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2026 Medicare Special Needs Plans in Westmoreland County, PA

Last update: .

For 2026, Westmoreland County, PA includes 29 Medicare Special Needs Plans. Enrollment across these plans totals approximately 8,581, with 67% 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 Westmoreland 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: $8,505 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 67% · 3 Stars: 33% · Below 3: 0%
  • Average Part D Deductible: $604.66
  • Total SNP Enrollment: 8,581
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. UPMC for Life Complete Care (D-SNP) — 2,851 enrollees
    2. Highmark Wholecare Medicare Assured Diamond (D-SNP) — 1,583 enrollees
    3. Aetna Medicare Advantra Dual (D-SNP) — 1,348 enrollees

Medicare Dual Eligible Special Needs Plans (D-SNPs)

Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.

Total D-SNP Plans
18
Average Monthly Premium
$20.16/mo
Beneficiaries Enrolled
7,319
$0 Premium Plans
2
Zero Cost Plans
12
Top D-SNP by Enrollment
UPMC for Life Complete Care (D-SNP) — 2,851 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Westmoreland County, Pennsylvania (comparison chart)
SNP Plan Name Rating* Premium MOOP Rx Ded. 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
☆☆☆☆☆
 $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
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 typical premium for D-SNP plans in Westmoreland County?

D-SNP plans in Westmoreland County cost $20.16 per month.

Which D-SNP plan do most beneficiaries choose in Westmoreland County?

The most popular D-SNP plan in Westmoreland County is UPMC for Life Complete Care (D-SNP), with 2,851 enrollees.

How many Dual Eligible SNP plans are offered in Westmoreland County?

In 2026, Westmoreland County offers 18 D-SNP plans with 7,319 enrollees.

Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.

Total I-SNP Plans
6
Average Monthly Premium
$27.23/mo
Beneficiaries Enrolled
237
$0 Premium Plans
1
Average MOOP
$8,142
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F002 (I-SNP) — 151 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Westmoreland County, Pennsylvania (comparison chart)
SNP Plan Name Rating* Premium 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 average monthly premium for I-SNP plans in Westmoreland County?
I-SNP plans in Westmoreland County cost $27.23 per month.
Which I-SNP plan has the highest enrollment in Westmoreland County?
The most popular I-SNP plan in Westmoreland County is UHC Nursing Home Plan EX-F002 (I-SNP), with 151 enrollees.
How many I-SNP plans are available in Westmoreland County?
In 2026, Westmoreland County offers 6 I-SNP plans with 237 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
1,025
$0 Premium C-SNPs
2
Average MOOP
$7,790
Most Popular C-SNP
Aetna Medicare Chronic Care Value (C-SNP) with 391 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Westmoreland County, Pennsylvania (comparison chart)
SNP Plan Name Rating* Premium 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 Westmoreland County?

Westmoreland County has 5 C-SNP plans for 2026, with 1,025 enrollees.

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

The typical C-SNP premium in Westmoreland County is $18.84, and 2 plans have no monthly premium.

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 .