2026 Medicare Special Needs Plans in Pierce County, WA
Last update: . Enrollment data updated: August 15, 2026
In Pierce County, WA, there are 33 Medicare Special Needs Plans available for 2026. Approximately 20,411 beneficiaries are enrolled, and about 35% 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 Pierce County, WA to explore other types of coverage available locally.
D-SNP Plans (Dual Eligible Special Needs Plans)
Dual Eligible Special Needs Plans (D-SNPs) in Pierce County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.
What is the total number of D-SNP plans in Pierce County?
Pierce County has 24 D-SNP plans for 2026, with 17,434 enrollees.
How much do D-SNP plans cost in Pierce County?
The typical D-SNP premium in Pierce County is $6.03, and 9 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: 5
- Average Monthly Premium: $19.44/mo
- Beneficiaries Enrolled: 710
- $0 Premium Plans: 0
- Zero Cost Plans:
- Top I-SNP by Enrollment: UHC Nursing Home Plan WA-F001 (I-SNP) — 306 enrollees
- Plans without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| UHC Care Advantage WA-E001 | $11 | 4000.00 | $270 | H0710-030-0 | |
| UHC Nursing Home Plan WA-F001 | $11 | 9250.00 | $615 | H0710-031-0 | |
| Humana Together in Health | $1 | 9250.00 | $615 | H5216-402-0 | |
| AgeRight Advantage Health Plan | $11 | 9250.00 | $615 | H1372-001-0 | |
| AgeRight Advantage Plus Health Plan | $65 | 6000.00 | $300 | H1372-002-0 |
What is the total number of I-SNP plans in Pierce County?
There are 5 I-SNP plans in 2026, covering 710 enrollees.
How much do I-SNP plans cost in Pierce County?
The average I-SNP premium in Pierce County is $19.44 per month, with 0 plans offering $0 premiums.
What is the most popular I-SNP plan in Pierce County?
UHC Nursing Home Plan WA-F001 (I-SNP) is the top I-SNP in Pierce County, with 306 enrollees.
What is the total number of I-SNP plans in Pierce County?
There are 5 I-SNP plans in 2026, covering 710 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 4
- Average Monthly Premium $5.25/mo
- Beneficiaries Enrolled 2,267
- $0 Premium C-SNPs 2
- Average MOOP $13,850
- Most Popular C-SNP UHC Complete Care WA-13 (C-SNP) with 1,474 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | ||
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | 5500.00 | $615 | H1036-306-0 | |
| UHC Complete Care WA-13 | $0 | 5900.00 | $355 | H3805-043-0 | |
| DEVOTED C-SNP CHOICE PLUS 006 WA | $11 | 9250.00 | $615 | H8917-006-0 | |
| DEVOTED C-SNP CHOICE PREMIUM 005 WA | $11 | 7050.00 | $615 | H8917-005-0 |
- What is the average monthly premium for C-SNP plans in Pierce County?
- C-SNP plans in Pierce County cost $5.25 per month.
- Which C-SNP plan has the highest enrollment in Pierce County?
- The most popular C-SNP plan in Pierce County is UHC Complete Care WA-13 (C-SNP), with 1,474 enrollees.
- How many C-SNP plans are available in Pierce County?
- In 2026, Pierce County offers 4 C-SNP plans with 2,267 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed August 15, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed August 15, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed August 15, 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
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
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.