7150.00 $700 H3113-014-0
UHC Dual Complete PA-S002
☆☆☆☆☆
 $0 9850.00 $380 H3113-009-0
UPMC for Life Complete Care
☆☆☆☆☆
 $0 9850.00 $700 H7123-001-0
What is the total number of D-SNP plans in Philadelphia County?

Philadelphia County has 20 D-SNP plans for 2027, with 63,440 enrollees.

How much do D-SNP plans cost in Philadelphia County?

The typical D-SNP premium in Philadelphia County is $5.12, and 11 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.

I-SNP Medicare plan comparison – Philadelphia County, Pennsylvania, 2027
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Nursing Home Plan EX-F002
☆☆☆☆☆
 $13 9850.00 $700 H0710-017-0
Aetna Medicare Longevity
☆☆☆☆☆
 $0 9850.00 $700 H3959-066-0
Provider Partners Pennsylvania Advantage Plan
☆☆☆☆☆
 $13 9850.00 $700 H4093-001-0
Provider Partners Pennsylvania Community Plan
☆☆☆☆☆
 $0 2600.00 $700 H4093-009-0
Provider Partners Pennsylvania Essential Plan
☆☆☆☆☆
 $13 9850.00 $700 H4093-010-0
Perennial Advantage Premier
☆☆☆☆☆
 $0 4500.00 $400 H3419-007-0
Perennial Advantage Strive
☆☆☆☆☆
 $13 9850.00 $700 H3419-005-0
What is the total number of I-SNP plans in Philadelphia County?

There are 7 I-SNP plans in 2027, covering 532 enrollees.

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

The average I-SNP premium in Philadelphia County is $7.27 per month, with 3 plans offering $0 premiums.

What is the most popular I-SNP plan in Philadelphia County?

Provider Partners Pennsylvania Advantage Plan (I-SNP) is the top I-SNP in Philadelphia County, with 322 enrollees.

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

There are 7 I-SNP plans in 2027, covering 532 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 8
  • Average Monthly Premium $1.60/mo
  • Beneficiaries Enrolled 4,869
  • $0 Premium C-SNPs 7
  • Average MOOP $8,500
  • Most Popular C-SNP Aetna Medicare Chronic Care Value (C-SNP) with 1,532 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Philadelphia County, Pennsylvania, 2027
Health Plan Name CMS Rating* Premium Per Mo Network
HumanaChoice - Diabetes and Heart
☆☆☆☆☆
 $0 7750.00 $500 H7617-116-0
UHC Complete Care PA-17
☆☆☆☆☆
 $0 7150.00 $595 H5253-192-0
UHC Complete Care Support PA-1A
☆☆☆☆☆
 $0 9850.00 $580 H5253-234-2
Aetna Medicare Chronic Care Value
☆☆☆☆☆
 $13 9850.00 $700 H3959-074-0
DEVOTED C-SNP ENHANCED 016 PA
☆☆☆☆☆
 $0 8000.00 $461 H6852-016-0
DEVOTED C-SNP GIVEBACK EXTRAS 027 PA
☆☆☆☆☆
 $0 8400.00 $700 H6852-027-0
DEVOTED C-SNP PLUS 021 PA
☆☆☆☆☆
 $0 9850.00 $461 H6852-021-0
HealthSpring Achieve
☆☆☆☆☆
 $0 7150.00 $500 H3949-024-0
What is the average monthly premium for C-SNP plans in Philadelphia County?
C-SNP plans in Philadelphia County cost $1.60 per month.
Which C-SNP plan has the highest enrollment in Philadelphia County?
The most popular C-SNP plan in Philadelphia County is Aetna Medicare Chronic Care Value (C-SNP), with 1,532 enrollees.
How many C-SNP plans are available in Philadelphia County?
In 2027, Philadelphia County offers 8 C-SNP plans with 4,869 enrollees.

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 .

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