2026 Medicare Special Needs Plans in Sumter County, SC
Last update: . Enrollment data updated: June 13, 2026
For 2026, Sumter County, SC includes 13 Medicare Special Needs Plans. Enrollment across these plans totals approximately 4,433, with 50% 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 Sumter County, SC to explore additional plan types and coverage choices.
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
- 7
- Average Monthly Premium
- $18.61/mo
- Beneficiaries Enrolled
- 3,223
- $0 Premium Plans
- 0
- Zero Cost Plans
- 7
- Top D-SNP by Enrollment
- Humana Dual Integrated (D-SNP) — 1,160 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| 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 | H8176-004-1 | |
| 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 average monthly premium for D-SNP plans in Sumter County?
D-SNP plans in Sumter County cost $18.61 per month.
Which D-SNP plan has the highest enrollment in Sumter County?
The most popular D-SNP plan in Sumter County is Humana Dual Integrated (D-SNP), with 1,160 enrollees.
How many D-SNP plans are available in Sumter County?
In 2026, Sumter County offers 7 D-SNP plans with 3,223 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
- 3
- Average Monthly Premium
- $12.77/mo
- Beneficiaries Enrolled
- 78
- $0 Premium Plans
- 1
- Average MOOP
- $14,900
- Top I-SNP by Enrollment
- Humana Together in Health (I-SNP) — 48 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| NHC Advantage | $31 | 8100.00 | $615 | H4172-001-0 | |
| Senior Care | $0 | 5000.00 | $250 | H4172-003-0 | |
| Humana Together in Health | $7 | 9250.00 | $615 | H5216-243-0 |
What is the typical premium for I-SNP plans in Sumter County?
I-SNP plans in Sumter County cost $12.77 per month.
Which I-SNP plan do most beneficiaries choose in Sumter County?
The most popular I-SNP plan in Sumter County is Humana Together in Health (I-SNP), with 48 enrollees.
How many Institutional SNP plans are offered in Sumter County?
In 2026, Sumter County offers 3 I-SNP plans with 78 enrollees.
Medicare Chronic Condition Special Needs Plans (C-SNPs)
Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.
- Total C-SNP Plans
- 3
- Average Monthly Premium
- $6.03/mo
- Beneficiaries Enrolled
- 1,132
- $0 Premium C-SNPs
- 2
- Average MOOP
- $18,500
- Most Popular C-SNP
- Humana Gold Plus - Diabetes and Heart (C-SNP) with 797 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| 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 most popular C-SNP plan in Sumter County?
Humana Gold Plus - Diabetes and Heart (C-SNP) is the top C-SNP in Sumter County, with 797 enrollees.
What is the total number of C-SNP plans in Sumter County?
There are 3 C-SNP plans in 2026, covering 1,132 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
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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.