Understanding Medicare Special Needs Plans in Seneca County, Ohio
For 2027, residents of Seneca County, OH can choose from 25 Special Needs Plan options. Of these, 19 cost nothing beyond the Part B premium. Enrollment in the County is about 626, with 60% 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 Seneca County, OH.
Last update: . Enrollment data last updated: October 5, 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
- 11
- Average Premium
- $6.69/mo
- Beneficiaries Enrolled
- 194
- $0 Premium D-SNPs
- 7
- Zero Cost D-SNPs
- 9
- Most Popular D-SNP
- Anthem Dual Advantage (D-SNP) with 91 enrollees
- D-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| CareSource MyCare Ohio | $21 | HMO D-SNP | H6396 017 0 | |
| Molina Complete Care Connect for MyCare Ohio | $21 | HMO D-SNP | H9955 009 0 | |
| Molina Complete Care for MyCare Ohio | $21 | HMO D-SNP | H9955 008 0 | |
| Anthem Dual Advantage | $0 | HMO D-SNP | H2628 005 0 | |
| Anthem Dual Advantage Plus | $0 | HMO D-SNP | H2628 006 0 | |
| Anthem I MyCare Ohio Full Dual Advantage | $0 | HMO D-SNP | H2628 007 0 | |
| Anthem I MyCare Ohio Full Dual Support | $0 | HMO D-SNP | H2628 001 0 | |
| Wellcare Buckeye Health Dual Access | $0 | HMO D-SNP | H4158 002 0 | |
| Wellcare Buckeye Health Dual Reserve | $0 | HMO D-SNP | H4158 003 0 | |
| Wellcare Buckeye MyCare Ohio Dual Align | $10 | HMO D-SNP | H4158 004 0 | |
| Wellcare Buckeye MyCare Ohio Dual Align Unity | $0 | HMO D-SNP | H4158 001 0 |
What is the average premium for D-SNP plans in Seneca County?
On average, D-SNP plans in Seneca County cost $6.69 per month.
Which D-SNP is the most popular in Seneca County?
The leading D-SNP in Seneca County is Anthem Dual Advantage (D-SNP), with 91 members.
How many D-SNP plans are available in Seneca County?
In 2027, Seneca County offers 11 D-SNPs with 194 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 $7.03/mo
- Beneficiaries Enrolled 14
- $0 Premium I-SNPs 4
- Average MOOP $16,727
- Most Popular I-SNP Valor Health Plan (I-SNP) with 14 enrollees
- I-SNPs Without Drug Coverage 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Humana Senior Living Plan | $0 | PPO I-SNP | H7617 142 0 | |
| Humana Together in Health | $0 | PPO I-SNP | H7617 140 0 | |
| Humana Together in Health | $0 | PPO I-SNP | H5216 401 0 | |
| Valor Health Plan | $21 | HMO I-SNP | H1119 001 0 | |
| Perennial Advantage Premier | $0 | HMO-POS I-SNP | H8797 004 0 | |
| Perennial Advantage Strive | $21 | HMO I-SNP | H8797 001 0 |
What is the typical monthly premium for I-SNPs in Seneca County?
On average, I-SNP plans in Seneca County cost $7.03 per month.
Which I-SNP plan do most institutionalized beneficiaries choose in Seneca County?
The leading I-SNP in Seneca County is Valor Health Plan (I-SNP), with 14 members.
How many Institutional SNPs are offered in Seneca County?
In 2027, Seneca County offers 6 I-SNPs with 14 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
- 8
- Average Premium
- $0.00/mo
- Beneficiaries Enrolled
- 418
- $0 Premium C-SNPs
- 8
- Average MOOP
- $16,138
- Most Popular C-SNP
- UHC Complete Care OH-18 (C-SNP) with 159 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| DEVOTED C-SNP ENHANCED 017 OH | $0 | HMO C-SNP | H2697 017 0 | |
| DEVOTED C-SNP GIVEBACK EXTRAS 024 OH | $0 | HMO C-SNP | H2697 024 0 | |
| DEVOTED C-SNP PLUS 016 OH | $0 | HMO C-SNP | H2697 016 0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H6622 017 0 | |
| UHC Complete Care OH-18 | $0 | HMO-POS C-SNP | H5253 190 0 | |
| UHC Complete Care Support OH-2A | $0 | HMO-POS C-SNP | H5253 264 0 | |
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | H0628 039 0 | |
| Aetna Medicare Chronic Care Total | $0 | HMO C-SNP | H0628 034 0 |
What C-SNP plan has the highest enrollment in Seneca County?
UHC Complete Care OH-18 (C-SNP) is the most popular C-SNP in Seneca County, with 159 enrollees.
What is the total number of C-SNP options in Seneca County?
There are 8 C-SNP plans in 2027, covering 418 beneficiaries.
Choosing the right Medicare Special Needs Plan (SNP) in Seneca County depends on enrolling at the right time. Understanding the different enrollment periods will help ensure that you get the coverage that best meets your needs.
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): 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: You may enroll through a plan provider’s website or speak with their customer support staff to complete your application.
- Use Medicare.gov: Visit Medicare.gov to shop for plans, review benefits, and submit your enrollment electronically.
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 Alvada, Attica, Bloomville, Fostoria, Green Springs, New Riegel, Republic, Tiffin, and all other areas of Seneca County, Ohio. For a broader statewide overview, see Medicare plan options in Ohio.
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 Seneca 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, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.