Understanding Medicare Special Needs Plans in Wilson County, Tennessee
For 2027, residents of Wilson County, TN can choose from 32 Special Needs Plan options. Of these, 22 cost nothing beyond the Part B premium. Enrollment in the County is about 1,082, with 35% 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 Wilson County, TN.
- Page Updated
- 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
- 12
- Average Premium
- $4.98/mo
- Beneficiaries Enrolled
- 572
- $0 Premium D-SNPs
- 7
- Zero Cost D-SNPs
- 12
- Most Popular D-SNP
- BlueCare Plus (D-SNP) with 144 enrollees
- D-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Humana Dual QMB Only | $0 | HMO D-SNP | H4461 038 0 | |
| Humana Gold Plus SNP-DE H4461-022 | $0 | HMO D-SNP | H4461 022 0 | |
| HealthSpring TotalCare Plus | $10 | HMO D-SNP | H4513 034 0 | |
| BlueCare Plus | $14 | HMO D-SNP | H3259 001 0 | |
| BlueCare Plus Choice | $14 | HMO D-SNP | H3259 002 0 | |
| BlueCare Plus Select | $14 | HMO D-SNP | H3259 003 0 | |
| UHC Dual Complete TN-Q1 | $0 | HMO-POS D-SNP | H0251 010 2 | |
| UHC Dual Complete TN-Y2 | $0 | HMO-POS D-SNP | H0251 009 2 | |
| UHC Dual Complete TN-YL | $9 | HMO-POS D-SNP | H0251 004 0 | |
| Wellpoint Dual Advantage Plus | $0 | HMO D-SNP | H5828 002 0 | |
| Wellpoint Full Dual Advantage 2 | $0 | HMO D-SNP | H5828 018 0 | |
| Wellpoint Full Dual Advantage Support | $0 | HMO D-SNP | H5828 001 0 |
What is the typical monthly premium for D-SNPs in Wilson County?
On average, D-SNP plans in Wilson County cost $4.98 per month.
Which D-SNP plan do most dual eligible beneficiaries choose in Wilson County?
The leading D-SNP in Wilson County is BlueCare Plus (D-SNP), with 144 members.
How many Dual Eligible SNPs are offered in Wilson County?
In 2027, Wilson County offers 12 D-SNPs with 572 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 7
- Average Premium $6.01/mo
- Beneficiaries Enrolled 0
- $0 Premium I-SNPs 4
- Average MOOP $18,314
- Most Popular I-SNP with 0 enrollees
- I-SNPs Without Drug Coverage 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| Humana Together in Health | $0 | PPO I-SNP | H7617 117 0 | |
| NHC Advantage | $12 | HMO I-SNP | H4172 001 0 | |
| Senior Care | $0 | HMO I-SNP | H4172 003 0 | |
| Humana Together in Health | $0 | PPO I-SNP | H5216 416 0 | |
| Abilis Health | $16 | HMO I-SNP | H2400 001 0 | |
| Abilis Health Community | $0 | HMO I-SNP | H2400 002 0 | |
| American Health Advantage of Tennessee | $14 | HMO I-SNP | H7779 001 0 |
- What is the average premium for I-SNP plans in Wilson County?
- On average, I-SNP plans in Wilson County cost $6.01 per month.
- Which I-SNP is the most popular in Wilson County?
- The leading I-SNP in Wilson County is , with 0 members.
- How many I-SNP plans are available in Wilson County?
- In 2027, Wilson County offers 7 I-SNPs with 0 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
- 13
- Average Premium
- $1.43/mo
- Beneficiaries Enrolled
- 510
- $0 Premium C-SNPs
- 11
- Average MOOP
- $15,638
- Most Popular C-SNP
- UHC Complete Care TC-0005 (C-SNP) with 229 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | Plan-ID |
|---|---|---|---|---|
| DEVOTED C-SNP CHOICE ENHANCED 029 TN | $0 | PPO C-SNP | H7028 029 0 | |
| DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 034 TN | $0 | PPO C-SNP | H7028 034 0 | |
| DEVOTED C-SNP CHOICE PLUS 031 TN | $0 | PPO C-SNP | H7028 031 0 | |
| UHC Complete Care Support TC-6 | $5 | HMO-POS C-SNP | H5253 194 1 | |
| UHC Complete Care TC-0005 | $0 | HMO-POS C-SNP | H5253 193 1 | |
| BlueAdvantage Total Heart and Diabetes | $0 | PPO C-SNP | H7917 045 0 | |
| BlueAdvantage Total Heart and Diabetes Plus | $14 | PPO C-SNP | H7917 046 0 | |
| DEVOTED C-SNP CHOICE ENHANCED 018 TN | $0 | PPO C-SNP | H9231 018 0 | |
| DEVOTED C-SNP CHOICE PLUS 020 TN | $0 | PPO C-SNP | H9231 020 0 | |
| HealthSpring Achieve | $0 | HMO C-SNP | H4513 097 0 | |
| Zing Open Choice Diabetes & Heart TN | $0 | PPO C-SNP | H6876 007 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 total number of C-SNP options in Wilson County?
Wilson County has 13 C-SNP options for 2027, serving 510 members.
How much do C-SNP plans cost on average in Wilson County?
The mean monthly C-SNP premium in Wilson County is $1.43, with 11 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: 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: 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 Lebanon, Mount Juliet, Watertown, and all other areas of Wilson County, Tennessee. For a broader statewide overview, see Medicare plan options in Tennessee.
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 Wilson 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, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.