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  1. 🏠
  2. Special Needs Plans
  3. West Virginia
  4. Berkeley County

2026 Medicare Special Needs Plans in Berkeley County, WV

Last update: May 5, 2026. Enrollment data updated: May 2, 2026

Berkeley County, WV has 11 Medicare Special Needs Plans available in 2026. These plans serve approximately 1,558 beneficiaries, and roughly 27% achieve 4-star ratings or higher based on CMS data.

  • D-SNP Plans
  • I-SNP Plans

At a Glance

County-level summary of Medicare Special Needs Plan availability and enrollment based on CMS data.

Average Monthly Premium: $17.39/mo
$0 Premium Plans: 3
Average MOOP: $8,500 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix): 4+ Stars: 27% · 3 Stars: 73% · Below 3: 0%
Average Part D Deductible: $615.00
Total SNP Enrollment: 1,558
SNP Plans with the Highest Enrollment
(as of May 2, 2026)
1. Aetna Medicare Advantra Dual (D-SNP) — 367 enrollees
2. UHC Dual Complete WV-S001 (D-SNP) — 300 enrollees
3. UHC Dual Complete WV-S2 (D-SNP) — 295 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

Dual Eligible Special Needs Plans (D-SNPs) in Berkeley County are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid.

  • Total D-SNP Plans: 9
  • Average Monthly Premium: $16.19/mo
  • Beneficiaries Enrolled: 1,501
  • $0 Premium Plans: 3
  • Zero Cost Plans: 6
  • Top D-SNP by Enrollment: Aetna Medicare Advantra Dual (D-SNP) — 367 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 D-SNP Medicare Plans available in Berkeley County, West Virginia
Special Needs Plan CMS Rating* Premium Per Mo MOOP PDP Ded. CMS Plan ID
UHC Dual Complete WV-S001
☆☆☆☆☆
$31 9250.00 $615 H2001-030-0
UHC Dual Complete WV-S2
☆☆☆☆☆
$33 9250.00 $615 H2001-082-0
UHC Dual Complete WV-V001
☆☆☆☆☆
$33 5900.00 $615 H2001-061-0
Aetna Medicare Advantra Dual
☆☆☆☆☆
$0 9250.00 $615 H1692-005-0
HumanaChoice SNP-DE H5216-220
☆☆☆☆☆
$28 9250.00 $615 H5216-220-0
The Health Plan SecureCare SNP
☆☆☆☆☆
$18 9250.00 $615 H3672-019-0
Humana Dual Select H5619-126
☆☆☆☆☆
$0 8850.00 $615 H5619-126-0
Humana Gold Plus SNP-DE H5619-162
☆☆☆☆☆
$0 9250.00 $615 H5619-162-0
Humana Gold Plus SNP-DE H5619-179
☆☆☆☆☆
$4 9250.00 $615 H5619-179-0
What is the most popular D-SNP plan in Berkeley County?

Aetna Medicare Advantra Dual (D-SNP) is the top D-SNP in Berkeley County, with 367 enrollees.

What is the total number of D-SNP plans in Berkeley County?

There are 9 D-SNP plans in 2026, covering 1,501 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.

  • Total I-SNP Plans: 2
  • Average Monthly Premium: $22.80/mo
  • Beneficiaries Enrolled: 57
  • $0 Premium Plans: 0
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: WV Senior Advantage (I-SNP) — 57 enrollees
  • Plans without Drug Coverage: 0
Comparison table of 2026 I-SNP Medicare Plans available in Berkeley County, West Virginia
Health Plan Name CMS Rating* Premium Per Mo Network
Humana Together in Health
☆☆☆☆☆
$13 9250.00 $615 H5216-447-0
WV Senior Advantage
☆☆☆☆☆
$33 9250.00 $615 H9153-001-0
What is the total number of I-SNP plans in Berkeley County?

Berkeley County has 2 I-SNP plans for 2026, with 57 enrollees.

How much do I-SNP plans cost in Berkeley County?

The typical I-SNP premium in Berkeley County is $22.80, and 0 plans have no monthly premium.

  • 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 .

  • CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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

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.

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