Understanding Medicare Special Needs Plans in Macomb County, Michigan
For 2026, residents of Macomb County, MI can choose from 20 Special Needs Plan options. Of these, 11 cost nothing beyond the Part B premium. Enrollment in the County is about 17,471, with 7% 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 Macomb County, MI.
- 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
- 8
- Average Premium
- $6.35/mo
- Beneficiaries Enrolled
- 14,147
- $0 Premium D-SNPs
- 2
- Zero Cost D-SNPs
- 8
- Most Popular D-SNP
- Humana Dual Integrated (D-SNP) with 4,654 enrollees
- D-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| PriorityMedicare Dual Premier | $9 | HMO D-SNP | H8379 003 4 | |
| UHC Dual Complete MI-Y1 | $7 | HMO D-SNP | H2247 005 0 | |
| Molina Dual MI Coordinated Health | $0 | HMO D-SNP | H5926 008 0 | |
| Aetna Medicare HIDE | $9 | HMO D-SNP | H9314 001 0 | |
| AmeriHealth Caritas VIP Care | $9 | HMO D-SNP | H6341 001 0 | |
| HAP CareSource MI Coordinated Health | $9 | HMO D-SNP | H4193 001 0 | |
| Humana Dual Integrated | $0 | HMO D-SNP | H0963 001 0 | |
| Wellcare Meridian Dual Align | $9 | HMO D-SNP | H7435 001 0 |
What is the typical monthly premium for D-SNPs in Macomb County?
On average, D-SNP plans in Macomb County cost $6.35 per month.
Which D-SNP plan do most dual eligible beneficiaries choose in Macomb County?
The leading D-SNP in Macomb County is Humana Dual Integrated (D-SNP), with 4,654 members.
How many Dual Eligible SNPs are offered in Macomb County?
In 2026, Macomb County offers 8 D-SNPs with 14,147 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 3
- Average Premium $5.87/mo
- Beneficiaries Enrolled 409
- $0 Premium I-SNPs 1
- Average MOOP $13,633
- Most Popular I-SNP Longevity Health Plan (I-SNP) with 237 enrollees
- I-SNPs Without Drug Coverage 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Premier Care | $0 | HMO-POS I-SNP | H6832 004 0 | |
| Senior Care | $9 | HMO I-SNP | H6832 001 0 | |
| Longevity Health Plan | $9 | HMO I-SNP | H7557 001 0 |
- What is the average premium for I-SNP plans in Macomb County?
- On average, I-SNP plans in Macomb County cost $5.87 per month.
- Which I-SNP is the most popular in Macomb County?
- The leading I-SNP in Macomb County is Longevity Health Plan (I-SNP), with 237 members.
- How many I-SNP plans are available in Macomb County?
- In 2026, Macomb County offers 3 I-SNPs with 409 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
- 9
- Average Premium
- $0.98/mo
- Beneficiaries Enrolled
- 2,915
- $0 Premium C-SNPs
- 8
- Average MOOP
- $12,343
- Most Popular C-SNP
- HumanaChoice - Diabetes and Heart (C-SNP) with 958 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| HAP Medicare Diabetes and Heart | $9 | HMO C-SNP | H2354 030 0 | |
| HumanaChoice - Diabetes and Heart | $0 | PPO C-SNP | H5216 375 0 | |
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | H3192 033 0 | |
| Humana Gold Plus Chronic Kidney Disease | $0 | HMO C-SNP | H8908 006 0 | |
| Zing Open Choice Diabetes & Heart MI | $0 | PPO C-SNP | H6876 003 0 | |
| Zing Elite Balance MI | $0 | HMO C-SNP | H4624 046 0 | |
| Zing Elite Diabetes & Heart MI | $0 | HMO C-SNP | H4624 032 0 | |
| Zing Select Diabetes & Heart MI | $0 | HMO C-SNP | H4624 012 0 | |
| Zing Select Dialysis MI | $0 | HMO C-SNP | H4624 023 0 |
What is the total number of C-SNP options in Macomb County?
Macomb County has 9 C-SNP options for 2026, serving 2,915 members.
How much do C-SNP plans cost on average in Macomb County?
The mean monthly C-SNP premium in Macomb County is $0.98, with 8 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 Armada, Center Line, Eastpointe, Fraser, Clinton Township, Macomb, Mount Clemens, Harrison Township, New Baltimore, New Haven, Richmond, Romeo, Roseville, Saint Clair Shores, Warren, Washington, Ray, Sterling Heights, Utica, and all other areas of Macomb County, Michigan. For a broader statewide overview, see Medicare plan options in Michigan.
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 Macomb 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.