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

2026 Medicare Special Needs Plans in Mcdowell County, WV

Last update: May 3, 2026. Enrollment data updated: May 2, 2026

In Mcdowell County, WV, there are 11 Medicare Special Needs Plans available for 2026. Approximately 876 beneficiaries are enrolled, and about 38% are rated 4 stars or higher based on CMS quality ratings.

  • 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
$25.97/mo
Plans with $0 Premium
1
Average MOOP Limit
$7,810 ($9,250 max. Excludes zero-cost D-SNPs.)
Star Ratings (Plan Mix)
4+ Stars: 38% · 3 Stars: 63% · Below 3: 0%
Average Part D Deductible
$615.00
Total SNP Enrollment
876
SNP Plans with the Highest Enrollment
(as of May 2, 2026)
1. HumanaChoice SNP-DE H5216-220 (D-SNP) — 233 enrollees
2. Aetna Medicare Advantra Dual (D-SNP) — 207 enrollees
3. UHC Dual Complete WV-S2 (D-SNP) — 194 enrollees

D-SNP Plans (Dual Eligible Special Needs Plans)

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

Total D-SNP Plans
9
Average Monthly Premium
$26.68/mo
Beneficiaries Enrolled
831
$0 Premium D-SNPs
1
Zero Cost D-SNPs
6
D-SNP with the Highest Enrollment
HumanaChoice SNP-DE H5216-220 (D-SNP) with 233 enrollees
D-SNPs without Drug Coverage
0
D-SNP Medicare plan comparison – Mcdowell County, West Virginia, 2026
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
Highmark Health Options Duals
☆☆☆☆☆
$33 9250.00 $615 H6224-001-0
Wellpoint Dual Advantage
☆☆☆☆☆
$33 5400.00 $615 H1212-002-0
Wellpoint Full Dual Advantage
☆☆☆☆☆
$33 9250.00 $615 H1212-001-0
What is the total number of D-SNP plans in Mcdowell County?

Mcdowell County has 9 D-SNP plans for 2026, with 831 enrollees.

How much do D-SNP plans cost in Mcdowell County?

The typical D-SNP premium in Mcdowell County is $26.68, and 1 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: 2
  • Average Monthly Premium: $22.80/mo
  • Beneficiaries Enrolled: 45
  • $0 Premium Plans: 0
  • Zero Cost Plans:
  • Top I-SNP by Enrollment: WV Senior Advantage (I-SNP) — 45 enrollees
  • Plans without Drug Coverage: 0
I-SNP Medicare plan comparison – Mcdowell County, West Virginia, 2026
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 Mcdowell County?

There are 2 I-SNP plans in 2026, covering 45 enrollees.

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

The average I-SNP premium in Mcdowell County is $22.80 per month, with 0 plans offering $0 premiums.

What is the most popular I-SNP plan in Mcdowell County?

WV Senior Advantage (I-SNP) is the top I-SNP in Mcdowell County, with 45 enrollees.

What is the total number of I-SNP plans in Mcdowell County?

There are 2 I-SNP plans in 2026, covering 45 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

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.

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