2026 Medicare Special Needs Plans in Lexington County, SC
Last update: . Enrollment data updated: May 2, 2026
In Lexington County, SC, there are 19 Medicare Special Needs Plans available for 2026. Approximately 8,285 beneficiaries are enrolled, and about 69% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Lexington County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 10
- Average Monthly Premium: $19.05/mo
- Beneficiaries Enrolled: 4,317
- $0 Premium Plans: 0
- Zero Cost Plans: 9
- Top D-SNP by Enrollment: UHC Dual Complete SC-S001 (D-SNP) — 1,519 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| UHC Dual Complete SC-S001 | $24 | 9250.00 | $615 | H2001-032-0 | |
| UHC Dual Complete SC-S2 | $34 | 9250.00 | $615 | H2001-075-0 | |
| UHC Dual Complete SC-V001 | $2 | 5900.00 | $615 | H2001-059-0 | |
| Aetna Medicare Full Dual | $17 | 9250.00 | $615 | H3146-016-0 | |
| Aetna Medicare Full Dual Care | $9 | 9250.00 | $615 | H3146-023-0 | |
| HumanaChoice SNP-DE H5216-277 | $20 | 9250.00 | $615 | H5216-277-0 | |
| Molina Medicare Complete Care Plus | $13 | 9250.00 | $615 | H8176-004-2 | |
| First Choice VIP Care | $36 | 9250.00 | $615 | H4739-001-0 | |
| Humana Dual Integrated | $5 | 9250.00 | $615 | H1396-001-0 | |
| Wellcare Absolute Total Care Dual Align | $30 | 9250.00 | $480 | H5272-001-0 |
What is the total number of D-SNP plans in Lexington County?
There are 10 D-SNP plans in 2026, covering 4,317 enrollees.
How much do D-SNP plans cost in Lexington County?
The average D-SNP premium in Lexington County is $19.05 per month, with 0 plans offering $0 premiums.
What is the most popular D-SNP plan in Lexington County?
UHC Dual Complete SC-S001 (D-SNP) is the top D-SNP in Lexington County, with 1,519 enrollees.
What is the total number of D-SNP plans in Lexington County?
There are 10 D-SNP plans in 2026, covering 4,317 enrollees.
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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| NHC Advantage | $31 | 8100.00 | $615 | H4172-001-0 | |
| Senior Care | $0 | 5000.00 | $250 | H4172-003-0 | |
| UHC Nursing Home Plan SC-F001 | $36 | 9250.00 | $615 | H0710-053-0 | |
| Humana Together in Health | $7 | 9250.00 | $615 | H5216-243-0 |
What is the most popular I-SNP plan in Lexington County?
is the top I-SNP in Lexington County, with 0 enrollees.
What is the total number of I-SNP plans in Lexington County?
There are 4 I-SNP plans in 2026, covering 0 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 5
- Average Monthly Premium $10.76/mo
- Beneficiaries Enrolled 3,968
- $0 Premium C-SNPs 3
- Average MOOP $16,460
- Most Popular C-SNP UHC Complete Care SC-1 (C-SNP) with 1,919 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care SC-1 | $0 | 6700.00 | $440 | H2001-060-0 | |
| UHC Complete Care Support SC-7 | $36 | 6700.00 | $615 | H2001-076-0 | |
| UHC Complete Care Support GS-1A | $18 | 9250.00 | $615 | R2604-002-0 | |
| HumanaChoice - Diabetes and Heart | $0 | 9250.00 | $450 | H5216-244-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9250.00 | $450 | H5619-161-0 |
What is the average monthly premium for C-SNP plans in Lexington County?
C-SNP plans in Lexington County cost $10.76 per month.
Which C-SNP plan has the highest enrollment in Lexington County?
The most popular C-SNP plan in Lexington County is UHC Complete Care SC-1 (C-SNP), with 1,919 enrollees.
How many C-SNP plans are available in Lexington County?
In 2026, Lexington County offers 5 C-SNP plans with 3,968 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect Medicare Special Needs Plans (SNP) only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 May, 2025
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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.