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  1. 🏠
  2. Special Needs Plans
  3. Pennsylvania
  4. Somerset County

2027 Medicare Special Needs Plans in Somerset County, PA

Last update: November 8, 2026.

For 2027, Somerset County, PA includes 30 Medicare Special Needs Plans. Enrollment across these plans totals approximately 1,186, with 21% 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 Somerset County, PA to explore additional plan types and coverage choices.

  • D-SNP Plans
  • C-SNP Plans
  • I-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

  • Average Monthly Premium: $4.13/mo
  • $0 Premium Plans: 19
  • Average MOOP: $8,922 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 21% · 3 Stars: 79% · Below 3: 0%
  • Average Part D Deductible: $632.90
  • Total SNP Enrollment: 1,186
  • SNP Plans with the Highest Enrollment
    (as of November 10, 2026)
    1. Aetna Medicare Dual (D-SNP) — 329 enrollees
    2. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 264 enrollees
    3. UHC Dual Complete PA-S3 (D-SNP) — 160 enrollees

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

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
17
Average Monthly Premium
$3.54/mo
Beneficiaries Enrolled
1,038
$0 Premium Plans
11
Zero Cost Plans
11
Top D-SNP by Enrollment
Aetna Medicare Dual (D-SNP) — 329 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Somerset County, Pennsylvania (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
HumanaChoice SNP-DE H7617-048
☆☆☆☆☆
$0 9850.00 $50 H7617-048-0
Geisinger Gold Secure Rx
☆☆☆☆☆
$1 9850.00 $700 H3954-097-0
HumanaChoice SNP-DE H5216-227
☆☆☆☆☆
$0 9850.00 $700 H5216-227-0
Aetna Medicare Dual
☆☆☆☆☆
$0 9850.00 $700 H3959-036-0
Aetna Medicare Full Dual Extra
☆☆☆☆☆
$0 9850.00 $700 H3959-090-0
Amerihealth Caritas VIP Care
☆☆☆☆☆
$9 9850.00 $700 H4227-002-0
DEVOTED DUAL FULL 025 PA
☆☆☆☆☆
$0 9850.00 $700 H6852-025-0
DEVOTED DUAL PLUS 005 PA
☆☆☆☆☆
$0 9850.00 $700 H6852-005-0
Highmark Wholecare Medicare Assured Diamond
☆☆☆☆☆
$13 9850.00 $700 H5932-001-0
Highmark Wholecare Medicare Assured Ruby
☆☆☆☆☆
$13 6500.00 $700 H5932-009-0
UHC Dual Complete PA-S001
☆☆☆☆☆
$12 9850.00 $700 H1889-007-0
UPMC for Life Complete Care
☆☆☆☆☆
$0 9850.00 $700 H4279-007-3
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
UHC Dual Advantage PA-V1
☆☆☆☆☆
$13 7150.00 $700 H3113-014-0
UHC Dual Complete PA-S002
☆☆☆☆☆
$0 9850.00 $380 H3113-009-0
UHC Dual Complete PA-S3
☆☆☆☆☆
$0 9850.00 $360 H3113-016-0
What is the average monthly premium for D-SNP plans in Somerset County?
D-SNP plans in Somerset County cost $3.54 per month.
Which D-SNP plan has the highest enrollment in Somerset County?
The most popular D-SNP plan in Somerset County is Aetna Medicare Dual (D-SNP), with 329 enrollees.
How many D-SNP plans are available in Somerset County?
In 2027, Somerset County offers 17 D-SNP plans with 1,038 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
6
Average Monthly Premium
$8.48/mo
Beneficiaries Enrolled
44
$0 Premium Plans
2
Average MOOP
$8,642
Top I-SNP by Enrollment
American Health Advantage of Pennsylvania (I-SNP) — 44 enrollees
Plans without Drug Coverage
0
2027 I-SNP Medicare plans in Somerset County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/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
American Health Advantage of Pennsylvania
☆☆☆☆☆
$13 9850.00 $700 H9968-001-0

What is the average monthly premium for I-SNP plans in Somerset County?

I-SNP plans in Somerset County cost $8.48 per month.

Which I-SNP plan has the highest enrollment in Somerset County?

The most popular I-SNP plan in Somerset County is American Health Advantage of Pennsylvania (I-SNP), with 44 enrollees.

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

In 2027, Somerset County offers 6 I-SNP plans with 44 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
7
Average Monthly Premium
$1.83/mo
Beneficiaries Enrolled
104
$0 Premium C-SNPs
6
Average MOOP
$8,407
Most Popular C-SNP
UHC Complete Care PA-17 (C-SNP) with 104 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Somerset County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
UHC Complete Care PA-17
☆☆☆☆☆
$0 7150.00 $595 H5253-192-0
UHC Complete Care Support PA-1A
☆☆☆☆☆
$0 9850.00 $580 H5253-234-1
Aetna Medicare Chronic Care
☆☆☆☆☆
$0 7150.00 $700 H3959-076-0
Aetna Medicare Chronic Care Value
☆☆☆☆☆
$13 9850.00 $700 H3959-075-0
DEVOTED C-SNP ENHANCED 020 PA
☆☆☆☆☆
$0 7050.00 $461 H6852-020-0
DEVOTED C-SNP GIVEBACK EXTRAS 031 PA
☆☆☆☆☆
$0 7950.00 $700 H6852-031-0
DEVOTED C-SNP PLUS 022 PA
☆☆☆☆☆
$0 9850.00 $461 H6852-022-0
What is the total number of C-SNP plans in Somerset County?

There are 7 C-SNP plans in 2027, covering 104 enrollees.

How much do C-SNP plans cost in Somerset County?

The average C-SNP premium in Somerset County is $1.83 per month, with 6 plans offering $0 premiums.

What is the most popular C-SNP plan in Somerset County?

UHC Complete Care PA-17 (C-SNP) is the top C-SNP in Somerset County, with 104 enrollees.

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

There are 7 C-SNP plans in 2027, covering 104 enrollees.

  • CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
  • CMS.gov, Medicare Part C & D Performance Data — Version: 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10

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 20 August, 2026
  • Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 22 August, 2026
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 24 August, 2026

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.

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