Understanding Medicare Special Needs Plans in Queens County, New York
For 2027, residents of Queens County, NY can choose from 38 Special Needs Plan options. Of these, 13 cost nothing beyond the Part B premium. Enrollment in the County is about 130,850, with 43% 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 Queens County, NY.
- 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
- 27
- Average Premium
- $28.44/mo
- Beneficiaries Enrolled
- 128,215
- $0 Premium D-SNPs
- 6
- Zero Cost D-SNPs
- 20
- Most Popular D-SNP
- Healthfirst Life Improvement Plan (D-SNP) with 49,950 enrollees
- D-SNPs Without Drug Coverage
- 0
What is the typical monthly premium for D-SNPs in Queens County?
On average, D-SNP plans in Queens County cost $28.44 per month.
Which D-SNP plan do most dual eligible beneficiaries choose in Queens County?
The leading D-SNP in Queens County is Healthfirst Life Improvement Plan (D-SNP), with 49,950 members.
How many Dual Eligible SNPs are offered in Queens County?
In 2027, Queens County offers 27 D-SNPs with 128,215 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 6
- Average Premium $16.02/mo
- Beneficiaries Enrolled 964
- $0 Premium I-SNPs 2
- Average MOOP $19,333
- Most Popular I-SNP UHC Nursing Home Plan NY-F002 (I-SNP) with 890 enrollees
- I-SNPs Without Drug Coverage 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| UHC Nursing Home Plan NY-F002 | $0 | PPO I-SNP | H2292 002 0 | |
| Aetna Medicare Longevity | $11 | PPO I-SNP | H5521 461 0 | |
| Elderplan Advantage For Nursing Home Residents | $34 | HMO-POS I-SNP | H3347 003 0 | |
| Elderplan Select | $0 | HMO-POS I-SNP | H3347 018 0 | |
| ElderServe Star | $22 | HMO I-SNP | H6776 001 0 | |
| Longevity Health Plan | $30 | HMO I-SNP | H8457 001 0 |
- What is the average premium for I-SNP plans in Queens County?
- On average, I-SNP plans in Queens County cost $16.02 per month.
- Which I-SNP is the most popular in Queens County?
- The leading I-SNP in Queens County is UHC Nursing Home Plan NY-F002 (I-SNP), with 890 members.
- How many I-SNP plans are available in Queens County?
- In 2027, Queens County offers 6 I-SNPs with 964 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
- 5
- Average Premium
- $0.00/mo
- Beneficiaries Enrolled
- 1,671
- $0 Premium C-SNPs
- 5
- Average MOOP
- $19,620
- Most Popular C-SNP
- Aetna Medicare Chronic Care (C-SNP) with 1,671 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | H3312 091 0 | |
| Aetna Medicare Chronic Care Total | $0 | HMO C-SNP | H3312 111 0 | |
| DEVOTED C-SNP CHOICE ENHANCED 019 NY | $0 | PPO C-SNP | H5334 019 0 | |
| DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 025 NY | $0 | PPO C-SNP | H5334 025 0 | |
| DEVOTED C-SNP CHOICE PLUS 013 NY | $0 | PPO C-SNP | H5334 013 0 |
What is the total number of C-SNP options in Queens County?
Queens County has 5 C-SNP options for 2027, serving 1,671 members.
How much do C-SNP plans cost on average in Queens County?
The mean monthly C-SNP premium in Queens County is $0.00, with 5 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: Our licensed agents can explain your Medicare Advantage choices. Reach them at 1-833-748-3201 (TTY 711), Mon-Fri 8AM-10PM, Sat 9AM-8PM EST.
- 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 Glen Oaks, Floral Park, Long Island City, Astoria, Sunnyside, Flushing, College Point, Whitestone, Bayside, Little Neck, Oakland Gardens, Fresh Meadows, Corona, East Elmhurst, Jackson Heights, Elmhurst, Rego Park, Forest Hills, Woodside, Maspeth, Middle Village, Ridgewood, Cambria Heights, Saint Albans, Springfield Gardens, Howard Beach, Kew Gardens, Ozone Park, Richmond Hill, South Richmond Hill, South Ozone Park, Woodhaven, Rosedale, Hollis, Bellerose, Queens Village, Jamaica, Far Rockaway, Arverne, Rockaway Park, Breezy Point, and all other areas of Queens 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 Queens 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
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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.