Understanding Medicare Special Needs Plans in Fairfield County, Connecticut
For 2026, residents of Fairfield County, CT can choose from 16 Special Needs Plan options. Of these, 2 cost nothing beyond the Part B premium. Enrollment in the County is about 22,347, with 36% 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 Fairfield County, CT.
- Page Updated
- CMS Quality Ratings
- * CMS reviews Medicare Advantage plans annually with a 5-star rating program. 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
- 13
- Average Premium
- $29.02/mo
- Beneficiaries Enrolled
- 21,728
- $0 Premium D-SNPs
- 1
- Zero Cost D-SNPs
- 13
- Most Popular D-SNP
- UHC Dual Complete CT-Q001 (D-SNP) with 7,093 enrollees
- D-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| UHC Dual Complete CT-Q001 | $36 | PPO D-SNP | H2001 062 0 | |
| UHC Dual Complete CT-S001 | $36 | PPO D-SNP | H2001 031 0 | |
| UHC Dual Complete CT-S2 | $36 | PPO D-SNP | H2001 066 0 | |
| Aetna Medicare Full Dual | $36 | HMO-POS D-SNP | H5793 017 0 | |
| Aetna Medicare Partial Dual | $36 | HMO-POS D-SNP | H5793 020 0 | |
| Anthem Dual Advantage | $14 | HMO D-SNP | H5854 020 0 | |
| Anthem Full Dual Advantage Select | $24 | HMO D-SNP | H5854 013 0 | |
| Wellcare Dual Access | $36 | HMO-POS D-SNP | H0712 005 0 | |
| Wellcare Dual Liberty | $36 | HMO D-SNP | H0712 029 0 | |
| Anthem Dual Advantage | $36 | PPO D-SNP | H2836 007 0 | |
| Anthem Full Dual Advantage | $36 | PPO D-SNP | H2836 006 0 | |
| ConnectiCare Choice Dual | $17 | HMO-POS D-SNP | H3276 001 0 | |
| HealthSpring TotalCare Plus | $0 | HMO D-SNP | H2752 003 0 |
What is the typical monthly premium for D-SNPs in Fairfield County?
On average, D-SNP plans in Fairfield County cost $29.02 per month.
Which D-SNP plan do most dual eligible beneficiaries choose in Fairfield County?
The leading D-SNP in Fairfield County is UHC Dual Complete CT-Q001 (D-SNP), with 7,093 members.
How many Dual Eligible SNPs are offered in Fairfield County?
In 2026, Fairfield County offers 13 D-SNPs with 21,728 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 2
- Average Premium $39.10/mo
- Beneficiaries Enrolled 601
- $0 Premium I-SNPs 0
- Average MOOP $18,500
- Most Popular I-SNP UHC Nursing Home Plan EX-F003 (I-SNP) with 601 enrollees
- I-SNPs Without Drug Coverage 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Aetna Medicare Longevity | $36 | PPO I-SNP | H5521 506 0 | |
| UHC Nursing Home Plan EX-F003 | $42 | PPO I-SNP | H0710 026 0 |
- What is the average premium for I-SNP plans in Fairfield County?
- On average, I-SNP plans in Fairfield County cost $39.10 per month.
- Which I-SNP is the most popular in Fairfield County?
- The leading I-SNP in Fairfield County is UHC Nursing Home Plan EX-F003 (I-SNP), with 601 members.
- How many I-SNP plans are available in Fairfield County?
- In 2026, Fairfield County offers 2 I-SNPs with 601 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
- 1
- Average Premium
- $0.00/mo
- Beneficiaries Enrolled
- 18
- $0 Premium C-SNPs
- 1
- Average MOOP
- $18,500
- Most Popular C-SNP
- Anthem Kidney Care (C-SNP) with 18 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Anthem Kidney Care | $0 | HMO-POS C-SNP | H5854 012 0 |
What is the total number of C-SNP options in Fairfield County?
Fairfield County has 1 C-SNP options for 2026, serving 18 members.
How much do C-SNP plans cost on average in Fairfield County?
The mean monthly C-SNP premium in Fairfield County is $0.00, with 1 at no cost.
Medicare Advantage Special Needs Plan enrollment follows specific timelines. Understanding these options—whether it’s your first time enrolling or switching plans—helps you choose coverage that matches your health and budget.
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): Running from January 1 to March 31 each year, this period allows one change to your current Medicare Advantage coverage or a move back 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: Licensed agents at HealthCompare can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Monday–Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: Enrollment can also be completed by calling the plan provider’s customer service line or visiting their official website.
- Use Medicare.gov: The official Medicare website, Medicare.gov, lets you review available plans and complete enrollment online.
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 Monroe, Newtown, Sandy Hook, Shelton, Bridgeport, Trumbull, Easton, Stratford, Sherman, Bethel, Brookfield, Cos Cob, Danbury, New Fairfield, Darien, Fairfield, Greenwich, New Canaan, Norwalk, Old Greenwich, Ridgefield, Riverside, Westport, Weston, Southport, Redding, Wilton, Stamford, and all other areas of Fairfield County, Connecticut. For a broader statewide overview, see Medicare plan options in Connecticut.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: 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, Capital Blue Cross, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, 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(R), Wellcare, WellPoint
- CMS.gov, Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance — Version: 2026
- CMS.gov, Plan Benefits Package — Version: 2026
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-08
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 2026 Medicare SNP plans available in Fairfield 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, "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
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.