Understanding Medicare Special Needs Plans in Martin County, North Carolina
Martin County, NC offers 18 Special Needs Plans (SNPs) in 2026, including 3 with no monthly premium. Currently, about 1,353 beneficiaries are enrolled, and 73% of SNPs have a 4-star rating or higher. These plans are designed for Medicare beneficiaries who meet special eligibility criteria, such as dual coverage, qualifying chronic conditions, or residence in a long-term care facility.
Page last revised:
Enrollment data refreshed: May 2, 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.
- Total D-SNP Plans: 14
- Average Premium: $26.90/mo
- Beneficiaries Enrolled: 1,120
- $0 Premium D-SNPs: 0
- Zero Cost D-SNP Plans: 9
- Most Popular D-SNP: UHC Dual Complete NC-S3 (D-SNP) with 405 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana Dual Select H1036-307 | $13 | HMO D-SNP | H1036 307 0 | |
| Humana Gold Plus SNP-DE H1036-167 | $14 | HMO D-SNP | H1036 167 0 | |
| Humana Gold Plus SNP-DE H1036-331 | $20 | HMO D-SNP | H1036 331 0 | |
| Aetna Medicare Dual | $36 | HMO D-SNP | H3146 002 0 | |
| UHC Dual Complete NC-D001 | $25 | HMO-POS D-SNP | H5253 041 0 | |
| UHC Dual Complete NC-S001 | $36 | PPO D-SNP | H1889 005 0 | |
| UHC Dual Complete NC-S2 | $36 | PPO D-SNP | H1889 034 0 | |
| UHC Dual Complete NC-S3 | $36 | HMO-POS D-SNP | H5253 184 0 | |
| UHC Dual Complete NC-V001 | $36 | HMO-POS D-SNP | H5253 116 0 | |
| Healthy Blue + Medicare | $19 | HMO-POS D-SNP | H9147 001 0 | |
| Humana Dual Select H5525-072 | $34 | PPO D-SNP | H5525 072 0 | |
| HumanaChoice SNP-DE H5525-036 | $30 | PPO D-SNP | H5525 036 0 | |
| Wellcare Dual Liberty Open | $26 | PPO D-SNP | H1914 008 0 | |
| Liberty Medicare Dual Plan | $15 | HMO D-SNP | H6351 005 0 |
What D-SNP plan has the highest enrollment in Martin County?
UHC Dual Complete NC-S3 (D-SNP) is the most popular D-SNP in Martin County, with 405 enrollees.
What is the total number of D-SNP options in Martin County?
There are 14 D-SNP plans in 2026, covering 1,120 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
- 1
- Average Premium
- $36.20/mo
- Beneficiaries Enrolled
- 0
- $0 Premium I-SNPs
- 0
- Average MOOP
- $13,600
- Most Popular I-SNP
- with 0 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Liberty Medicare Advantage Nursing Home Plan | $36 | HMO I-SNP | H6351 001 0 |
What is the total number of I-SNP options in Martin County?
Martin County has 1 I-SNP options for 2026, serving 0 members.
How much do I-SNP plans cost on average in Martin County?
The mean monthly I-SNP premium in Martin County is $36.20, with 0 at no cost.
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 3
- Average Premium $0.00/mo
- Beneficiaries Enrolled 233
- $0 Premium C-SNPs 3
- Average MOOP $12,433
- Most Popular C-SNP UHC Complete Care NC-27 (C-SNP) with 182 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H1036 308 0 | |
| UHC Complete Care NC-27 | $0 | HMO-POS C-SNP | H5253 188 0 | |
| Liberty Medicare Advantage | $0 | HMO C-SNP | H6351 004 0 |
What is the typical monthly premium for C-SNPs in Martin County?
On average, C-SNP plans in Martin County cost $0.00 per month.
Which C-SNP plan do most beneficiaries with chronic conditions choose in Martin County?
The leading C-SNP in Martin County is UHC Complete Care NC-27 (C-SNP), with 182 members.
How many Chronic Condition SNPs are offered in Martin County?
In 2026, Martin County offers 3 C-SNPs with 233 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.
Understanding Enrollment Windows
- Initial Enrollment Period (IEP): Beginning three months before you turn 65 and lasting until three months after, this is the initial chance to join Medicare. You may also select a Medicare Advantage plan if it fits your needs. 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
Ways to Enroll in Medicare Advantage Special Needs Plans
- Consult a Licensed Agent: Call a licensed insurance agent at HealthCompare 1-833-748-3201 (TTY 711), available Monday through Friday 5am–6pm and Saturday 6am–5pm PST, 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 Jamesville, Oak City, Robersonville, Williamston, and all other areas of Martin County, North Carolina.
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 Martin 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.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — 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 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.