Understanding Medicare Special Needs Plans in Clay County, Florida
In Clay County, FL, Medicare beneficiaries have access to 40 Special Needs Plans (SNPs) in 2026. Among them, 23 are available at a $0 premium. About 5,489 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.
To see how SNPs fit with your other Medicare choices, explore all Medicare coverage options in Clay County, FL.
Page last revised:
Enrollment data refreshed: September 9, 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: 25
- Average Premium: $2.30/mo
- Beneficiaries Enrolled: 3,532
- $0 Premium D-SNPs: 13
- Zero Cost D-SNP Plans: 12
- Most Popular D-SNP: UHC Dual Complete FL-D002 (D-SNP) with 988 enrollees
- D-SNPs Without Drug Coverage: 0
What is the total number of D-SNP options in Clay County?
There are 25 D-SNP plans in 2026, covering 3,532 beneficiaries.
How much do D-SNP plans cost on average in Clay County?
The average D-SNP premium is $2.30, with 13 costing $0.
What D-SNP plan has the highest enrollment in Clay County?
UHC Dual Complete FL-D002 (D-SNP) is the most popular D-SNP in Clay County, with 988 enrollees.
What is the total number of D-SNP options in Clay County?
There are 25 D-SNP plans in 2026, covering 3,532 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
- 2
- Average Premium
- $4.80/mo
- Beneficiaries Enrolled
- 152
- $0 Premium I-SNPs
- 0
- Average MOOP
- $18,500
- Most Popular I-SNP
- UHC Nursing Home Plan FL-F001 (I-SNP) with 133 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Nursing Home Plan FL-F001 | $5 | PPO I-SNP | H0710 010 0 | |
| Longevity Health Plan | $5 | HMO I-SNP | H1644 001 0 |
What I-SNP plan has the highest enrollment in Clay County?
UHC Nursing Home Plan FL-F001 (I-SNP) is the most popular I-SNP in Clay County, with 133 enrollees.
What is the total number of I-SNP options in Clay County?
There are 2 I-SNP plans in 2026, covering 152 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 |
|---|---|---|---|---|
| DEVOTED C-SNP PLUS 090 FL | $5 | HMO C-SNP | H1290 090 0 | |
| DEVOTED C-SNP PREMIUM 071 FL | $5 | HMO C-SNP | H1290 071 0 | |
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | H1609 084 0 | |
| CarePlus Health Plans, Inc. CareBreeze | $0 | HMO C-SNP | H1019 154 0 | |
| CareBreeze Platinum | $0 | HMO C-SNP | H1019 118 0 | |
| CarePlus Health Plans, Inc. CareComplete | $0 | HMO C-SNP | H1019 150 0 | |
| CareComplete Platinum | $0 | HMO C-SNP | H1019 109 0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H1036 302 0 | |
| Humana Gold Plus Lung | $0 | HMO C-SNP | H1036 316 0 | |
| Gold Dialysis & Kidney | $0 | HMO-POS C-SNP | H1526 003 0 | |
| Gold Dialysis & Kidney Complete | $5 | HMO-POS C-SNP | H1526 004 0 | |
| Gold Heart & Diabetes | $0 | HMO-POS C-SNP | H1526 001 0 | |
| Gold Heart & Diabetes Complete | $0 | HMO-POS C-SNP | H1526 002 0 |
What is the average premium for C-SNP plans in Clay County?
On average, C-SNP plans in Clay County cost $1.11 per month.
Which C-SNP is the most popular in Clay County?
The leading C-SNP in Clay County is CareComplete (C-SNP), with 834 members.
How many C-SNP plans are available in Clay County?
In 2026, Clay County offers 13 C-SNPs with 1,805 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 Fleming Island, Green Cove Springs, Orange Park, Middleburg, Keystone Heights, and all other areas of Clay County, Florida. For a broader statewide overview, see Medicare plan options in Florida.
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 Clay 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, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.