Medicare Special Needs Plans in Massachusetts
Every Special Needs Plan in Massachusetts 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 Massachusetts 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 | Senior Whole Health SCO (HMO D-SNP)Molina Healthcare of Massachusetts · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 14 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 2 | CCA Senior Care Options (HMO D-SNP)Commonwealth Care Alliance Massachusetts · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing10 of 14 counties | $33.80 | $9,850 | $10,256 | 4.5★ |
| 3 | Senior Whole Health SCO NHC (HMO D-SNP)Molina Healthcare of Massachusetts · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 14 counties | $33.80 | $9,850 | $10,256 | 4.5★ |
| 4 | UHC Senior Care Options MA-Y001 (HMO D-SNP)UnitedHealthcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 14 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 5 | UHC Senior Care Options MA-YL (HMO D-SNP)UnitedHealthcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 14 counties | $17.20 | $9,850 | $10,056 | 3.5★ |
| 6 | Tufts Health Plan Senior Care Options CW (HMO D-SNP)Tufts Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing10 of 14 counties | $22.10 | $9,850 | $10,115 | 3.5★ |
| 7 | NaviCare (HMO D-SNP)Fallon Health · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing12 of 14 counties | $22.70 | $9,850 | $10,122 | 3.5★ |
| 8 | NaviCare NHC (HMO D-SNP)Fallon Health · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing12 of 14 counties | $25.20 | $9,850 | $10,152 | 3.5★ |
| 9 | Tufts Health Plan Senior Care Options (HMO D-SNP)Tufts Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing10 of 14 counties | $30.30 | $9,850 | $10,214 | 3.5★ |
| 10 | Molina One Care (HMO D-SNP)Molina Healthcare of Massachusetts · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 14 counties | $0 | $8,500 | $8,500 | Too new to rate |
| 11 | CCA One Care (HMO D-SNP)Commonwealth Care Alliance, Inc. · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing12 of 14 counties | $33.80 | $8,390 | $8,796 | Too new to rate |
| 12 | Mass General Brigham SCO (HMO D-SNP)Mass General Brigham Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing8 of 14 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 13 | UHC One Care MA-YL (HMO D-SNP)UnitedHealthcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 14 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 14 | Tufts Health One Care (HMO D-SNP)Tufts Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing10 of 14 counties | $18.50 | $9,850 | $10,072 | Too new to rate |
| 15 | UHC One Care MA-Y3 (HMO D-SNP)UnitedHealthcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 14 counties | $20.20 | $9,850 | $10,092 | Too new to rate |
| 16 | Tufts Health One Care CW (HMO D-SNP)Tufts Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing10 of 14 counties | $25.30 | $9,850 | $10,154 | Too new to rate |
| 17 | Mass General Brigham One Care (HMO D-SNP)Mass General Brigham Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing8 of 14 counties | $34.70 | $9,850 | $10,266 | 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.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Complete Care MA-7 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes4 of 14 counties | $0 | $6,700 | $6,700 | 4★ |
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 Massachusetts for 2027?
CMS lists 18: 17 D-SNPs (Medicare and Medicaid), 1 C-SNPs (chronic conditions) and 0 I-SNPs (institutional), from 6 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Massachusetts are integrated with Medicaid?
17 of the 17 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
- 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 Massachusetts →
- Medicare Savings Programs →
- Extra Help with drug costs →
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