Understanding Medicare Special Needs Plans in Suffolk County, New York
For 2026, residents of Suffolk County, NY can choose from 24 Special Needs Plan options. Of these, 1 cost nothing beyond the Part B premium. Enrollment in the County is about 24,989, with 35% 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.
Last update: . Enrollment data last updated: May 2, 2026
* CMS rates Medicare Advantage plans annually using a 5-star system. 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
- 24,533
- $0 Premium D-SNPs
- 0
- Zero Cost D-SNPs
- 18
- Most Popular D-SNP
- Aetna Medicare Full Dual Care (D-SNP) with 5,969 enrollees
- D-SNPs Without Drug Coverage
- 0
- What is the average premium for D-SNP plans in Suffolk County?
- On average, D-SNP plans in Suffolk County cost $54.26 per month.
- Which D-SNP is the most popular in Suffolk County?
- The leading D-SNP in Suffolk County is Aetna Medicare Full Dual Care (D-SNP), with 5,969 members.
- How many D-SNP plans are available in Suffolk County?
- In 2026, Suffolk County offers 19 D-SNPs with 24,533 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.
| Plan Name | CMS Stars* | Premium/Mo | Network | CMS ID |
|---|---|---|---|---|
| Aetna Medicare Longevity | $59 | PPO I-SNP | H5521 461 0 | |
| UHC Nursing Home Plan NY-F002 | $51 | PPO I-SNP | H2292 002 0 | |
| Elderplan Advantage For Nursing Home Residents | $45 | HMO-POS I-SNP | H3347 003 0 | |
| Elderplan Select | $0 | HMO-POS I-SNP | H3347 018 0 | |
| Longevity Health Plan | $59 | HMO I-SNP | H8457 001 0 |
What is the average premium for I-SNP plans in Suffolk County?
On average, I-SNP plans in Suffolk County cost $42.76 per month.
Which I-SNP is the most popular in Suffolk County?
The leading I-SNP in Suffolk County is UHC Nursing Home Plan NY-F002 (I-SNP), with 261 members.
How many I-SNP plans are available in Suffolk County?
In 2026, Suffolk County offers 5 I-SNPs with 456 enrollees.
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): Each year from January 1 through March 31, you may change to another Medicare Advantage plan or drop your plan and return 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): Outside the standard enrollment dates, you may qualify for a Special Enrollment Period if specific circumstances apply, including relocation or coverage loss. 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 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.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 May 2, 2026
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 Suffolk 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, "Compare Original Medicare & Medicare Advantage" — 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, Medicare Technical Operator, using a standardized, data-driven methodology designed for accurate, non-commercial Medicare plan interpretation and resolution.