Understanding Medicare Special Needs Plans in Delaware County, Pennsylvania
In Delaware County, PA, Medicare beneficiaries have access to 30 Special Needs Plans (SNPs) in 2025. Among them, 19 are available at a $0 premium. About 9,574 people in the County are enrolled, with 46% 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: September 16, 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 |
|---|---|---|---|
| Aetna Medicare Advantra Cares | $0 | HMO D-SNP | |
| Aetna Medicare Community Complete | $0 | HMO D-SNP | |
| Geisinger Gold Secure Rx | $48 | HMO D-SNP | |
| Highmark Wholecare Medicare Assured Diamond | $0 | HMO D-SNP | |
| Highmark Wholecare Medicare Assured Ruby | $43 | HMO D-SNP | |
| Cigna TotalCare Plus | $0 | HMO D-SNP | |
| Humana Gold Plus SNP-DE H6622-078 | $0 | HMO D-SNP | |
| HumanaChoice SNP-DE H5216-373 | $0 | PPO D-SNP | |
| Jefferson Health Plans Dual Pearl | $0 | HMO D-SNP | |
| Jefferson Health Plans Special | $0 | HMO D-SNP | |
| Keystone First VIP Choice | $0 | HMO D-SNP | |
| UHC Dual Complete PA-S001 | $0 | PPO D-SNP | |
| UHC Dual Complete PA-S002 | $0 | HMO-POS D-SNP | |
| UHC Dual Complete PA-V001 | $47 | HMO-POS D-SNP | |
| UPMC for Life Complete Care | $0 | HMO D-SNP | |
| Wellcare Dual Access | $0 | HMO D-SNP | |
| Wellcare Dual Access Open | $0 | PPO D-SNP | |
| Wellcare Dual Reserve Open | $47 | PPO D-SNP | |
| Devoted DUAL PLUS Pennsylvania | $31 | HMO D-SNP |
What is the total number of D-SNP options in Delaware County?
Delaware County has 19 D-SNP options for 2025, serving 8,568 members.
How much do D-SNP plans cost on average in Delaware County?
The mean monthly D-SNP premium in Delaware County is $11.38, with 14 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
- 6
- Average Premium
- $32.05/mo
- Beneficiaries Enrolled
- 232
- $0 Premium I-SNPs
- 2
- Average MOOP
- $11,717
- Most Popular I-SNP
- UHC Nursing Home Plan EX-F002 (I-SNP) with 138 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network |
|---|---|---|---|
| Aetna Medicare Longevity | $48 | HMO I-SNP | |
| Erickson Advantage Guardian | $0 | HMO-POS I-SNP | |
| UHC Nursing Home Plan EX-F002 | $48 | PPO I-SNP | |
| Provider Partners Pennsylvania Advantage Plan | $48 | HMO I-SNP | |
| Provider Partners Pennsylvania Community Plan | $0 | HMO I-SNP | |
| Provider Partners Pennsylvania Essential Plan | $47 | HMO I-SNP |
What is the total number of I-SNP options in Delaware County?
There are 6 I-SNP plans in 2025, covering 232 beneficiaries.
How much do I-SNP plans cost on average in Delaware County?
The average I-SNP premium is $32.05, with 2 costing $0.
What I-SNP plan has the highest enrollment in Delaware County?
UHC Nursing Home Plan EX-F002 (I-SNP) is the most popular I-SNP in Delaware County, with 138 enrollees.
What is the total number of I-SNP options in Delaware County?
There are 6 I-SNP plans in 2025, covering 232 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 5
- Average Premium $43.08/mo
- Beneficiaries Enrolled 774
- $0 Premium C-SNPs 3
- Average MOOP $12,240
- Most Popular C-SNP UHC Complete Care PA-17 (C-SNP) with 386 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network |
|---|---|---|---|
| Aetna Medicare Prime Chronic Care | $0 | HMO C-SNP | |
| Aetna Medicare Prime Chronic Value | $48 | HMO C-SNP | |
| Erickson Advantage Champion | $167 | HMO-POS C-SNP | |
| UHC Complete Care PA-17 | $0 | HMO-POS C-SNP | |
| Cigna Achieve Medicare | $0 | HMO C-SNP |
- What is the average premium for C-SNP plans in Delaware County?
- On average, C-SNP plans in Delaware County cost $43.08 per month.
- Which C-SNP is the most popular in Delaware County?
- The leading C-SNP in Delaware County is UHC Complete Care PA-17 (C-SNP), with 386 members.
- How many C-SNP plans are available in Delaware County?
- In 2025, Delaware County offers 5 C-SNPs with 774 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 Broomall, Bryn Mawr, Chester, Aston, Brookhaven, Clifton Heights, Crum Lynne, Darby, Drexel Hill, Essington, Folcroft, Folsom, Glenolden, Holmes, Lansdowne, Garnet Valley, Marcus Hook, Media, Springfield, Morton, Newtown Square, Norwood, Prospect Park, Ridley Park, Sharon Hill, Swarthmore, Upper Darby, Havertown, Villanova, Wallingford, Wayne, Woodlyn, Chadds Ford, Cheyney, Glen Mills, Thornton, and all other areas of Delaware County, Pennsylvania.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, 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 13, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed September 13, 2025
- CMS.gov, Plan Benefits Package — Last accessed September 13, 2025
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Last accessed September 16, 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.