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2026 Medicare Special Needs Plans in Prince William County, VA

Last update: .

For 2026, Prince William County, VA includes 24 Medicare Special Needs Plans. Enrollment across these plans totals approximately 4,051, with 13% 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 Prince William County, VA to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $14.68/mo
  • $0 Premium Plans: 5
  • Average MOOP: $8,453 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 13% · 3 Stars: 88% · Below 3: 0%
  • Average Part D Deductible: $552.92
  • Total SNP Enrollment: 4,051
  • SNP Plans with the Highest Enrollment
    (as of September 8, 2026)
    1. UHC Dual Complete VA-Y002 (D-SNP) — 604 enrollees
    2. Anthem Full Dual Advantage Support (D-SNP) — 552 enrollees
    3. Anthem Chronic Care (C-SNP) — 485 enrollees

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
16
Average Monthly Premium
$16.71/mo
Beneficiaries Enrolled
3,200
$0 Premium Plans
1
Zero Cost Plans
14
Top D-SNP by Enrollment
UHC Dual Complete VA-Y002 (D-SNP) — 604 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Prince William County, Virginia (comparison chart)
SNP Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Sentara Community Complete Select
☆☆☆☆☆
 $25 9250.00 $615 H2563-020-0
Aetna Medicare FIDE
☆☆☆☆☆
 $4 9250.00 $615 H1610-001-0
Anthem Dual Advantage
☆☆☆☆☆
 $0 9250.00 $605 H4694-002-0
Anthem Full Dual Advantage
☆☆☆☆☆
 $23 9250.00 $615 H4694-004-0
Anthem Full Dual Advantage 2
☆☆☆☆☆
 $14 9250.00 $615 H4694-001-0
Anthem Full Dual Advantage Support
☆☆☆☆☆
 $25 9250.00 $615 H4694-003-0
Humana Dual Fully Integrated H2875-001
☆☆☆☆☆
 $24 9250.00 $615 H2875-001-0
Humana Dual Select H2875-006
☆☆☆☆☆
 $22 9250.00 $615 H2875-006-0
Humana Gold Plus SNP-DE H2875-002
☆☆☆☆☆
 $23 9250.00 $615 H2875-002-0
Sentara Community Complete
☆☆☆☆☆
 $16 9250.00 $615 H4499-001-0
UHC Dual Complete VA-Q001
☆☆☆☆☆
 $5 9250.00 $615 H2445-002-0
UHC Dual Complete VA-V001
☆☆☆☆☆
 $25 3600.00 $615 H2445-004-0
UHC Dual Complete VA-Y001
☆☆☆☆☆
 $11 9250.00 $615 H2445-001-0
UHC Dual Complete VA-Y002
☆☆☆☆☆
 $25 9250.00 $615 H2445-003-0
UHC Dual Complete VA-Y3
☆☆☆☆☆
 $4 9250.00 $615 H2445-005-0
UHC Dual Complete VA-Y4
☆☆☆☆☆
 $25 9250.00 $615 H0421-001-0

What is the average monthly premium for D-SNP plans in Prince William County?

D-SNP plans in Prince William County cost $16.71 per month.

Which D-SNP plan has the highest enrollment in Prince William County?

The most popular D-SNP plan in Prince William County is UHC Dual Complete VA-Y002 (D-SNP), with 604 enrollees.

How many D-SNP plans are available in Prince William County?

In 2026, Prince William County offers 16 D-SNP plans with 3,200 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
4
Average Monthly Premium
$19.25/mo
Beneficiaries Enrolled
88
$0 Premium Plans
1
Average MOOP
$7,683
Top I-SNP by Enrollment
UHC Nursing Home Plan EX-F004 (I-SNP) — 88 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Prince William County, Virginia (comparison chart)
SNP Plan Name Rating* Premium 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
Premier Care
☆☆☆☆☆
 $0 3000.00 $75 H2185-003-0
Senior Care
☆☆☆☆☆
 $25 9250.00 $615 H2185-001-0

What is the typical premium for I-SNP plans in Prince William County?

I-SNP plans in Prince William County cost $19.25 per month.

Which I-SNP plan do most beneficiaries choose in Prince William County?

The most popular I-SNP plan in Prince William County is UHC Nursing Home Plan EX-F004 (I-SNP), with 88 enrollees.

How many Institutional SNP plans are offered in Prince William County?

In 2026, Prince William County offers 4 I-SNP plans with 88 enrollees.

Medicare Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.

Total C-SNP Plans
4
Average Monthly Premium
$2.00/mo
Beneficiaries Enrolled
763
$0 Premium C-SNPs
3
Average MOOP
$7,450
Most Popular C-SNP
Anthem Chronic Care (C-SNP) with 485 enrollees
C-SNPs Without Drug Coverage
0
2026 C-SNP Medicare plans in Prince William County, Virginia (comparison chart)
SNP Plan Name Rating* Premium Network
Anthem Chronic Care
☆☆☆☆☆
 $0 5400.00 $295 H3447-037-0
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 most popular C-SNP plan in Prince William County?

Anthem Chronic Care (C-SNP) is the top C-SNP in Prince William County, with 485 enrollees.

What is the total number of C-SNP plans in Prince William County?

There are 4 C-SNP plans in 2026, covering 763 enrollees.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .