Understanding Medicare Special Needs Plans in Lee County, Iowa
Lee County, IA offers 11 Special Needs Plans (SNPs) in 2026, including 0 with no monthly premium. Currently, about 708 beneficiaries are enrolled, and 50% of SNPs have a 4-star rating or higher. These plans are designed for Medicare beneficiaries who meet special eligibility criteria, such as dual coverage, qualifying chronic conditions, or residence in a long-term care facility.
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: $32.22/mo
- Beneficiaries Enrolled: 591
- $0 Premium D-SNPs: 0
- Zero Cost D-SNP Plans: 5
- Most Popular D-SNP: UHC Dual Complete IA-S001 (D-SNP) with 362 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Dual Complete IA-S001 | $42 | HMO-POS D-SNP | H0169 001 0 | |
| Wellpoint Full Dual Advantage | $29 | HMO-POS D-SNP | H0907 001 0 | |
| Wellpoint Full Dual Advantage 2 | $32 | HMO-POS D-SNP | H0907 003 0 | |
| Wellcare Dual Access | $29 | HMO-POS D-SNP | H1862 004 0 | |
| Wellcare Dual Liberty Sync | $32 | HMO-POS D-SNP | H1862 003 0 | |
| Wellcare Dual Reserve | $30 | HMO-POS D-SNP | H1862 006 0 |
What D-SNP plan has the highest enrollment in Lee County?
UHC Dual Complete IA-S001 (D-SNP) is the most popular D-SNP in Lee County, with 362 enrollees.
What is the total number of D-SNP options in Lee County?
There are 6 D-SNP plans in 2026, covering 591 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
- 4
- Average Premium
- $65.63/mo
- Beneficiaries Enrolled
- 43
- $0 Premium I-SNPs
- 0
- Average MOOP
- $16,325
- Most Popular I-SNP
- Iowa Health Advantage (I-SNP) with 43 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Iowa Health Advantage | $42 | HMO I-SNP | H6765 001 0 | |
| Iowa Health Advantage Choice | $42 | HMO I-SNP | H6765 002 0 | |
| Humana Together in Health | $42 | PPO I-SNP | H5216 413 0 | |
| Humana Together in Health Select | $138 | PPO I-SNP | H5216 453 0 |
What is the total number of I-SNP options in Lee County?
Lee County has 4 I-SNP options for 2026, serving 43 members.
How much do I-SNP plans cost on average in Lee County?
The mean monthly I-SNP premium in Lee County is $65.63, with 0 at no cost.
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 $27.00/mo
- Beneficiaries Enrolled 74
- $0 Premium C-SNPs 0
- Average MOOP $11,800
- Most Popular C-SNP UHC Complete Care IA-5 (C-SNP) with 74 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Complete Care IA-5 | $27 | HMO-POS C-SNP | H5253 180 0 |
What is the typical monthly premium for C-SNPs in Lee County?
On average, C-SNP plans in Lee County cost $27.00 per month.
Which C-SNP plan do most beneficiaries with chronic conditions choose in Lee County?
The leading C-SNP in Lee County is UHC Complete Care IA-5 (C-SNP), with 74 members.
How many Chronic Condition SNPs are offered in Lee County?
In 2026, Lee County offers 1 C-SNPs with 74 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.
Understanding Enrollment Windows
- Initial Enrollment Period (IEP): Beginning three months before you turn 65 and lasting until three months after, this is the initial chance to join Medicare. You may also select a Medicare Advantage plan if it fits your needs. 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
Ways to Enroll in Medicare Advantage Special Needs Plans
- Consult a Licensed Agent: Call a licensed insurance agent at HealthCompare 1-833-748-3201 (TTY 711), available Monday through Friday 5am–6pm and Saturday 6am–5pm PST, for help reviewing your Medicare options.
- 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 Donnellson, Fort Madison, Keokuk, Montrose, West Point, Wever, and all other areas of Lee County, Iowa.
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 Lee 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.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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.