2026 Medicare Special Needs Plans in Somerset County, PA
Last update: . Enrollment data updated: May 2, 2026
In Somerset County, PA, there are 26 Medicare Special Needs Plans available for 2026. Approximately 1,833 beneficiaries are enrolled, and about 67% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Somerset County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 17
- Average Monthly Premium: $21.35/mo
- Beneficiaries Enrolled: 1,709
- $0 Premium Plans: 1
- Zero Cost Plans: 11
- Top D-SNP by Enrollment: UPMC for Life Complete Care (D-SNP) — 679 enrollees
- Plans without Drug Coverage: 0
What is the total number of D-SNP plans in Somerset County?
There are 17 D-SNP plans in 2026, covering 1,709 enrollees.
How much do D-SNP plans cost in Somerset County?
The average D-SNP premium in Somerset County is $21.35 per month, with 1 plans offering $0 premiums.
What is the most popular D-SNP plan in Somerset County?
UPMC for Life Complete Care (D-SNP) is the top D-SNP in Somerset County, with 679 enrollees.
What is the total number of D-SNP plans in Somerset County?
There are 17 D-SNP plans in 2026, covering 1,709 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.
| 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 | |
| American Health Advantage of Pennsylvania | $33 | 9250.00 | $615 | H9968-001-0 | |
| 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 most popular I-SNP plan in Somerset County?
American Health Advantage of Pennsylvania (I-SNP) is the top I-SNP in Somerset County, with 42 enrollees.
What is the total number of I-SNP plans in Somerset County?
There are 6 I-SNP plans in 2026, covering 42 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 3
- Average Monthly Premium $21.80/mo
- Beneficiaries Enrolled 82
- $0 Premium C-SNPs 1
- Average MOOP $15,300
- Most Popular C-SNP UHC Complete Care PA-17 (C-SNP) with 82 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| 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 020 PA | $33 | 7000.00 | $615 | H6852-020-0 |
What is the average monthly premium for C-SNP plans in Somerset County?
C-SNP plans in Somerset County cost $21.80 per month.
Which C-SNP plan has the highest enrollment in Somerset County?
The most popular C-SNP plan in Somerset County is UHC Complete Care PA-17 (C-SNP), with 82 enrollees.
How many C-SNP plans are available in Somerset County?
In 2026, Somerset County offers 3 C-SNP plans with 82 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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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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.