2026 Medicare Special Needs Plans in Smith County, TX
Last update: . Enrollment data updated: June 13, 2026
For 2026, Smith County, TX includes 23 Medicare Special Needs Plans. Enrollment across these plans totals approximately 3,700, with 45% 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 Smith County, TX to explore additional plan types and coverage choices.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.
- Total D-SNP Plans
- 15
- Average Monthly Premium
- $2.09/mo
- Beneficiaries Enrolled
- 3,140
- $0 Premium Plans
- 7
- Zero Cost Plans
- 11
- Top D-SNP by Enrollment
- UHC Dual Complete TX-S003 (D-SNP) — 1,010 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | |
| HealthSpring TotalCare | $0 | 3400.00 | $615 | H4513-027-0 | |
| Humana Gold Plus SNP-DE H4461-071 | $0 | 9250.00 | $615 | H4461-071-0 | |
| UHC Dual Complete TX-D002 | $0 | 9250.00 | $532 | H4514-023-0 | |
| UHC Dual Complete TX-S003 | $0 | 9250.00 | $615 | H4514-021-0 | |
| Aetna Medicare Dual Care | $0 | 9250.00 | $615 | H8597-001-0 | |
| Humana Gold Plus SNP-DE H0028-032 | $0 | 9250.00 | $615 | H0028-032-0 | |
| Molina Medicare Complete Care | $0 | 9250.00 | $615 | H7678-006-2 | |
| UHC Dual Complete TX-S001 | $5 | 9250.00 | $615 | R6801-011-0 | |
| Wellcare Dual Access | $5 | 9250.00 | $500 | H5294-015-0 | |
| Wellcare Dual Liberty | $5 | 9250.00 | $615 | H5294-010-0 | |
| Wellpoint Dual Advantage | $5 | 9250.00 | $615 | H8849-011-2 | |
| Wellpoint Full Dual Advantage | $2 | 9250.00 | $615 | H8849-010-2 | |
| Blue Cross Medicare Advantage Dual Care Plus | $5 | 9250.00 | $615 | H9706-002-0 |
What is the typical premium for D-SNP plans in Smith County?
D-SNP plans in Smith County cost $2.09 per month.
Which D-SNP plan do most beneficiaries choose in Smith County?
The most popular D-SNP plan in Smith County is UHC Dual Complete TX-S003 (D-SNP), with 1,010 enrollees.
How many Dual Eligible SNP plans are offered in Smith County?
In 2026, Smith County offers 15 D-SNP plans with 3,140 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
- 5
- Average Monthly Premium
- $3.84/mo
- Beneficiaries Enrolled
- 94
- $0 Premium Plans
- 1
- Average MOOP
- $18,500
- Top I-SNP by Enrollment
- Humana Together in Health (I-SNP) — 54 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Texas Independence Community Plan | $5 | 9250.00 | $615 | H5015-002-0 | |
| Texas Independence Health Plan, Inc. | $5 | 9250.00 | $615 | H5015-001-0 | |
| Provider Partners Texas Advantage Plan | $5 | 9250.00 | $615 | H4054-001-0 | |
| 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 average monthly premium for I-SNP plans in Smith County?
- I-SNP plans in Smith County cost $3.84 per month.
- Which I-SNP plan has the highest enrollment in Smith County?
- The most popular I-SNP plan in Smith County is Humana Together in Health (I-SNP), with 54 enrollees.
- How many I-SNP plans are available in Smith County?
- In 2026, Smith County offers 5 I-SNP plans with 94 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
- 3
- Average Monthly Premium
- $19.00/mo
- Beneficiaries Enrolled
- 466
- $0 Premium C-SNPs
- 2
- Average MOOP
- $14,033
- Most Popular C-SNP
- Humana Gold Plus - Diabetes and Heart (C-SNP) with 355 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | 3900.00 | $615 | H4461-068-0 | |
| 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 |
What is the total number of C-SNP plans in Smith County?
Smith County has 3 C-SNP plans for 2026, with 466 enrollees.
How much do C-SNP plans cost in Smith County?
The typical C-SNP premium in Smith County is $19.00, and 2 plans have no monthly premium.
- 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, "Explore your Medicare coverage options" — 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.