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2027 Medicare Special Needs Plans in Sumter County, SC

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In Sumter County, SC, there are 19 Medicare Special Needs Plans available for 2027. Approximately 4,512 beneficiaries are enrolled, and about 75% 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 Sumter County, SC to explore other types of coverage available locally.

At a Glance

Average Monthly Premium
$2.29/mo
Plans with $0 Premium
13
Average MOOP Limit
$9,129 ($9,250 max.)
Star Ratings (Plan Mix)
4+ Stars: 75% · 3 Stars: 19% · Below 3: 6%
Average Part D Deductible
$601.84
Total SNP Enrollment
4,512
SNP Plans with the Highest Enrollment
(as of October 5, 2026)
1. Humana Dual Integrated (D-SNP) — 1,306 enrollees
2. Humana Gold Plus - Diabetes and Heart (C-SNP) — 898 enrollees
3. HumanaChoice SNP-DE H5216-277 (D-SNP) — 794 enrollees

This page and its statistics covers Medicare Advantage Special Needs Plans (SNPs). Standard Medicare Advantage plans in Sumter County, SC are summarized separately. For a broader perspective, explore South Carolina Medicare Special Needs plans.

D-SNP Plans (Dual Eligible Special Needs Plans)

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

  • Total D-SNP Plans: 10
  • Average Monthly Premium: $2.19/mo
  • Beneficiaries Enrolled: 3,210
  • $0 Premium Plans: 7
  • Zero Cost Plans: 9
  • Top D-SNP by Enrollment: Humana Dual Integrated (D-SNP) — 1,306 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2027 D-SNP Medicare Plans available in Sumter County, South Carolina
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
UHC Dual Advantage SC-V1
☆☆☆☆☆
 $7 6400.00 $700 H2001-059-0
UHC Dual Complete SC-S001
☆☆☆☆☆
 $0 9850.00 $700 H2001-032-0
UHC Dual Complete SC-S2
☆☆☆☆☆
 $0 9850.00 $700 H2001-075-0
HumanaChoice SNP-DE H5216-277
☆☆☆☆☆
 $0 9850.00 $50 H5216-277-0
Aetna Medicare Full Dual
☆☆☆☆☆
 $0 9850.00 $700 H3146-016-0
Aetna Medicare Full Dual Care
☆☆☆☆☆
 $0 9850.00 $700 H3146-023-0
Molina Medicare Complete Care Plus
☆☆☆☆☆
 $7 9850.00 $700 H8176-004-1
First Choice VIP Care
☆☆☆☆☆
 $7 9850.00 $700 H4739-001-0
Humana Dual Integrated
☆☆☆☆☆
 $0 9850.00 $700 H1396-001-0
Wellcare Absolute Total Care Dual Align
☆☆☆☆☆
 $0 9850.00 $700 H5272-001-0
What is the total number of D-SNP plans in Sumter County?

There are 10 D-SNP plans in 2027, covering 3,210 enrollees.

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

The average D-SNP premium in Sumter County is $2.19 per month, with 7 plans offering $0 premiums.

What is the most popular D-SNP plan in Sumter County?

Humana Dual Integrated (D-SNP) is the top D-SNP in Sumter County, with 1,306 enrollees.

What is the total number of D-SNP plans in Sumter County?

There are 10 D-SNP plans in 2027, covering 3,210 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.

Total I-SNP Plans
4
Average Monthly Premium
$3.05/mo
Beneficiaries Enrolled
81
$0 Premium Plans
3
Average MOOP
$8,638
Top I-SNP by Enrollment
Humana Together in Health (I-SNP) — 48 enrollees
Plans without Drug Coverage
0
Comparison table of 2027 I-SNP Medicare Plans available in Sumter County, South Carolina
Health Plan Name CMS Rating* Premium Per Mo Network
Humana Together in Health
☆☆☆☆☆
 $0 9850.00 $700 H7617-128-0
NHC Advantage
☆☆☆☆☆
 $12 9850.00 $700 H4172-001-0
Senior Care
☆☆☆☆☆
 $0 5000.00 $500 H4172-003-0
Humana Together in Health
☆☆☆☆☆
 $0 9850.00 $0 H5216-243-0
What is the most popular I-SNP plan in Sumter County?

Humana Together in Health (I-SNP) is the top I-SNP in Sumter County, with 48 enrollees.

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

There are 4 I-SNP plans in 2027, covering 81 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 $1.88/mo
  • Beneficiaries Enrolled 1,221
  • $0 Premium C-SNPs 3
  • Average MOOP $8,770
  • Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 898 enrollees
  • C-SNPs Without Drug Coverage 0
Comparison table of 2027 C-SNP Medicare Plans available in Sumter County, South Carolina
Health Plan Name CMS Rating* Premium Per Mo Network
UHC Complete Care SC-1
☆☆☆☆☆
 $0 7150.00 $685 H2001-060-0
UHC Complete Care Support SC-7
☆☆☆☆☆
 $7 7150.00 $700 H2001-076-0
Humana Gold Plus - Diabetes and Heart
☆☆☆☆☆
 $0 9850.00 $550 H5619-161-0
HumanaChoice - Diabetes and Heart
☆☆☆☆☆
 $0 9850.00 $550 H5216-244-0
UHC Complete Care Support GS-1A
☆☆☆☆☆
 $2 9850.00 $700 R2604-002-0

What is the average monthly premium for C-SNP plans in Sumter County?

C-SNP plans in Sumter County cost $1.88 per month.

Which C-SNP plan has the highest enrollment in Sumter County?

The most popular C-SNP plan in Sumter County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 898 enrollees.

How many C-SNP plans are available in Sumter County?

In 2027, Sumter County offers 5 C-SNP plans with 1,221 enrollees.

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 .

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