2026 Medicare Special Needs Plans in Sumner County, TN
Last update: . Enrollment data updated: June 13, 2026
For 2026, Sumner County, TN includes 30 Medicare Special Needs Plans. Enrollment across these plans totals approximately 2,998, with 37% 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 Sumner County, TN 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
- 13
- Average Monthly Premium
- $18.43/mo
- Beneficiaries Enrolled
- 2,213
- $0 Premium Plans
- 2
- Zero Cost Plans
- 13
- Top D-SNP by Enrollment
- UHC Dual Complete TN-S001 (D-SNP) — 696 enrollees
- Plans without Drug Coverage
- 0
| Medicare SNP Plan | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS 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 Sumner County?
- D-SNP plans in Sumner County cost $18.43 per month.
- Which D-SNP plan has the highest enrollment in Sumner County?
- The most popular D-SNP plan in Sumner County is UHC Dual Complete TN-S001 (D-SNP), with 696 enrollees.
- How many D-SNP plans are available in Sumner County?
- In 2026, Sumner County offers 13 D-SNP plans with 2,213 enrollees.
Medicare Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.
- Total I-SNP Plans
- 7
- Average Monthly Premium
- $33.23/mo
- Beneficiaries Enrolled
- 71
- $0 Premium Plans
- 3
- Average MOOP
- $15,714
- Top I-SNP by Enrollment
- Abilis Health (I-SNP) — 39 enrollees
- Plans without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | Network | ||
|---|---|---|---|---|---|
| NHC Advantage | $31 | 8100.00 | $615 | H4172-001-0 | |
| Senior Care | $0 | 5000.00 | $250 | H4172-003-0 | |
| 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 | |
| Abilis Health | $36 | 9250.00 | $615 | H2400-001-0 | |
| Abilis Health Community | $0 | 9250.00 | $615 | H2400-002-0 |
What is the average monthly premium for I-SNP plans in Sumner County?
I-SNP plans in Sumner County cost $33.23 per month.
Which I-SNP plan has the highest enrollment in Sumner County?
The most popular I-SNP plan in Sumner County is Abilis Health (I-SNP), with 39 enrollees.
How many I-SNP plans are available in Sumner County?
In 2026, Sumner County offers 7 I-SNP plans with 71 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
- 10
- Average Monthly Premium
- $11.08/mo
- Beneficiaries Enrolled
- 714
- $0 Premium C-SNPs
- 6
- Average MOOP
- $13,050
- Most Popular C-SNP
- UHC Complete Care TC-0005 (C-SNP) with 297 enrollees
- C-SNPs Without Drug Coverage
- 0
| Plan Name | CMS Stars* | Premium/Mo | 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 | |
| HealthSpring Achieve | $0 | 6700.00 | $250 | H4513-097-0 | |
| 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 | |
| DEVOTED C-SNP CHOICE PLUS 020 TN | $28 | 9250.00 | $615 | H9231-020-0 | |
| DEVOTED C-SNP CHOICE PREMIUM 018 TN | $28 | 6700.00 | $615 | H9231-018-0 | |
| Zing Open Choice Diabetes & Heart TN | $0 | 6350.00 | $0 | H6876-007-0 | |
| Zing Select Diabetes & Heart TN-MS | $0 | 4500.00 | $0 | H4624-040-0 | |
| Zing Select Dialysis TN-MS | $0 | 4950.00 | $0 | H4624-042-0 |
What is the total number of C-SNP plans in Sumner County?
There are 10 C-SNP plans in 2026, covering 714 enrollees.
How much do C-SNP plans cost in Sumner County?
The average C-SNP premium in Sumner County is $11.08 per month, with 6 plans offering $0 premiums.
What is the most popular C-SNP plan in Sumner County?
UHC Complete Care TC-0005 (C-SNP) is the top C-SNP in Sumner County, with 297 enrollees.
What is the total number of C-SNP plans in Sumner County?
There are 10 C-SNP plans in 2026, covering 714 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.