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2026 Medicare Special Needs Plans in Wayne County, PA

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In Wayne County, PA, there are 21 Medicare Special Needs Plans available for 2026. Approximately 670 beneficiaries are enrolled, and about 71% are rated 4 stars or higher based on CMS quality ratings.

Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Wayne County, PA to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$21.66/mo
Plans with $0 Premium
2
Average MOOP Limit
$8,657 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 71% · 3 Stars: 29% · Below 3: 0%
Average Part D Deductible
$600.71
Total SNP Enrollment
670
SNP Plans with the Highest Enrollment
(as of September 8, 2026)
1. Aetna Medicare Advantra Dual (D-SNP) — 210 enrollees
2. Geisinger Gold Secure Rx (D-SNP) — 120 enrollees
3. HumanaChoice SNP-DE H7617-048 (D-SNP) — 61 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Wayne County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

Total D-SNP Plans
16
Average Monthly Premium
$20.26/mo
Beneficiaries Enrolled
599
$0 Premium D-SNPs
1
Zero Cost D-SNPs
10
D-SNP with the Highest Enrollment
Aetna Medicare Advantra Dual (D-SNP) with 210 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Wayne County, Pennsylvania, 2026
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan 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
☆☆☆☆☆
 $8 9250.00 $615 H4279-004-0
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 total number of D-SNP plans in Wayne County?

Wayne County has 16 D-SNP plans for 2026, with 599 enrollees.

How much do D-SNP plans cost in Wayne County?

The typical D-SNP premium in Wayne County is $20.26, and 1 plans have no monthly premium.

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.

  • Total I-SNP Plans: 2
  • Average Monthly Premium: $32.65/mo
  • Beneficiaries Enrolled: 38
  • $0 Premium Plans: 0
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: UHC Nursing Home Plan EX-F002 (I-SNP) — 38 enrollees
  • Plans without Drug Coverage: 0
I-SNP Medicare plan comparison – Wayne County, Pennsylvania, 2026
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
What is the total number of I-SNP plans in Wayne County?

There are 2 I-SNP plans in 2026, covering 38 enrollees.

How much do I-SNP plans cost in Wayne County?

The average I-SNP premium in Wayne County is $32.65 per month, with 0 plans offering $0 premiums.

What is the most popular I-SNP plan in Wayne County?

UHC Nursing Home Plan EX-F002 (I-SNP) is the top I-SNP in Wayne County, with 38 enrollees.

What is the total number of I-SNP plans in Wayne County?

There are 2 I-SNP plans in 2026, covering 38 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 33
  • $0 Premium C-SNPs 1
  • Average MOOP $7,650
  • Most Popular C-SNP UHC Complete Care PA-17 (C-SNP) with 33 enrollees
  • C-SNPs Without Drug Coverage 0
C-SNP Medicare plan comparison – Wayne County, Pennsylvania, 2026
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 017 PA
☆☆☆☆☆
 $33 7000.00 $615 H6852-017-0
What is the average monthly premium for C-SNP plans in Wayne County?
C-SNP plans in Wayne County cost $21.80 per month.
Which C-SNP plan has the highest enrollment in Wayne County?
The most popular C-SNP plan in Wayne County is UHC Complete Care PA-17 (C-SNP), with 33 enrollees.
How many C-SNP plans are available in Wayne County?
In 2026, Wayne County offers 3 C-SNP plans with 33 enrollees.

This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.

Data sources and methodology documentation .

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard .