2026 Medicare Special Needs Plans in Fayette County, TX
Last update: . Enrollment data updated: June 13, 2026
Fayette County, TX has 18 Medicare Special Needs Plans available in 2026. These plans serve approximately 293 beneficiaries, and roughly 47% achieve 4-star ratings or higher based on CMS data.
Most beneficiaries have access to several types of Medicare coverage beyond SNP plans. Visit Medicare Options in Fayette County, TX to compare other coverage categories available in your area.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Fayette County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 12
- Average Monthly Premium: $2.42/mo
- Beneficiaries Enrolled: 197
- $0 Premium Plans: 5
- Zero Cost Plans: 7
- Top D-SNP by Enrollment: UHC Dual Complete TX-S003 (D-SNP) — 101 enrollees
- Plans without Drug Coverage: 0
| Special Needs Plan | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Full Dual Care | $0 | 9250.00 | $615 | H4523-034-0 | |
| Aetna Medicare Partial Dual Care | $5 | 9250.00 | $615 | H4523-041-0 | |
| UHC Dual Complete TX-S003 | $0 | 9250.00 | $615 | H4514-021-0 | |
| Wellcare Dual Access | $5 | 9250.00 | $545 | H0174-004-0 | |
| Wellcare Dual Liberty Sync | $5 | 9250.00 | $615 | H0174-024-0 | |
| Wellcare Dual Reserve | $5 | 3450.00 | $615 | H0174-022-0 | |
| Aetna Medicare Dual Care | $0 | 9250.00 | $615 | H8597-001-0 | |
| UHC Dual Complete TX-D007 | $0 | 9250.00 | $464 | H5322-025-0 | |
| UHC Dual Complete TX-S001 | $5 | 9250.00 | $615 | R6801-011-0 | |
| UHC Dual Complete TX-V010 | $0 | 4200.00 | $615 | H5322-038-0 | |
| Wellpoint Dual Advantage 2 | $0 | 9250.00 | $230 | H2593-032-0 | |
| Blue Cross Medicare Advantage Dual Care Plus | $5 | 9250.00 | $615 | H9706-002-0 |
What is the most popular D-SNP plan in Fayette County?
UHC Dual Complete TX-S003 (D-SNP) is the top D-SNP in Fayette County, with 101 enrollees.
What is the total number of D-SNP plans in Fayette County?
There are 12 D-SNP plans in 2026, covering 197 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: $3.60/mo
- Beneficiaries Enrolled: 25
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: Texas Independence Health Plan, Inc. (I-SNP) — 25 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Texas Independence Community Plan | $5 | 9250.00 | $615 | H5015-002-0 | |
| Texas Independence Health Plan, Inc. | $5 | 9250.00 | $615 | H5015-001-0 | |
| Humana Together in Health | $0 | 9250.00 | $610 | H5216-369-0 | |
| American Health Advantage of Texas | $5 | 9250.00 | $615 | H6891-001-0 |
What is the total number of I-SNP plans in Fayette County?
Fayette County has 4 I-SNP plans for 2026, with 25 enrollees.
How much do I-SNP plans cost in Fayette County?
The typical I-SNP premium in Fayette County is $3.60, and 1 plans have no monthly premium.
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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Complete Care Support TX-1A | $0 | 9250.00 | $584 | R6801-008-0 | |
| UHC Complete Care TX-29 | $57 | 7900.00 | $600 | R6801-009-0 |
What is the typical premium for C-SNP plans in Fayette County?
C-SNP plans in Fayette County cost $28.50 per month.
Which C-SNP plan do most beneficiaries choose in Fayette County?
The most popular C-SNP plan in Fayette County is UHC Complete Care TX-29 (C-SNP), with 51 enrollees.
How many Chronic Condition SNP plans are offered in Fayette County?
In 2026, Fayette County offers 2 C-SNP plans with 71 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
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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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Data provenance documentation is maintained in alignment 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.