2026 Medicare Special Needs Plans in Madison County, VA
Last update: . Enrollment data updated: May 2, 2026
In Madison County, VA, there are 22 Medicare Special Needs Plans available for 2026. Approximately 182 beneficiaries are enrolled, and about 14% are rated 4 stars or higher based on CMS quality ratings.
Special Needs Plans (SNPs) are one coverage option. Other options may include standard Medicare Advantage plans, Medicare prescription drug coverage, and Medicare Supplement insurance. Visit Medicare Options in Madison County, VA to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Madison County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
- Total D-SNP Plans: 17
- Average Monthly Premium: $15.72/mo
- Beneficiaries Enrolled: 147
- $0 Premium Plans: 2
- Zero Cost Plans: 15
- Top D-SNP by Enrollment: UHC Dual Complete VA-Y002 (D-SNP) — 25 enrollees
- Plans without Drug Coverage: 0
What is the total number of D-SNP plans in Madison County?
There are 17 D-SNP plans in 2026, covering 147 enrollees.
How much do D-SNP plans cost in Madison County?
The average D-SNP premium in Madison County is $15.72 per month, with 2 plans offering $0 premiums.
What is the most popular D-SNP plan in Madison County?
UHC Dual Complete VA-Y002 (D-SNP) is the top D-SNP in Madison County, with 25 enrollees.
What is the total number of D-SNP plans in Madison County?
There are 17 D-SNP plans in 2026, covering 147 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F004 | $28 | 9250.00 | $615 | H0710-032-0 | |
| Humana Together in Health | $25 | 9230.00 | $615 | H5216-362-0 |
What is the most popular I-SNP plan in Madison County?
UHC Nursing Home Plan EX-F004 (I-SNP) is the top I-SNP in Madison County, with 17 enrollees.
What is the total number of I-SNP plans in Madison County?
There are 2 I-SNP plans in 2026, covering 17 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 3
- Average Monthly Premium $2.67/mo
- Beneficiaries Enrolled 18
- $0 Premium C-SNPs 2
- Average MOOP $16,267
- Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 18 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Anthem Kidney Care | $0 | 5900.00 | $325 | H3447-033-0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | 9250.00 | $450 | H6622-084-0 | |
| Humana Gold Plus - Diabetes and Heart | $8 | 9250.00 | $450 | H5619-145-0 |
What is the average monthly premium for C-SNP plans in Madison County?
C-SNP plans in Madison County cost $2.67 per month.
Which C-SNP plan has the highest enrollment in Madison County?
The most popular C-SNP plan in Madison County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 18 enrollees.
How many C-SNP plans are available in Madison County?
In 2026, Madison County offers 3 C-SNP plans with 18 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
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 .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — 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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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.