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2026 Medicare Special Needs Plans in Sullivan County, PA

Last update: .

For 2026, Sullivan County, PA includes 20 Medicare Special Needs Plans. Enrollment across these plans totals approximately 47, with 69% 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 Sullivan County, PA to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $22.03/mo
  • $0 Premium Plans: 2
  • Average MOOP: $8,628 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 69% · 3 Stars: 31% · Below 3: 0%
  • Average Part D Deductible: $600.00
  • Total SNP Enrollment: 47
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. Aetna Medicare Advantra Dual (D-SNP) — 27 enrollees
    2. Geisinger Gold Secure Rx (D-SNP) — 20 enrollees
    3. HumanaChoice SNP-DE H5216-227 (D-SNP) — 0 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
16
Average Monthly Premium
$21.41/mo
Beneficiaries Enrolled
47
$0 Premium Plans
1
Zero Cost Plans
10
Top D-SNP by Enrollment
Aetna Medicare Advantra Dual (D-SNP) — 27 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Sullivan 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
HumanaChoice SNP-DE H7617-048
☆☆☆☆☆
 $12 9250.00 $615 H7617-048-0
Aetna Community HealthChoices
☆☆☆☆☆
 $14 9250.00 $615 H3959-072-0
Aetna Medicare Advantra Dual
☆☆☆☆☆
 $14 9250.00 $615 H3959-036-0
AmeriHealth Caritas VIP Care
☆☆☆☆☆
 $33 9250.00 $615 H4227-002-0
Highmark Wholecare Medicare Assured Diamond
☆☆☆☆☆
 $16 9250.00 $615 H5932-001-0
Highmark Wholecare Medicare Assured Ruby
☆☆☆☆☆
 $18 8000.00 $615 H5932-009-0
UHC Dual Complete PA-S001
☆☆☆☆☆
 $33 9250.00 $615 H1889-007-0
UPMC for Life Complete Care
☆☆☆☆☆
 $27 9250.00 $615 H4279-001-0
HumanaChoice SNP-DE H5216-227
☆☆☆☆☆
 $0 9250.00 $615 H5216-227-0
UHC Dual Complete PA-S002
☆☆☆☆☆
 $7 9250.00 $615 H3113-009-0
UHC Dual Complete PA-V001
☆☆☆☆☆
 $30 6700.00 $615 H3113-014-0
Wellcare Dual Liberty Sync
☆☆☆☆☆
 $33 9250.00 $490 H2915-002-0
Wellcare Dual Select
☆☆☆☆☆
 $33 5400.00 $615 H2915-018-0
DEVOTED DUAL FULL 025 PA
☆☆☆☆☆
 $20 9250.00 $615 H6852-025-0
DEVOTED DUAL PLUS 005 PA
☆☆☆☆☆
 $23 9250.00 $615 H6852-005-0
What is the average monthly premium for D-SNP plans in Sullivan County?
D-SNP plans in Sullivan County cost $21.41 per month.
Which D-SNP plan has the highest enrollment in Sullivan County?
The most popular D-SNP plan in Sullivan County is Aetna Medicare Advantra Dual (D-SNP), with 27 enrollees.
How many D-SNP plans are available in Sullivan County?
In 2026, Sullivan County offers 16 D-SNP plans with 47 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
1
Average Monthly Premium
$32.70/mo
Beneficiaries Enrolled
0
$0 Premium Plans
0
Average MOOP
$9,250
Top I-SNP by Enrollment
— 0 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Sullivan County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
Aetna Medicare Longevity
☆☆☆☆☆
 $33 9250.00 $615 H3959-066-0

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

I-SNP plans in Sullivan County cost $32.70 per month.

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

The most popular I-SNP plan in Sullivan County is , with 0 enrollees.

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

In 2026, Sullivan County offers 1 I-SNP plans with 0 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
3
Average Monthly Premium
$21.80/mo
Beneficiaries Enrolled
0
$0 Premium C-SNPs
1
Average MOOP
$7,650
Most Popular C-SNP
with 0 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Sullivan County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/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 017 PA
☆☆☆☆☆
 $33 7000.00 $615 H6852-017-0
What is the total number of C-SNP plans in Sullivan County?

There are 3 C-SNP plans in 2026, covering 0 enrollees.

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

The average C-SNP premium in Sullivan County is $21.80 per month, with 1 plans offering $0 premiums.

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

is the top C-SNP in Sullivan County, with 0 enrollees.

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

There are 3 C-SNP plans in 2026, covering 0 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 .