Understanding Medicare Special Needs Plans in Pima County, Arizona
For 2027, residents of Pima County, AZ can choose from 36 Special Needs Plan options. Of these, 26 cost nothing beyond the Part B premium. Enrollment in the County is about 31,030, with 29% of SNPs achieving 4 stars or better. SNPs are not available to everyone — eligibility is limited to people with dual Medicare/Medicaid coverage, qualifying chronic conditions, or institutional care needs.
For a broader look at coverage beyond Special Needs Plans, see all Medicare coverage options in Pima County, AZ.
Last update: . Enrollment data last updated: October 5, 2026
* CMS rates Medicare Advantage plans annually using a 5-star system. Data sources
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are designed for people who qualify for both Medicare and Medicaid. These plans coordinate benefits to reduce costs and provide access to additional support services.
- Total D-SNP Plans
- 7
- Average Premium
- $11.90/mo
- Beneficiaries Enrolled
- 21,539
- $0 Premium D-SNPs
- 2
- Zero Cost D-SNPs
- 7
- Most Popular D-SNP
- UHC Dual Complete AZ-S001 (D-SNP) with 17,693 enrollees
- D-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Banner Medicare Advantage Dual | $17 | HMO D-SNP | H4931 015 0 | |
| Banner Medicare Advantage Dual | $17 | HMO D-SNP | H4931 007 0 | |
| UHC Dual Complete AZ-S001 | $0 | HMO-POS D-SNP | H0321 002 0 | |
| UHC Dual Complete AZ-YL | $17 | HMO-POS D-SNP | H0321 004 0 | |
| Mercy Care Advantage | $17 | HMO D-SNP | H5580 004 0 | |
| Mercy Care Advantage | $16 | HMO D-SNP | H5580 005 0 | |
| Wellcare Arizona Complete Health Dual Liberty Sync | $0 | HMO D-SNP | H5590 012 2 |
What is the average premium for D-SNP plans in Pima County?
On average, D-SNP plans in Pima County cost $11.90 per month.
Which D-SNP is the most popular in Pima County?
The leading D-SNP in Pima County is UHC Dual Complete AZ-S001 (D-SNP), with 17,693 members.
How many D-SNP plans are available in Pima County?
In 2027, Pima County offers 7 D-SNPs with 21,539 enrollees.
Institutional Special Needs Plans (I-SNPs)
These plans cater to individuals residing in long-term care facilities, such as nursing homes, or those requiring extended skilled nursing facility care at home. The CMS website provides more information about I-SNPs and their coverage details.
- Total I-SNP Plans 5
- Average Premium $1.88/mo
- Beneficiaries Enrolled 1,090
- $0 Premium I-SNPs 4
- Average MOOP $9,680
- Most Popular I-SNP SCAN Embrace (I-SNP) with 476 enrollees
- I-SNPs Without Drug Coverage 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| UHC Nursing Home Plan AZ-F001 | $9 | PPO I-SNP | H0710 005 0 | |
| SCAN Embrace | $0 | HMO-POS I-SNP | H1822 005 0 | |
| SCAN Embrace Together | $0 | HMO-POS I-SNP | H1822 008 0 | |
| Wellpoint I CareMore Home Care | $0 | HMO I-SNP | H1423 007 0 | |
| Wellpoint I CareMore Home Care 2 | $0 | HMO I-SNP | H2593 003 0 |
What is the typical monthly premium for I-SNPs in Pima County?
On average, I-SNP plans in Pima County cost $1.88 per month.
Which I-SNP plan do most institutionalized beneficiaries choose in Pima County?
The leading I-SNP in Pima County is SCAN Embrace (I-SNP), with 476 members.
How many Institutional SNPs are offered in Pima County?
In 2027, Pima County offers 5 I-SNPs with 1,090 enrollees.
Chronic Condition Special Needs Plans (C-SNPs)
These plans are designed for individuals with severe or disabling chronic conditions. C-SNPs excel at coordinating your care among different medical specialists and often include extra benefits like prescription drug plans.
- Total C-SNP Plans
- 24
- Average Premium
- $2.60/mo
- Beneficiaries Enrolled
- 8,401
- $0 Premium C-SNPs
- 20
- Average MOOP
- $9,817
- Most Popular C-SNP
- UHC Complete Care AZ-3P (C-SNP) with 3,485 enrollees
- C-SNPs Without Drug Coverage
- 0
What C-SNP plan has the highest enrollment in Pima County?
UHC Complete Care AZ-3P (C-SNP) is the most popular C-SNP in Pima County, with 3,485 enrollees.
What is the total number of C-SNP options in Pima County?
There are 24 C-SNP plans in 2027, covering 8,401 beneficiaries.
Choosing the right Medicare Special Needs Plan (SNP) in Pima County depends on enrolling at the right time. Understanding the different enrollment periods will help ensure that you get the coverage that best meets your needs.
When You Can Sign Up
- Initial Enrollment Period (IEP): Lasting seven months around your 65th birthday, this period lets you enroll in Medicare for the first time. You may also choose a Medicare Advantage plan during this time. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): This yearly window, running October 15 to December 7, gives you the opportunity to join, switch, or drop Medicare Advantage and Part D plans. Learn more
- Special Enrollment Periods (SEPs): Certain qualifying events, such as a change in residence or loss of existing coverage, may allow you to enroll in or change Medicare Advantage plans outside of the usual enrollment windows. Learn more
SNP Enrollment Options Explained
- Talk with a Licensed Agent: Our licensed agents can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Mon-Fri 8AM-10PM, Sat 9AM-8PM EST.
- Contact the Plan Provider Directly: You may enroll through a plan provider’s website or speak with their customer support staff to complete your application.
- Use Medicare.gov: Visit Medicare.gov to shop for plans, review benefits, and submit your enrollment electronically.
The D-SNP, C-SNP, and I-SNP plans listed on this page are available to qualifying individuals enrolled in Medicare Part A and Part B living in Ajo, Green Valley, Sahuarita, Sells, Vail, Amado, Marana, Tucson, and all other areas of Pima County, Arizona. For a broader statewide overview, see Medicare plan options in Arizona.
Plans Offered through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring℠, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare®, Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: CY2027 Landscape (202609.1)
- CMS.gov, Medicare Part C & D Performance — Version: 2027 Star Ratings Data Tables
- CMS.gov, Plan Benefits Package — Version: PBP Benefits-2027
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-09
Some facts and percentages shown on this page (such as average premiums, distribution of plan types, and percentage of $0 premium plans) are calculated by Medicare.org using data from the CMS Plan Benefits Package (PBP) files and Part C & D Performance files. All underlying values originate from CMS, and calculations are refreshed whenever CMS issues updated data.
To explore how 2027 Medicare SNP plans available in Pima County compare with plans offered elsewhere, you can search the Special Needs Plan directory to review options nationwide using the same authoritative data sources.
Medicare.org separates Medicare Advantage (MA/MAPD) plans and Special Needs Plans (SNPs) into different pages for clarity. As a result, plan counts, percentages, and other calculations shown here may differ from the aggregate totals published in the CMS Landscape files. All plan availability and benefit details originate from CMS.
Learn more about how we use CMS data.
- 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
Medicare.org is owned and operated by Health Network Group, LLC, an Allstate company. Medicare.org provides information only and is not connected 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 Medicare coverage interpretation and resolution.