Understanding Medicare Special Needs Plans in Suffolk County, New York
In Suffolk County, NY, Medicare beneficiaries have access to 24 Special Needs Plans (SNPs) in 2026. Among them, 1 are available at a $0 premium. About 20,614 people in the County are enrolled, with 35% 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.
Page last revised:
Enrollment data refreshed: October 13, 2025
* 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: 19
- Average Premium: $54.26/mo
- Beneficiaries Enrolled: 20,148
- $0 Premium D-SNPs: 0
- Zero Cost D-SNP Plans: 18
- Most Popular D-SNP: Aetna Medicare Full Dual Care (D-SNP) with 5,327 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network |
|---|---|---|---|
| Anthem HealthPlus Full Dual Advantage LTSS 2 | $59 | HMO D-SNP | |
| Healthfirst Life Improvement Plan | $59 | HMO D-SNP | |
| UHC Dual Complete NY-S001 | $53 | PPO D-SNP | |
| UHC Dual Complete NY-Q001 | $31 | HMO-POS D-SNP | |
| UHC Dual Complete NY-S002 | $59 | HMO-POS D-SNP | |
| UHC Dual Complete NY-Y001 | $59 | HMO-POS D-SNP | |
| Anthem HealthPlus Full Dual Advantage | $59 | HMO D-SNP | |
| Anthem HealthPlus Full Dual Advantage LTSS | $59 | HMO D-SNP | |
| VNS Health EasyCare Plus | $52 | HMO D-SNP | |
| VNS Health Total | $59 | HMO D-SNP | |
| Aetna Medicare Full Dual Care | $59 | HMO D-SNP | |
| Aetna Medicare Partial Dual Care | $38 | HMO D-SNP | |
| EmblemHealth VIP Dual | $59 | HMO D-SNP | |
| EmblemHealth VIP Dual Enhanced | $59 | HMO D-SNP | |
| Humana Gold Plus SNP-DE H3533-034 | $34 | HMO D-SNP | |
| Wellcare Dual Access | $59 | HMO D-SNP | |
| Wellcare Dual Access Open | $59 | PPO D-SNP | |
| Wellcare Fidelis Dual Align | $59 | HMO D-SNP | |
| Wellcare Fidelis Dual Liberty Sync | $59 | HMO D-SNP |
What is the total number of D-SNP options in Suffolk County?
There are 19 D-SNP plans in 2026, covering 20,148 beneficiaries.
How much do D-SNP plans cost on average in Suffolk County?
The average D-SNP premium is $54.26, with 0 costing $0.
What D-SNP plan has the highest enrollment in Suffolk County?
Aetna Medicare Full Dual Care (D-SNP) is the most popular D-SNP in Suffolk County, with 5,327 enrollees.
What is the total number of D-SNP options in Suffolk County?
There are 19 D-SNP plans in 2026, covering 20,148 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
- 5
- Average Premium
- $42.76/mo
- Beneficiaries Enrolled
- 466
- $0 Premium I-SNPs
- 1
- Average MOOP
- $17,800
- Most Popular I-SNP
- UHC Nursing Home Plan NY-F002 (I-SNP) with 280 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network |
|---|---|---|---|
| Aetna Medicare Longevity | $59 | PPO I-SNP | |
| UHC Nursing Home Plan NY-F002 | $51 | PPO I-SNP | |
| Elderplan Advantage For Nursing Home Residents | $45 | HMO-POS I-SNP | |
| Elderplan Select | $0 | HMO-POS I-SNP | |
| Longevity Health Plan | $59 | HMO I-SNP |
What I-SNP plan has the highest enrollment in Suffolk County?
UHC Nursing Home Plan NY-F002 (I-SNP) is the most popular I-SNP in Suffolk County, with 280 enrollees.
What is the total number of I-SNP options in Suffolk County?
There are 5 I-SNP plans in 2026, covering 466 beneficiaries.
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): 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
How to Sign Up for a Special Needs Plan
- Licensed Agent Assistance: For one-on-one guidance, contact HealthCompare at 1-833-748-3201 (TTY 711). Agents are available Monday through Friday 5am–6pm and Saturday 6am–5pm PST.
- 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 Amityville, Babylon, North Babylon, West Babylon, Bayport, Bay Shore, Bellport, Blue Point, Bohemia, Brentwood, Brightwaters, Brookhaven, Centereach, Centerport, Central Islip, Cold Spring Harbor, Commack, Copiague, Coram, Deer Park, East Islip, East Northport, East Setauket, Farmingville, Great River, Greenlawn, Holbrook, Holtsville, Huntington, Huntington Station, Melville, Islandia, Islip, Islip Terrace, Kings Park, Lake Grove, Lindenhurst, Medford, Miller Place, Mount Sinai, Nesconset, Northport, Oakdale, Patchogue, Port Jefferson Station, Port Jefferson, Rocky Point, Ronkonkoma, Saint James, Sayville, Selden, Shoreham, Smithtown, Hauppauge, Sound Beach, Stony Brook, Wading River, West Islip, West Sayville, Wyandanch, Riverhead, Amagansett, Bridgehampton, Calverton, Center Moriches, Cutchogue, East Hampton, East Moriches, Eastport, East Quogue, Greenport, Hampton Bays, Laurel, Manorville, Mastic, Mastic Beach, Mattituck, Middle Island, Montauk, Moriches, Remsenburg, Ridge, Sag Harbor, Shelter Island, Shirley, Southampton, Southold, Speonk, Water Mill, Westhampton, Westhampton Beach, Yaphank, and all other areas of Suffolk County, New York.
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 Plan IDs Presented
The Medicare Special Needs Plan pages listed in the tables above include localization to assist beneficiaries with plans available in their service area. However, most Part C plans are available in more than one service area, which can lead to confusion. The following list of CMS IDs links to our master plan pages without localization.
- 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 October 13, 2025
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.
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
- 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 managed by David Bynon, Medicare Analyst.