Understanding Medicare Special Needs Plans in Sussex County, Delaware
In Sussex County, DE, Medicare beneficiaries have access to 12 Special Needs Plans (SNPs) in 2026. Among them, 2 are available at a $0 premium. About 3,494 people in the County are enrolled, with 83% of SNPs rated 4 stars or higher. These plans are designed for individuals with specific healthcare needs, including dual eligibility for Medicare and Medicaid, chronic conditions, or long-term care requirements.
Page last revised:
Enrollment data refreshed: May 2, 2026
* Each year CMS evaluates Medicare Advantage plans on a 5-star scale. 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: 6
- Average Premium: $29.02/mo
- Beneficiaries Enrolled: 1,781
- $0 Premium D-SNPs: 0
- Zero Cost D-SNP Plans: 3
- Most Popular D-SNP: Highmark Health Options Duals (D-SNP) with 595 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| AmeriHealth Caritas VIP Care | $31 | HMO D-SNP | H0738 001 0 | |
| AmeriHealth Caritas VIP Care Choice | $31 | HMO D-SNP | H0738 002 0 | |
| Highmark Health Options Duals | $31 | HMO D-SNP | H7710 001 0 | |
| Highmark Health Options Duals Select | $31 | HMO D-SNP | H7710 002 0 | |
| Wellcare Delaware First Health Dual Align | $31 | HMO-POS D-SNP | H4661 003 0 | |
| Wellcare Dual Select | $18 | HMO-POS D-SNP | H4661 005 0 |
What is the total number of D-SNP options in Sussex County?
There are 6 D-SNP plans in 2026, covering 1,781 beneficiaries.
How much do D-SNP plans cost on average in Sussex County?
The average D-SNP premium is $29.02, with 0 costing $0.
What D-SNP plan has the highest enrollment in Sussex County?
Highmark Health Options Duals (D-SNP) is the most popular D-SNP in Sussex County, with 595 enrollees.
What is the total number of D-SNP options in Sussex County?
There are 6 D-SNP plans in 2026, covering 1,781 beneficiaries.
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
- 1
- Average Premium
- $32.60/mo
- Beneficiaries Enrolled
- 54
- $0 Premium I-SNPs
- 0
- Average MOOP
- $18,500
- Most Popular I-SNP
- UHC Nursing Home Plan EX-F002 (I-SNP) with 54 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Nursing Home Plan EX-F002 | $33 | PPO I-SNP | H0710 017 0 |
What I-SNP plan has the highest enrollment in Sussex County?
UHC Nursing Home Plan EX-F002 (I-SNP) is the most popular I-SNP in Sussex County, with 54 enrollees.
What is the total number of I-SNP options in Sussex County?
There are 1 I-SNP plans in 2026, covering 54 beneficiaries.
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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | H3959 084 0 | |
| Aetna Medicare Chronic Care Total | $7 | HMO C-SNP | H3959 083 0 | |
| UHC Complete Care DE-4 | $0 | HMO-POS C-SNP | H5253 179 0 | |
| UHC Complete Care Support DE-5A | $31 | HMO-POS C-SNP | H5253 200 0 | |
| HealthSpring Achieve | $28 | HMO C-SNP | H2108 029 0 |
What is the average premium for C-SNP plans in Sussex County?
On average, C-SNP plans in Sussex County cost $13.32 per month.
Which C-SNP is the most popular in Sussex County?
The leading C-SNP in Sussex County is UHC Complete Care DE-4 (C-SNP), with 772 members.
How many C-SNP plans are available in Sussex County?
In 2026, Sussex County offers 5 C-SNPs with 1,659 enrollees.
Medicare Special Needs Plans have with strict enrollment windows. By knowing when and how to sign up, you’ll avoid missed deadlines and keep your healthcare coverage aligned with your needs.
Key Medicare Enrollment Periods
- Initial Enrollment Period (IEP): This seven-month window starts three months before the month you turn 65 and ends three months after. It’s the first time you can sign up for Medicare and, if you choose, a Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people already enrolled in Medicare Advantage can make a one-time change—switch to another plan or return to Original Medicare. Learn more
- Annual Enrollment Period (AEP): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following year. Learn more
- Special Enrollment Periods (SEPs): Life events like moving to a new service area, losing other health coverage, or becoming eligible for assistance may open a Special Enrollment Period to adjust your Medicare coverage. Learn more
How to Sign Up for a Special Needs Plan
- Licensed Agent Assistance: For one-on-one guidance, contact HealthCompare at 1-833-748-3201 (TTY 711). Agents are available Monday through Friday 5am–6pm and Saturday 6am–5pm PST.
- Contact the Plan Provider Directly: Start enrollment by reaching out to the plan provider through their website or by phone with their member services team.
- Use Medicare.gov: At Medicare.gov, you can compare Medicare Advantage plans side by side and enroll securely 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 Bethany Beach, Bridgeville, Dagsboro, Delmar, Ellendale, Frankford, Georgetown, Greenwood, Harbeson, Laurel, Lewes, Lincoln, Milford, Millsboro, Milton, Ocean View, Rehoboth Beach, Seaford, Selbyville, and all other areas of Sussex County, Delaware.
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 — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed May 2, 2026
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 Sussex 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, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 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, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.