Medicare Special Needs Plans in Maine
Every Special Needs Plan in Maine 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.
Showing all 18 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Maine 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.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Dual Complete ME-Q2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing4 of 16 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 2 | UHC Dual Complete ME-Q2 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing12 of 16 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 3 | UHC Dual Complete ME-S1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing4 of 16 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 4 | UHC Dual Complete ME-S1 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing12 of 16 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 5 | Aetna Medicare Full Dual (HMO-POS D-SNP)Aetna Medicare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharingAll 16 counties | $0 | $9,850 | $9,850 | 4★ |
| 6 | Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing10 of 16 counties | $0 | $9,850 | $9,850 | 4★ |
| 7 | Humana Gold Plus SNP-DE H5619-182 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing10 of 16 counties | $0 | $9,850 | $9,850 | 4★ |
| 8 | HumanaChoice SNP-DE H5216-291 (PPO D-SNP)Humana · PPO D-SNPCoordination-only · $0 Medicare cost sharing11 of 16 counties | $0 | $9,850 | $9,850 | 4★ |
| 9 | Aetna Medicare Partial Dual (HMO-POS D-SNP)Aetna Medicare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing9 of 16 counties | $7.50 | $9,850 | $9,940 | 4★ |
| 10 | Anthem | MaineHealth Dual Advantage (HMO D-SNP)AMH Health · HMO D-SNPCoordination-only · $0 Medicare cost sharing14 of 16 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 11 | Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)AMH Health · HMO D-SNPCoordination-only · $0 Medicare cost sharing14 of 16 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 12 | Wellcare Dual Access (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing15 of 16 counties | $0 | $9,850 | $9,850 | 3★ |
| 13 | Wellcare Dual Access Open (PPO D-SNP)Wellcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing15 of 16 counties | $0 | $9,850 | $9,850 | 3★ |
| 14 | Wellcare Dual Liberty (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharingAll 16 counties | $0 | $9,850 | $9,850 | 3★ |
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.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | Anthem | MaineHealth Chronic Care (HMO-POS C-SNP)AMH Health · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 16 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 2 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 16 counties | $0 | $7,150 | $7,150 | 4★ |
| 3 | UHC Complete Care ME-6 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 16 counties | $0 | $7,150 | $7,150 | 4★ |
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.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Nursing Home Plan EX-F003 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based4 of 16 counties | $18.10 | $9,850 | $10,067 | 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 Maine for 2027?
CMS lists 18: 14 D-SNPs (Medicare and Medicaid), 3 C-SNPs (chronic conditions) and 1 I-SNPs (institutional), from 5 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Maine are integrated with Medicaid?
All 14 D-SNPs in Maine are coordination-only plans: they coordinate with Medicaid, but your Medicaid benefits come separately.
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
- 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.
- 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
Keep going
- How Special Needs Plans work →
- General Medicare Advantage plans in Maine →
- Medicare Savings Programs →
- Extra Help with drug costs →
Other states
Alabama · Arizona · Arkansas · California · Colorado · Connecticut · Delaware · District of Columbia · Florida · Georgia · Hawaii · Idaho · Illinois · Indiana · Iowa · Kansas · Kentucky · Louisiana · Maryland · Massachusetts · Michigan · Minnesota · Mississippi · Missouri · Montana · Nebraska · Nevada · New Hampshire · New Jersey · New Mexico · New York · North Carolina · North Dakota · Ohio · Oklahoma · Oregon · Pennsylvania · Puerto Rico · Rhode Island · South Carolina · South Dakota · Tennessee · Texas · Utah · Virginia · Washington · West Virginia · Wisconsin