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2026 Medicare Special Needs Plans in Washington County, PA

Last update: .

For 2026, Washington County, PA includes 29 Medicare Special Needs Plans. Enrollment across these plans totals approximately 4,897, 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.

At a Glance

  • Average Monthly Premium: $21.40/mo
  • $0 Premium Plans: 5
  • Average MOOP: $8,619 ($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: 4,897
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. UPMC for Life Complete Care (D-SNP) — 1,686 enrollees
    2. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 709 enrollees
    3. UHC Dual Complete PA-S3 (D-SNP) — 656 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
4,202
$0 Premium Plans
2
Zero Cost Plans
13
Top D-SNP by Enrollment
UPMC for Life Complete Care (D-SNP) — 1,686 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 1,686 enrollees.
How many D-SNP plans are available in Washington County?
In 2026, Washington County offers 19 D-SNP plans with 4,202 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
164
$0 Premium Plans
1
Average MOOP
$8,580
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F002 (I-SNP) — 132 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 132 enrollees.

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

In 2026, Washington County offers 5 I-SNP plans with 164 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
531
$0 Premium C-SNPs
2
Average MOOP
$7,790
Most Popular C-SNP
Aetna Medicare Chronic Care Value (C-SNP) with 190 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 531 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 190 enrollees.

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

There are 5 C-SNP plans in 2026, covering 531 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 .