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

2026 Medicare Special Needs Plans in Washington County, PA

Last update: May 11, 2026. Enrollment data updated: June 13, 2026

For 2026, Washington County, PA includes 29 Medicare Special Needs Plans. Enrollment across these plans totals approximately 4,829, with 64% 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 Washington 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: $21.40/mo
  • $0 Premium Plans: 5
  • Average MOOP: $8,106 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 64% · 3 Stars: 36% · Below 3: 0%
  • Average Part D Deductible: $597.24
  • Total SNP Enrollment: 4,829
  • SNP Plans with the Highest Enrollment
    (as of June 13, 2026)
    1. UPMC for Life Complete Care (D-SNP) — 1,692 enrollees
    2. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 712 enrollees
    3. UHC Dual Complete PA-S3 (D-SNP) — 636 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
$20.82/mo
Beneficiaries Enrolled
4,192
$0 Premium Plans
2
Zero Cost Plans
13
Top D-SNP by Enrollment
UPMC for Life Complete Care (D-SNP) — 1,692 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Washington 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
☆☆☆☆☆
$16 9250.00 $615 H3959-071-0
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
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-S3
☆☆☆☆☆
$19 9250.00 $615 H3113-016-0
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
HealthSpring TotalCare Plus
☆☆☆☆☆
$0 9250.00 $615 H3949-009-0
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 Washington County?
D-SNP plans in Washington County cost $20.82 per month.
Which D-SNP plan has the highest enrollment in Washington County?
The most popular D-SNP plan in Washington County is UPMC for Life Complete Care (D-SNP), with 1,692 enrollees.
How many D-SNP plans are available in Washington County?
In 2026, Washington County offers 19 D-SNP plans with 4,192 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
5
Average Monthly Premium
$26.14/mo
Beneficiaries Enrolled
166
$0 Premium Plans
1
Average MOOP
$17,160
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F002 (I-SNP) — 137 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Washington 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
American Health Advantage of Pennsylvania
☆☆☆☆☆
$33 9250.00 $615 H9968-001-0
Perennial Advantage Premier
☆☆☆☆☆
$0 5900.00 $400 H3419-007-0
Perennial Advantage Strive
☆☆☆☆☆
$33 9250.00 $615 H3419-005-0

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

I-SNP plans in Washington County cost $26.14 per month.

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

The most popular I-SNP plan in Washington County is UHC Nursing Home Plan EX-F002 (I-SNP), with 137 enrollees.

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

In 2026, Washington County offers 5 I-SNP plans with 166 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
$18.84/mo
Beneficiaries Enrolled
471
$0 Premium C-SNPs
2
Average MOOP
$15,580
Most Popular C-SNP
Aetna Medicare Chronic Care Value (C-SNP) with 166 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Washington County, Pennsylvania (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
Aetna Medicare Chronic Care
☆☆☆☆☆
$0 6750.00 $615 H3959-076-0
Aetna Medicare Chronic Care Value
☆☆☆☆☆
$29 9250.00 $615 H3959-075-0
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 total number of C-SNP plans in Washington County?

There are 5 C-SNP plans in 2026, covering 471 enrollees.

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

The average C-SNP premium in Washington County is $18.84 per month, with 2 plans offering $0 premiums.

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

Aetna Medicare Chronic Care Value (C-SNP) is the top C-SNP in Washington County, with 166 enrollees.

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

There are 5 C-SNP plans in 2026, covering 471 enrollees.

  • CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
  • CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
  • CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026

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 24 May, 2025
  • Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025

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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