Understanding Medicare Special Needs Plans in Broome County, New York
In Broome County, NY, Medicare beneficiaries have access to 18 Special Needs Plans (SNPs) in 2027. Among them, 8 are available at a $0 premium. About 4,349 people in the County are enrolled, with 40% 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 Broome County, NY.
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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Dual Complete NY-S001 | $19 | PPO D-SNP | H2001 063 1 | |
| UHC Dual Complete NY-Q001 | $0 | HMO-POS D-SNP | H3387 015 1 | |
| UHC Dual Complete NY-S002 | $32 | HMO-POS D-SNP | H3387 014 3 | |
| UHC Dual Complete NY-YL | $41 | HMO-POS D-SNP | H3387 013 0 | |
| Aetna Medicare Full Dual | $0 | HMO D-SNP | H3312 070 0 | |
| Humana Gold Plus SNP-DE H3533-036 | $0 | HMO D-SNP | H3533 036 2 | |
| Medicare Blue Dual | $24 | HMO D-SNP | H7524 003 0 | |
| Medicare Blue Dual Secure | $0 | HMO D-SNP | H7524 004 0 | |
| Wellcare Dual Access Open | $0 | PPO D-SNP | H2775 112 0 | |
| Wellcare Fidelis Dual Access | $0 | HMO D-SNP | H5599 016 0 | |
| Wellcare Fidelis Dual Align Unity | $41 | HMO D-SNP | H5599 003 0 | |
| Wellcare Fidelis Dual Liberty Sync | $0 | HMO D-SNP | H5599 014 0 | |
| Nascentia Dual Advantage | $27 | HMO D-SNP | H9066 003 0 | |
| Nascentia Medicaid Advantage Plus | $30 | HMO D-SNP | H9066 001 0 |
What is the total number of D-SNP options in Broome County?
Broome County has 14 D-SNP options for 2027, serving 3,923 members.
How much do D-SNP plans cost on average in Broome County?
The mean monthly D-SNP premium in Broome County is $15.22, with 7 at no cost.
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
- $13.43/mo
- Beneficiaries Enrolled
- 426
- $0 Premium I-SNPs
- 0
- Average MOOP
- $19,700
- Most Popular I-SNP
- Aetna Medicare Longevity (I-SNP) with 264 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| UHC Nursing Home Plan NY-F001 | $4 | PPO I-SNP | H2292 001 0 | |
| Aetna Medicare Longevity | $11 | PPO I-SNP | H5521 461 0 | |
| Nascentia Skilled Nursing Facility | $25 | HMO I-SNP | H9066 002 0 |
What is the total number of I-SNP options in Broome County?
There are 3 I-SNP plans in 2027, covering 426 beneficiaries.
How much do I-SNP plans cost on average in Broome County?
The average I-SNP premium is $13.43, with 0 costing $0.
What I-SNP plan has the highest enrollment in Broome County?
Aetna Medicare Longevity (I-SNP) is the most popular I-SNP in Broome County, with 264 enrollees.
What is the total number of I-SNP options in Broome County?
There are 3 I-SNP plans in 2027, covering 426 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.
- Total C-SNP Plans 1
- Average Premium $0.00/mo
- Beneficiaries Enrolled 0
- $0 Premium C-SNPs 1
- Average MOOP $19,700
- Most Popular C-SNP with 0 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Aetna Medicare Chronic Care Total | $0 | HMO C-SNP | H3312 112 0 |
- What is the average premium for C-SNP plans in Broome County?
- On average, C-SNP plans in Broome County cost $0.00 per month.
- Which C-SNP is the most popular in Broome County?
- The leading C-SNP in Broome County is , with 0 members.
- How many C-SNP plans are available in Broome County?
- In 2027, Broome County offers 1 C-SNPs with 0 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): Each fall, from October 15 to December 7, Medicare beneficiaries can review their coverage and make changes for the next plan 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 Castle Creek, Chenango Forks, Conklin, Deposit, Endicott, Harpursville, Johnson City, Kirkwood, Lisle, Port Crane, Vestal, Whitney Point, Windsor, Binghamton, and all other areas of Broome County, New York. For a broader statewide overview, see Medicare plan options in New York.
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 Broome 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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 20 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.