2026 Medicare Special Needs Plans in Upshur County, WV
Last update: . Enrollment data updated: June 13, 2026
For 2026, Upshur County, WV includes 10 Medicare Special Needs Plans. Enrollment across these plans totals approximately 704, with 30% 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 Upshur County, WV to explore additional plan types and coverage choices.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans that integrate Medicare and Medicaid benefits for beneficiaries who meet dual-eligibility criteria defined by CMS.
- Total D-SNP Plans
- 8
- Average Monthly Premium
- $14.70/mo
- Beneficiaries Enrolled
- 662
- $0 Premium Plans
- 3
- Zero Cost Plans
- 5
- Top D-SNP by Enrollment
- Aetna Medicare Advantra Dual (D-SNP) — 150 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | 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 | |
| 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 typical premium for D-SNP plans in Upshur County?
D-SNP plans in Upshur County cost $14.70 per month.
Which D-SNP plan do most beneficiaries choose in Upshur County?
The most popular D-SNP plan in Upshur County is Aetna Medicare Advantra Dual (D-SNP), with 150 enrollees.
How many Dual Eligible SNP plans are offered in Upshur County?
In 2026, Upshur County offers 8 D-SNP plans with 662 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
- 2
- Average Monthly Premium
- $22.80/mo
- Beneficiaries Enrolled
- 42
- $0 Premium Plans
- 0
- Average MOOP
- $18,500
- Top I-SNP by Enrollment
- WV Senior Advantage (I-SNP) — 42 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | 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 Upshur County?
- I-SNP plans in Upshur County cost $22.80 per month.
- Which I-SNP plan has the highest enrollment in Upshur County?
- The most popular I-SNP plan in Upshur County is WV Senior Advantage (I-SNP), with 42 enrollees.
- How many I-SNP plans are available in Upshur County?
- In 2026, Upshur County offers 2 I-SNP plans with 42 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 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, "Explore your Medicare coverage options" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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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.