Understanding Medicare Special Needs Plans in Butler County, Pennsylvania
For 2026, residents of Butler County, PA can choose from 29 Special Needs Plan options. Of these, 5 cost nothing beyond the Part B premium. Enrollment in the County is about 3,349, with 67% 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.
- Page Updated
- Enrollment Data
- May 2, 2026
- CMS Quality Ratings
- * CMS reviews Medicare Advantage plans annually with a 5-star rating program. 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
- 18
- Average Premium
- $20.16/mo
- Beneficiaries Enrolled
- 2,795
- $0 Premium D-SNPs
- 2
- Zero Cost D-SNPs
- 12
- Most Popular D-SNP
- UPMC for Life Complete Care (D-SNP) with 999 enrollees
- D-SNPs Without Drug Coverage
- 0
What is the typical monthly premium for D-SNPs in Butler County?
On average, D-SNP plans in Butler County cost $20.16 per month.
Which D-SNP plan do most dual eligible beneficiaries choose in Butler County?
The leading D-SNP in Butler County is UPMC for Life Complete Care (D-SNP), with 999 members.
How many Dual Eligible SNPs are offered in Butler County?
In 2026, Butler County offers 18 D-SNPs with 2,795 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 $27.23/mo
- Beneficiaries Enrolled 234
- $0 Premium I-SNPs 1
- Average MOOP $16,283
- Most Popular I-SNP UHC Nursing Home Plan EX-F002 (I-SNP) with 173 enrollees
- I-SNPs Without Drug Coverage 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| UHC Nursing Home Plan EX-F002 | $33 | PPO I-SNP | H0710 017 0 | |
| Aetna Medicare Longevity | $33 | HMO I-SNP | H3959 066 0 | |
| American Health Advantage of Pennsylvania | $33 | HMO I-SNP | H9968 001 0 | |
| Provider Partners Pennsylvania Advantage Plan | $33 | HMO I-SNP | H4093 001 0 | |
| Provider Partners Pennsylvania Community Plan | $0 | HMO I-SNP | H4093 004 0 | |
| Provider Partners Pennsylvania Essential Plan | $33 | HMO I-SNP | H4093 008 0 |
- What is the average premium for I-SNP plans in Butler County?
- On average, I-SNP plans in Butler County cost $27.23 per month.
- Which I-SNP is the most popular in Butler County?
- The leading I-SNP in Butler County is UHC Nursing Home Plan EX-F002 (I-SNP), with 173 members.
- How many I-SNP plans are available in Butler County?
- In 2026, Butler County offers 6 I-SNPs with 234 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
- 5
- Average Premium
- $18.84/mo
- Beneficiaries Enrolled
- 320
- $0 Premium C-SNPs
- 2
- Average MOOP
- $15,580
- Most Popular C-SNP
- Aetna Medicare Chronic Care (C-SNP) with 126 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Aetna Medicare Chronic Care | $0 | HMO C-SNP | H3959 076 0 | |
| Aetna Medicare Chronic Care Value | $29 | HMO C-SNP | H3959 075 0 | |
| UHC Complete Care PA-17 | $0 | HMO-POS C-SNP | H5253 192 0 | |
| DEVOTED C-SNP PLUS 022 PA | $33 | HMO C-SNP | H6852 022 0 | |
| DEVOTED C-SNP PREMIUM 020 PA | $33 | HMO C-SNP | H6852 020 0 |
What is the total number of C-SNP options in Butler County?
Butler County has 5 C-SNP options for 2026, serving 320 members.
How much do C-SNP plans cost on average in Butler County?
The mean monthly C-SNP premium in Butler County is $18.84, with 2 at no cost.
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): Running from January 1 to March 31 each year, this period allows one change to your current Medicare Advantage coverage or a move back 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: 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 Butler, Boyers, Cabot, Chicora, Evans City, Fenelton, Harmony, Harrisville, Karns City, Lyndora, Mars, Petrolia, Portersville, Prospect, Renfrew, Sarver, Saxonburg, Slippery Rock, Valencia, West Sunbury, Zelienople, Cranberry Township, and all other areas of Butler County, Pennsylvania.
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 Butler 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, "Explore your Medicare coverage options" — 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.