Understanding Medicare Special Needs Plans in Hamilton County, Ohio
In Hamilton County, OH, Medicare beneficiaries have access to 34 Special Needs Plans (SNPs) in 2026. Among them, 6 are available at a $0 premium. About 14,302 people in the County are enrolled, with 65% 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.
| Health Plan Name | CMS Rating* | Premium Per Mo | Network |
|---|---|---|---|
| CareSource MyCare Ohio | $31 | HMO D-SNP | |
| UHC Dual Complete OH-D1 | $31 | PPO D-SNP | |
| Aetna Medicare Dual Care | $18 | HMO D-SNP | |
| Aetna Medicare Partial Dual | $17 | HMO D-SNP | |
| DEVOTED DUAL 011 OH | $31 | HMO D-SNP | |
| DEVOTED DUAL PLUS 010 OH | $31 | HMO D-SNP | |
| UHC Dual Complete OH-D001 | $28 | HMO D-SNP | |
| UHC Dual Complete OH-V001 | $31 | HMO D-SNP | |
| Humana Dual Select H5525-046 | $31 | PPO D-SNP | |
| Humana Gold Plus SNP-DE H6622-015 | $17 | HMO D-SNP | |
| Humana Gold Plus SNP-DE H6622-087 | $5 | HMO D-SNP | |
| HealthSpring TotalCare | $0 | HMO D-SNP | |
| HealthSpring TotalCare Plus | $1 | HMO D-SNP | |
| Molina Complete Care for MyCare Ohio | $20 | HMO D-SNP | |
| Wellcare Dual Access | $27 | HMO-POS D-SNP | |
| Wellcare Dual Reserve | $31 | HMO-POS D-SNP | |
| Anthem Dual Advantage | $7 | HMO D-SNP | |
| Anthem I MyCare Ohio Full Dual Advantage | $26 | HMO D-SNP | |
| UHC Dual Complete OH-S2 | $31 | HMO D-SNP | |
| Wellcare Buckeye MyCare Ohio Dual Align | $31 | HMO D-SNP |
What is the total number of D-SNP options in Hamilton County?
Hamilton County has 20 D-SNP options for 2026, serving 11,607 members.
How much do D-SNP plans cost on average in Hamilton County?
The mean monthly D-SNP premium in Hamilton County is $22.44, with 1 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
- 7
- Average Premium
- $26.91/mo
- Beneficiaries Enrolled
- 950
- $0 Premium I-SNPs
- 1
- Average MOOP
- $15,471
- Most Popular I-SNP
- CommuniCare Advantage ISNP (I-SNP) with 513 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network |
|---|---|---|---|
| UHC Care Advantage OH-E001 | $31 | PPO I-SNP | |
| UHC Nursing Home Plan OH-F001 | $31 | PPO I-SNP | |
| Aetna Medicare Longevity | $31 | HMO I-SNP | |
| Valor Health Plan | $31 | HMO I-SNP | |
| CommuniCare Advantage ISNP | $31 | HMO I-SNP | |
| Perennial Advantage Premier | $0 | HMO-POS I-SNP | |
| Perennial Advantage Strive | $31 | HMO I-SNP |
What is the total number of I-SNP options in Hamilton County?
There are 7 I-SNP plans in 2026, covering 950 beneficiaries.
How much do I-SNP plans cost on average in Hamilton County?
The average I-SNP premium is $26.91, with 1 costing $0.
What I-SNP plan has the highest enrollment in Hamilton County?
CommuniCare Advantage ISNP (I-SNP) is the most popular I-SNP in Hamilton County, with 513 enrollees.
What is the total number of I-SNP options in Hamilton County?
There are 7 I-SNP plans in 2026, covering 950 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 7
- Average Premium $13.03/mo
- Beneficiaries Enrolled 1,745
- $0 Premium C-SNPs 4
- Average MOOP $15,871
- Most Popular C-SNP UHC Complete Care OH-18 (C-SNP) with 1,553 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network |
|---|---|---|---|
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | |
| Aetna Medicare Chronic Care Total | $28 | HMO C-SNP | |
| DEVOTED C-SNP PLUS 016 OH | $31 | HMO C-SNP | |
| DEVOTED C-SNP PREMIUM 018 OH | $31 | HMO C-SNP | |
| UHC Complete Care OH-18 | $0 | HMO-POS C-SNP | |
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | |
| CommuniCare Advantage CSNP | $0 | HMO C-SNP |
- What is the average premium for C-SNP plans in Hamilton County?
- On average, C-SNP plans in Hamilton County cost $13.03 per month.
- Which C-SNP is the most popular in Hamilton County?
- The leading C-SNP in Hamilton County is UHC Complete Care OH-18 (C-SNP), with 1,553 members.
- How many C-SNP plans are available in Hamilton County?
- In 2026, Hamilton County offers 7 C-SNPs with 1,745 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 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 Cleves, Harrison, North Bend, Terrace Park, Cincinnati, and all other areas of Hamilton County, Ohio.
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
- 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 managed by David Bynon, Medicare Analyst.