2026 Medicare Special Needs Plans in Orange County, TX
Last update: . Enrollment data updated: May 2, 2026
In Orange County, TX, there are 28 Medicare Special Needs Plans available for 2026. Approximately 1,194 beneficiaries are enrolled, and about 42% are rated 4 stars or higher based on CMS quality ratings.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Orange County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
What is the total number of D-SNP plans in Orange County?
Orange County has 20 D-SNP plans for 2026, with 1,090 enrollees.
How much do D-SNP plans cost in Orange County?
The typical D-SNP premium in Orange County is $2.28, and 10 plans have no monthly premium.
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: 3
- Average Monthly Premium: $3.20/mo
- Beneficiaries Enrolled: 36
- $0 Premium Plans: 1
- Zero Cost Plans:
- Top I-SNP by Enrollment: ProCare Advantage (I-SNP) — 21 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Provider Partners Texas Advantage Plan | $5 | 9250.00 | $615 | H4054-001-0 | |
| Humana Together in Health | $0 | 9250.00 | $610 | H5216-369-0 | |
| ProCare Advantage | $5 | 9250.00 | $615 | H3467-001-0 |
What is the total number of I-SNP plans in Orange County?
There are 3 I-SNP plans in 2026, covering 36 enrollees.
How much do I-SNP plans cost in Orange County?
The average I-SNP premium in Orange County is $3.20 per month, with 1 plans offering $0 premiums.
What is the most popular I-SNP plan in Orange County?
ProCare Advantage (I-SNP) is the top I-SNP in Orange County, with 21 enrollees.
What is the total number of I-SNP plans in Orange County?
There are 3 I-SNP plans in 2026, covering 36 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 $13.32/mo
- Beneficiaries Enrolled 68
- $0 Premium C-SNPs 2
- Average MOOP $13,500
- Most Popular C-SNP UHC Complete Care TX-29 (C-SNP) with 37 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| DEVOTED C-SNP PLUS 031 TX | $5 | 9250.00 | $615 | H7993-031-0 | |
| DEVOTED C-SNP PREMIUM 030 TX | $5 | 4450.00 | $615 | H7993-030-0 | |
| 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 | |
| Wellpoint Kidney Care | $0 | 2900.00 | $275 | H2593-043-0 |
- What is the average monthly premium for C-SNP plans in Orange County?
- C-SNP plans in Orange County cost $13.32 per month.
- Which C-SNP plan has the highest enrollment in Orange County?
- The most popular C-SNP plan in Orange County is UHC Complete Care TX-29 (C-SNP), with 37 enrollees.
- How many C-SNP plans are available in Orange County?
- In 2026, Orange County offers 5 C-SNP plans with 68 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
This page presents county-level Medicare Special Needs Plans (SNP) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 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.