Understanding Medicare Special Needs Plans in Cumberland County, Maine
Cumberland County, ME offers 16 Special Needs Plans (SNPs) in 2027, including 14 with no monthly premium. Currently, about 6,395 beneficiaries are enrolled, and 63% 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.
You can also review all Medicare coverage options available in Cumberland County, ME.
Page last revised:
Enrollment data refreshed: October 5, 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: 12
- Average Premium: $0.63/mo
- Beneficiaries Enrolled: 6,094
- $0 Premium D-SNPs: 11
- Zero Cost D-SNP Plans: 12
- Most Popular D-SNP: UHC Dual Complete ME-Q2 (D-SNP) with 1,581 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Dual Complete ME-Q2 | $0 | PPO D-SNP | H2001 069 1 | |
| UHC Dual Complete ME-S1 | $0 | PPO D-SNP | H2001 068 1 | |
| Aetna Medicare Full Dual | $0 | HMO-POS D-SNP | H3597 011 0 | |
| Aetna Medicare Partial Dual | $8 | HMO-POS D-SNP | H3597 012 0 | |
| Humana Gold Plus SNP-DE H5619-003 | $0 | HMO D-SNP | H5619 003 0 | |
| Humana Gold Plus SNP-DE H5619-182 | $0 | HMO D-SNP | H5619 182 0 | |
| HumanaChoice SNP-DE H5216-291 | $0 | PPO D-SNP | H5216 291 0 | |
| Anthem | MaineHealth Dual Advantage | $0 | HMO D-SNP | H9065 016 0 | |
| Anthem I MaineHealth Advantage Dual Plus | $0 | HMO D-SNP | H9065 001 0 | |
| Wellcare Dual Access | $0 | HMO-POS D-SNP | H9364 002 0 | |
| Wellcare Dual Access Open | $0 | PPO D-SNP | H2775 115 0 | |
| Wellcare Dual Liberty | $0 | HMO-POS D-SNP | H9364 003 0 |
What D-SNP plan has the highest enrollment in Cumberland County?
UHC Dual Complete ME-Q2 (D-SNP) is the most popular D-SNP in Cumberland County, with 1,581 enrollees.
What is the total number of D-SNP options in Cumberland County?
There are 12 D-SNP plans in 2027, covering 6,094 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
- $18.10/mo
- Beneficiaries Enrolled
- 30
- $0 Premium I-SNPs
- 0
- Average MOOP
- $19,700
- Most Popular I-SNP
- UHC Nursing Home Plan EX-F003 (I-SNP) with 30 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Nursing Home Plan EX-F003 | $18 | PPO I-SNP | H0710 026 0 |
What is the total number of I-SNP options in Cumberland County?
Cumberland County has 1 I-SNP options for 2027, serving 30 members.
How much do I-SNP plans cost on average in Cumberland County?
The mean monthly I-SNP premium in Cumberland County is $18.10, 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 3
- Average Premium $0.00/mo
- Beneficiaries Enrolled 271
- $0 Premium C-SNPs 3
- Average MOOP $14,300
- Most Popular C-SNP UHC Complete Care ME-6 (C-SNP) with 179 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H5619 181 0 | |
| UHC Complete Care ME-6 | $0 | HMO-POS C-SNP | H5253 161 0 | |
| Anthem | MaineHealth Chronic Care | $0 | HMO-POS C-SNP | H9065 014 0 |
What is the typical monthly premium for C-SNPs in Cumberland County?
On average, C-SNP plans in Cumberland County cost $0.00 per month.
Which C-SNP plan do most beneficiaries with chronic conditions choose in Cumberland County?
The leading C-SNP in Cumberland County is UHC Complete Care ME-6 (C-SNP), with 179 members.
How many Chronic Condition SNPs are offered in Cumberland County?
In 2027, Cumberland County offers 3 C-SNPs with 271 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 1-833-748-3201 (TTY 711), available Mon-Fri 8AM-10PM, Sat 9AM-8PM EST, 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 Bridgton, Brunswick, Casco, Cumberland Center, Sebago, Freeport, Gorham, Gray, Harrison, Naples, Windham, Pownal, Raymond, Scarborough, Harpswell, Standish, Steep Falls, Westbrook, Yarmouth, North Yarmouth, Portland, Falmouth, South Portland, Cape Elizabeth, Cumberland Foreside, New Gloucester, and all other areas of Cumberland County, Maine. For a broader statewide overview, see Medicare plan options in Maine.
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 Cumberland 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, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.