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

2026 Medicare Special Needs Plans in Raleigh County, WV

Last update: May 4, 2026. Enrollment data updated: May 2, 2026

For 2026, Raleigh County, WV includes 9 Medicare Special Needs Plans. Enrollment across these plans totals approximately 1,781, with 38% rated 4 stars or higher.

  • 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: $24.48/mo
  • $0 Premium Plans: 1
  • Average MOOP: $8,413 ($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: 1,781
  • SNP Plans with the Highest Enrollment
    (as of May 2, 2026)
    1. Aetna Medicare Advantra Dual (D-SNP) — 766 enrollees
    2. UHC Dual Complete WV-S2 (D-SNP) — 355 enrollees
    3. HumanaChoice SNP-DE H5216-220 (D-SNP) — 296 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
7
Average Monthly Premium
$24.96/mo
Beneficiaries Enrolled
1,728
$0 Premium Plans
1
Zero Cost Plans
5
Top D-SNP by Enrollment
Aetna Medicare Advantra Dual (D-SNP) — 766 enrollees
Plans without Drug Coverage
0
2026 D-SNP Medicare plans in Raleigh County, West Virginia (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS 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
What is the average monthly premium for D-SNP plans in Raleigh County?
D-SNP plans in Raleigh County cost $24.96 per month.
Which D-SNP plan has the highest enrollment in Raleigh County?
The most popular D-SNP plan in Raleigh County is Aetna Medicare Advantra Dual (D-SNP), with 766 enrollees.
How many D-SNP plans are available in Raleigh County?
In 2026, Raleigh County offers 7 D-SNP plans with 1,728 enrollees.

Medicare Institutional Special Needs Plans (I-SNPs)

Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals in institutional or long-term care settings. Plan availability varies by county.

Total I-SNP Plans
2
Average Monthly Premium
$22.80/mo
Beneficiaries Enrolled
53
$0 Premium Plans
0
Average MOOP
$18,500
Top I-SNP by Enrollment
WV Senior Advantage (I-SNP) — 53 enrollees
Plans without Drug Coverage
0
2026 I-SNP Medicare plans in Raleigh County, West Virginia (comparison chart)
Plan Name CMS Stars* Premium/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 average monthly premium for I-SNP plans in Raleigh County?

I-SNP plans in Raleigh County cost $22.80 per month.

Which I-SNP plan has the highest enrollment in Raleigh County?

The most popular I-SNP plan in Raleigh County is WV Senior Advantage (I-SNP), with 53 enrollees.

How many I-SNP plans are available in Raleigh County?

In 2026, Raleigh County offers 2 I-SNP plans with 53 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

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 .

  • Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
  • Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
  • NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025

MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance 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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