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2027 plans · CMS data

Medicare Special Needs Plans in Indiana

Every Special Needs Plan in Indiana for 2027, from the CMS plan landscape file. You can join one only if you fit its group: Medicare and Medicaid (D-SNP), a qualifying chronic condition (C-SNP) or nursing-home-level care (I-SNP). Pick your county to see the plans sold there.

12D-SNPs for Medicare and Medicaid
21C-SNPs for chronic conditions
9I-SNPs for institutional care
5rated 4+ stars by CMS

Showing all 42 plans.

D-SNPs: Medicare and Medicaid

Sorted by CMS star rating, then by how closely the plan is integrated with Indiana Medicaid, then by worst-case year. If Medicaid or the QMB program pays your Medicare cost sharing, the out-of-pocket maximum matters less than the network and how well the plan works with Medicaid.

#PlanPremium / monthIn-network max out-of-pocketWorst-case yearStars
1 Humana PathWays Dual Care (HMO-POS D-SNP)Humana · HMO-POS D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 92 counties $0 $9,850 $9,850 Too new to rate
2 UHC PathWays Dual Care IN-Y1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 92 counties $0 $9,850 $9,850 Too new to rate
3 Anthem I PathWays Dual Care Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 92 counties $9.20 $9,850 $9,960 Too new to rate
4 Anthem I PathWays Dual Care Advantage NFLOC (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 92 counties $17 $9,850 $10,054 Too new to rate
5 Humana PathWays Dual Care NFLOC (HMO-POS D-SNP)Humana · HMO-POS D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 92 counties $17 $9,850 $10,054 Too new to rate
6 UHC PathWays Dual Care IN-YL (PPO D-SNP)UnitedHealthcare · PPO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 92 counties $17 $9,850 $10,054 Too new to rate
7 Humana Dual Select H4939-002 (HMO-POS D-SNP)Humana · HMO-POS D-SNPCoordination-onlyAll 92 counties $0 $9,850 $9,850 Too new to rate
8 Anthem Full Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPCoordination-only · $0 Medicare cost sharingAll 92 counties $1.70 $9,850 $9,870 Too new to rate
9 Humana Gold Plus SNP-DE H4939-003 (HMO-POS D-SNP)Humana · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharingAll 92 counties $4.80 $9,850 $9,908 Too new to rate
10 Anthem Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPCoordination-onlyAll 92 counties $14.20 $9,850 $10,020 Too new to rate
11 UHC Dual Complete IN-Q1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-onlyAll 92 counties $17 $9,850 $10,054 Too new to rate
12 UHC Dual Complete IN-S002 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharingAll 92 counties $17 $9,850 $10,054 Too new to rate

C-SNPs: chronic conditions

Sorted by worst-case year: 12 months of premiums plus the in-network out-of-pocket maximum. Each plan lists the conditions it serves; you need one of them, confirmed by your doctor or another clinician, to join.

#PlanPremium / monthIn-network max out-of-pocketWorst-case yearStars
1 DEVOTED C-SNP CHOICE ENHANCED 014 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes23 of 92 counties $0 $5,100 $5,100 Not rated
2 DEVOTED C-SNP CHOICE ENHANCED 015 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 92 counties $0 $5,300 $5,300 Not rated
3 DEVOTED C-SNP CHOICE ENHANCED 017 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes17 of 92 counties $0 $5,900 $5,900 Not rated
4 DEVOTED C-SNP CHOICE ENHANCED 016 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes16 of 92 counties $0 $6,200 $6,200 Not rated
5 Zing Elite Balance IN-MI (HMO C-SNP)Zing Health · HMO C-SNPObesity and metabolic syndrome2 of 92 counties $0 $6,750 $6,750 3.5★
6 Zing Elite Diabetes & Heart IN (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 92 counties $0 $6,900 $6,900 3.5★
7 Zing Select Diabetes & Heart IN (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 92 counties $0 $6,900 $6,900 3.5★
8 Zing Select Dialysis IN (HMO C-SNP)Zing Health · HMO C-SNPChronic kidney disease13 of 92 counties $0 $6,900 $6,900 3.5★
9 Zing Elite Essentials Diabetes & Heart IL-IN (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 92 counties $9.80 $6,900 $7,018 3.5★
10 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 019 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 92 counties $0 $7,100 $7,100 Not rated
11 Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes10 of 92 counties $0 $7,150 $7,150 3.5★
12 Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 92 counties $0 $7,150 $7,150 3.5★
13 UHC Complete Care IN-21 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes68 of 92 counties $0 $7,150 $7,150 3.5★
14 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 022 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes23 of 92 counties $0 $7,300 $7,300 Not rated
15 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 020 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes16 of 92 counties $0 $7,350 $7,350 Not rated
16 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 021 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes17 of 92 counties $0 $7,500 $7,500 Not rated
17 Zing Open Choice Diabetes & Heart IN (PPO C-SNP)Zing Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 92 counties $0 $8,900 $8,900 3.5★
18 Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes91 of 92 counties $0 $9,150 $9,150 4★
19 Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes10 of 92 counties $0 $9,850 $9,850 3.5★
20 Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 92 counties $0 $9,850 $9,850 3.5★
21 DEVOTED C-SNP CHOICE PLUS 013 IN (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes70 of 92 counties $0 $9,850 $9,850 Not rated

I-SNPs: institutional care

For people who live, or are expected to live, at least 90 days in a nursing home or similar facility, or who need that level of care at home. Sorted by worst-case year.

#PlanPremium / monthIn-network max out-of-pocketWorst-case yearStars
1 Provider Partners Indiana Community Plan (HMO I-SNP)Provider Partners Health Plans · HMO I-SNPFacility-based69 of 92 counties $0 $3,750 $3,750 3.5★
2 Humana Senior Living Plan (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 92 counties $0 $6,180 $6,180 4.5★
3 Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 92 counties $0 $9,850 $9,850 4★
4 Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 92 counties $0 $9,850 $9,850 4.5★
5 UHC Nursing Home Plan IN-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based18 of 92 counties $0 $9,850 $9,850 5★
6 American Health Advantage of Indiana (HMO I-SNP)American Health Advantage of Indiana · HMO I-SNPHybrid (at home or in a facility)15 of 92 counties $17 $9,850 $10,054 Not rated
7 CommuniCare Advantage ISNP (HMO I-SNP)Communicare Advantage · HMO I-SNPFacility-based12 of 92 counties $17 $9,850 $10,054 Not rated
8 Provider Partners Indiana Advantage Plan (HMO I-SNP)Provider Partners Health Plans · HMO I-SNPFacility-based69 of 92 counties $17 $9,850 $10,054 3.5★
9 Provider Partners Indiana Essential Plan (HMO I-SNP)Provider Partners Health Plans · HMO I-SNPInstitutional-equivalent (at home)69 of 92 counties $17 $9,850 $10,054 3.5★

Worst-case year = 12 × monthly plan premium + in-network maximum out-of-pocket, for covered Part A and B services. Many D-SNP members pay $0 in premiums with Extra Help. Star ratings are CMS’s 2027 overall ratings for the contract behind each plan. Plans under CMS sanction aren’t listed. How we sort

Before you enroll: check the plan’s network and drug list in the official Medicare Plan Finder, and ask the plan whether you qualify. Free one-on-one help: your State Health Insurance Assistance Program.

Questions

How many Special Needs Plans are in Indiana for 2027?

CMS lists 42: 12 D-SNPs (Medicare and Medicaid), 21 C-SNPs (chronic conditions) and 9 I-SNPs (institutional), from 9 parent companies. Not every plan is sold in every county; use the county filter.

Which D-SNPs in Indiana are integrated with Medicaid?

6 of the 12 D-SNPs are fully integrated, highly integrated or applicable integrated plans, which cover or coordinate Medicaid benefits more closely. The rest are coordination-only plans. Integrated plans are listed first among plans with the same star rating.

Do Special Needs Plans include drug coverage?

Yes. Every Special Needs Plan must include Part D drug coverage.

Can I stay in a Special Needs Plan if I no longer qualify?

Only while you still meet the plan's rules. If you lose eligibility, you may get a Special Enrollment Period to join another plan.

Sources

  1. CMS, CY 2027 Medicare Advantage and Prescription Drug Plan Landscape (CY2027_Landscape_202609.csv), Special Needs Plan rows — cms.gov; star ratings from the CMS 2027 Star Ratings Data Tables — cms.gov.
  2. Medicare.gov, “Special Needs Plans” — medicare.gov.

Educational information, not a recommendation to join any plan. We are not an insurance agent or broker, and we are not connected with or endorsed by the U.S. government or the federal Medicare program. Plan details can change; confirm with the plan or Medicare.gov. · Advertiser disclosure

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