Understanding Medicare Special Needs Plans in Shelby County, Tennessee
Shelby County, TN offers 29 Special Needs Plans (SNPs) in 2026, including 11 with no monthly premium. Currently, about 29,064 beneficiaries are enrolled, and 31% of SNPs have a 4-star rating or higher. These plans are designed for Medicare beneficiaries who meet special eligibility criteria, such as dual coverage, qualifying chronic conditions, or residence in a long-term care facility.
Page last revised:
Enrollment data refreshed: May 2, 2026
* 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.
- Total D-SNP Plans: 13
- Average Premium: $18.43/mo
- Beneficiaries Enrolled: 21,152
- $0 Premium D-SNPs: 2
- Zero Cost D-SNP Plans: 13
- Most Popular D-SNP: UHC Dual Complete TN-S001 (D-SNP) with 6,365 enrollees
- D-SNPs Without Drug Coverage: 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| HealthSpring TotalCare Plus | $0 | HMO D-SNP | H4513 034 0 | |
| Humana Gold Plus SNP-DE H4461-022 | $13 | HMO D-SNP | H4461 022 0 | |
| Humana Gold Plus SNP-DE H4461-038 | $15 | HMO D-SNP | H4461 038 0 | |
| BlueCare Plus | $28 | HMO D-SNP | H3259 001 0 | |
| BlueCare Plus Choice | $28 | HMO D-SNP | H3259 002 0 | |
| BlueCare Plus Select | $28 | HMO D-SNP | H3259 003 0 | |
| UHC Dual Complete TN-S001 | $19 | HMO-POS D-SNP | H0251 002 0 | |
| UHC Dual Complete TN-Y001 | $28 | HMO-POS D-SNP | H0251 004 0 | |
| UHC Dual Complete TN-Y2 | $28 | HMO-POS D-SNP | H0251 008 0 | |
| Wellcare Dual Access | $24 | HMO-POS D-SNP | H1416 035 0 | |
| Wellpoint Full Dual Advantage | $2 | HMO D-SNP | H5828 002 0 | |
| Wellpoint Full Dual Advantage 2 | $0 | HMO D-SNP | H5828 018 0 | |
| Wellpoint Full Dual Advantage Support | $28 | HMO D-SNP | H5828 001 0 |
What D-SNP plan has the highest enrollment in Shelby County?
UHC Dual Complete TN-S001 (D-SNP) is the most popular D-SNP in Shelby County, with 6,365 enrollees.
What is the total number of D-SNP options in Shelby County?
There are 13 D-SNP plans in 2026, covering 21,152 beneficiaries.
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
- 5
- Average Premium
- $40.32/mo
- Beneficiaries Enrolled
- 95
- $0 Premium I-SNPs
- 2
- Average MOOP
- $16,760
- Most Popular I-SNP
- American Health Advantage of Tennessee (I-SNP) with 36 enrollees
- I-SNPs Without Drug Coverage
- 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| American Health Advantage of Tennessee | $28 | HMO I-SNP | H7779 001 0 | |
| Humana Together in Health | $0 | PPO I-SNP | H5216 416 0 | |
| Humana Together in Health Select | $138 | PPO I-SNP | H5216 453 0 | |
| Abilis Health | $36 | HMO I-SNP | H2400 001 0 | |
| Abilis Health Community | $0 | HMO I-SNP | H2400 002 0 |
What is the total number of I-SNP options in Shelby County?
Shelby County has 5 I-SNP options for 2026, serving 95 members.
How much do I-SNP plans cost on average in Shelby County?
The mean monthly I-SNP premium in Shelby County is $40.32, with 2 at no cost.
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 11
- Average Premium $9.75/mo
- Beneficiaries Enrolled 7,817
- $0 Premium C-SNPs 7
- Average MOOP $12,873
- Most Popular C-SNP Humana Gold Plus - Diabetes and Heart (C-SNP) with 3,683 enrollees
- C-SNPs Without Drug Coverage 0
| Health Plan Name | CMS Rating* | Premium Per Mo | Network | CMS Plan ID |
|---|---|---|---|---|
| BlueAdvantage Total Heart and Diabetes | $0 | PPO C-SNP | H7917 045 0 | |
| BlueAdvantage Total Heart and Diabetes Plus | $28 | PPO C-SNP | H7917 046 0 | |
| Humana Gold Plus - Diabetes and Heart | $0 | HMO C-SNP | H4461 042 0 | |
| UHC Complete Care Support TC-6 | $28 | HMO-POS C-SNP | H5253 194 1 | |
| UHC Complete Care TC-0005 | $0 | HMO-POS C-SNP | H5253 193 1 | |
| DEVOTED C-SNP CHOICE PLUS 020 TN | $28 | PPO C-SNP | H9231 020 0 | |
| DEVOTED C-SNP PREMIUM 016 TN | $24 | HMO C-SNP | H7605 016 0 | |
| Zing Open Choice Diabetes & Heart TN | $0 | PPO C-SNP | H6876 007 0 | |
| Zing Elite Diabetes & Heart TN-MS | $0 | HMO C-SNP | H4624 039 0 | |
| Zing Select Diabetes & Heart TN-MS | $0 | HMO C-SNP | H4624 040 0 | |
| Zing Select Dialysis TN-MS | $0 | HMO C-SNP | H4624 042 0 |
What is the typical monthly premium for C-SNPs in Shelby County?
On average, C-SNP plans in Shelby County cost $9.75 per month.
Which C-SNP plan do most beneficiaries with chronic conditions choose in Shelby County?
The leading C-SNP in Shelby County is Humana Gold Plus - Diabetes and Heart (C-SNP), with 3,683 members.
How many Chronic Condition SNPs are offered in Shelby County?
In 2026, Shelby County offers 11 C-SNPs with 7,817 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.
Understanding Enrollment Windows
- Initial Enrollment Period (IEP): Beginning three months before you turn 65 and lasting until three months after, this is the initial chance to join Medicare. You may also select a Medicare Advantage plan if it fits your needs. 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): From October 15 through December 7 each year, you can make changes to your Medicare coverage for the following 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 Arlington, Cordova, Collierville, Eads, Millington, Memphis, Germantown, and all other areas of Shelby County, Tennessee.
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 Shelby 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.
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 23 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 21 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.