Understanding Medicare Special Needs Plans in Lackawanna County, Pennsylvania
For 2026, residents of Lackawanna County, PA can choose from 20 Special Needs Plan options. Of these, 2 cost nothing beyond the Part B premium. Enrollment in the County is about 4,694, with 56% 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 Lackawanna County, PA.
Last update: . Enrollment data last updated: September 9, 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
- 15
- Average Premium
- $20.01/mo
- Beneficiaries Enrolled
- 4,377
- $0 Premium D-SNPs
- 1
- Zero Cost D-SNPs
- 10
- Most Popular D-SNP
- Geisinger Gold Secure Rx (D-SNP) with 1,360 enrollees
- D-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Geisinger Gold Secure Rx | $33 | HMO D-SNP | H3954 097 0 | |
| Aetna Community HealthChoices | $14 | HMO D-SNP | H3959 072 0 | |
| Aetna Medicare Advantra Dual | $14 | HMO D-SNP | H3959 036 0 | |
| AmeriHealth Caritas VIP Care | $33 | HMO D-SNP | H4227 002 0 | |
| UHC Dual Complete PA-S001 | $33 | PPO D-SNP | H1889 007 0 | |
| UPMC for Life Complete Care | $8 | HMO D-SNP | H4279 004 0 | |
| Humana Gold Plus SNP-DE H5377-003 | $3 | HMO D-SNP | H5377 003 0 | |
| Humana Gold Plus SNP-DE H6622-078 | $0 | HMO D-SNP | H6622 078 1 | |
| UHC Dual Complete PA-S002 | $7 | HMO-POS D-SNP | H3113 009 0 | |
| UHC Dual Complete PA-S3 | $19 | HMO-POS D-SNP | H3113 016 0 | |
| UHC Dual Complete PA-V001 | $30 | HMO-POS D-SNP | H3113 014 0 | |
| Wellcare Dual Liberty Sync | $33 | HMO-POS D-SNP | H2915 002 0 | |
| Wellcare Dual Select | $33 | HMO-POS D-SNP | H2915 018 0 | |
| DEVOTED DUAL FULL 025 PA | $20 | HMO D-SNP | H6852 025 0 | |
| DEVOTED DUAL PLUS 005 PA | $23 | HMO D-SNP | H6852 005 0 |
What is the average premium for D-SNP plans in Lackawanna County?
On average, D-SNP plans in Lackawanna County cost $20.01 per month.
Which D-SNP is the most popular in Lackawanna County?
The leading D-SNP in Lackawanna County is Geisinger Gold Secure Rx (D-SNP), with 1,360 members.
How many D-SNP plans are available in Lackawanna County?
In 2026, Lackawanna County offers 15 D-SNPs with 4,377 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 2
- Average Premium $32.65/mo
- Beneficiaries Enrolled 110
- $0 Premium I-SNPs 0
- Average MOOP $18,500
- Most Popular I-SNP UHC Nursing Home Plan EX-F002 (I-SNP) with 110 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 |
What is the typical monthly premium for I-SNPs in Lackawanna County?
On average, I-SNP plans in Lackawanna County cost $32.65 per month.
Which I-SNP plan do most institutionalized beneficiaries choose in Lackawanna County?
The leading I-SNP in Lackawanna County is UHC Nursing Home Plan EX-F002 (I-SNP), with 110 members.
How many Institutional SNPs are offered in Lackawanna County?
In 2026, Lackawanna County offers 2 I-SNPs with 110 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
- 3
- Average Premium
- $21.80/mo
- Beneficiaries Enrolled
- 207
- $0 Premium C-SNPs
- 1
- Average MOOP
- $15,300
- Most Popular C-SNP
- UHC Complete Care PA-17 (C-SNP) with 156 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| 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 017 PA | $33 | HMO C-SNP | H6852 017 0 |
What C-SNP plan has the highest enrollment in Lackawanna County?
UHC Complete Care PA-17 (C-SNP) is the most popular C-SNP in Lackawanna County, with 156 enrollees.
What is the total number of C-SNP options in Lackawanna County?
There are 3 C-SNP plans in 2026, covering 207 beneficiaries.
Choosing the right Medicare Special Needs Plan (SNP) in Lackawanna 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: 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: 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 Archbald, Carbondale, Clarks Summit, Dalton, Gouldsboro, Jermyn, Jessup, Moscow, Olyphant, Peckville, Scranton, Moosic, Taylor, Old Forge, and all other areas of Lackawanna County, Pennsylvania. For a broader statewide overview, see Medicare plan options in 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 — Version: 202608
- CMS.gov, Medicare Part C & D Performance — Version: 2026
- CMS.gov, Plan Benefits Package — Version: 2026
- CMS.gov, Medicare Advantage/Part D Contract and Enrollment Data — Version: 2026-08
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 Lackawanna 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
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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.