2026 Medicare Special Needs Plans in Madison County, TN
Last update: . Enrollment data updated: May 2, 2026
For 2026, Madison County, TN includes 21 Medicare Special Needs Plans. Enrollment across these plans totals approximately 3,495, with 43% rated 4 stars or higher.
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
- 13
- Average Monthly Premium
- $18.43/mo
- Beneficiaries Enrolled
- 2,567
- $0 Premium Plans
- 2
- Zero Cost Plans
- 13
- Top D-SNP by Enrollment
- UHC Dual Complete TN-S001 (D-SNP) — 844 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| HealthSpring TotalCare Plus | $0 | 9250.00 | $615 | H4513-034-0 | |
| Humana Gold Plus SNP-DE H4461-022 | $13 | 9250.00 | $615 | H4461-022-0 | |
| Humana Gold Plus SNP-DE H4461-038 | $15 | 9250.00 | $615 | H4461-038-0 | |
| BlueCare Plus | $28 | 9250.00 | $615 | H3259-001-0 | |
| BlueCare Plus Choice | $28 | 9250.00 | $615 | H3259-002-0 | |
| BlueCare Plus Select | $28 | 9250.00 | $615 | H3259-003-0 | |
| UHC Dual Complete TN-S001 | $19 | 9250.00 | $615 | H0251-002-0 | |
| UHC Dual Complete TN-Y001 | $28 | 9250.00 | $615 | H0251-004-0 | |
| UHC Dual Complete TN-Y2 | $28 | 9250.00 | $615 | H0251-008-0 | |
| Wellcare Dual Access | $24 | 9250.00 | $615 | H1416-035-0 | |
| Wellpoint Full Dual Advantage | $2 | 9250.00 | $615 | H5828-002-0 | |
| Wellpoint Full Dual Advantage 2 | $0 | 9250.00 | $615 | H5828-018-0 | |
| Wellpoint Full Dual Advantage Support | $28 | 9250.00 | $615 | H5828-001-0 |
What is the average monthly premium for D-SNP plans in Madison County?
D-SNP plans in Madison County cost $18.43 per month.
Which D-SNP plan has the highest enrollment in Madison County?
The most popular D-SNP plan in Madison County is UHC Dual Complete TN-S001 (D-SNP), with 844 enrollees.
How many D-SNP plans are available in Madison County?
In 2026, Madison County offers 13 D-SNP plans with 2,567 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
- $55.23/mo
- Beneficiaries Enrolled
- 0
- $0 Premium Plans
- 1
- Average MOOP
- $15,600
- Top I-SNP by Enrollment
- — 0 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| American Health Advantage of Tennessee | $28 | 9250.00 | $615 | H7779-001-0 | |
| Humana Together in Health | $0 | 9250.00 | $615 | H5216-416-0 | |
| Humana Together in Health Select | $138 | 4900.00 | $300 | H5216-453-0 |
What is the typical premium for I-SNP plans in Madison County?
I-SNP plans in Madison County cost $55.23 per month.
Which I-SNP plan do most beneficiaries choose in Madison County?
The most popular I-SNP plan in Madison County is , with 0 enrollees.
How many Institutional SNP plans are offered in Madison County?
In 2026, Madison County offers 3 I-SNP plans with 0 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
- 5
- Average Monthly Premium
- $11.08/mo
- Beneficiaries Enrolled
- 928
- $0 Premium C-SNPs
- 3
- Average MOOP
- $14,420
- Most Popular C-SNP
- Humana Gold Plus - Diabetes and Heart (C-SNP) with 381 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| BlueAdvantage Total Heart and Diabetes | $0 | 6700.00 | $250 | H7917-045-0 | |
| BlueAdvantage Total Heart and Diabetes Plus | $28 | 6700.00 | $615 | H7917-046-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9250.00 | $615 | H4461-042-0 | |
| UHC Complete Care Support TC-6 | $28 | 6700.00 | $615 | H5253-194-1 | |
| UHC Complete Care TC-0005 | $0 | 6700.00 | $355 | H5253-193-1 |
What is the most popular C-SNP plan in Madison County?
Humana Gold Plus - Diabetes and Heart (C-SNP) is the top C-SNP in Madison County, with 381 enrollees.
What is the total number of C-SNP plans in Madison County?
There are 5 C-SNP plans in 2026, covering 928 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
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
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.