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2027 plans · CMS data

Medicare Special Needs Plans in New York

Every Special Needs Plan in New York 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.

50D-SNPs for Medicare and Medicaid
20C-SNPs for chronic conditions
9I-SNPs for institutional care
24rated 4+ stars by CMS

Showing all 79 plans.

D-SNPs: Medicare and Medicaid

Sorted by CMS star rating, then by how closely the plan is integrated with New York 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 Anthem HealthPlus Full Dual Advantage LTSS 2 (HMO D-SNP)Anthem Blue Cross and Blue Shield HP · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing10 of 62 counties $40.50 $9,850 $10,336 5★
2 UHC Dual Complete NY-S001 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing53 of 62 counties $19.40 $9,850 $10,083 4.5★
3 UHC Dual Complete NY-S001 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing7 of 62 counties $19.40 $9,850 $10,083 4.5★
4 VNS Health Total (HMO D-SNP)VNS Health Medicare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing20 of 62 counties $40.50 $0 $486 4★
5 Hamaspik Medicare Choice (HMO D-SNP)Hamaspik, Inc. · HMO D-SNPFully integrated (FIDE)13 of 62 counties $26.70 $9,850 $10,170 4★
6 MetroPlus UltraCare (HMO D-SNP)MetroPlus Health Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing5 of 62 counties $40.50 $9,850 $10,336 4★
7 UHC Dual Complete NY-YL (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPFully integrated (FIDE) · $0 Medicare cost sharing47 of 62 counties $40.50 $9,850 $10,336 4★
8 VNS Health EasyCare Plus (HMO D-SNP)VNS Health Medicare · HMO D-SNPHighly integrated (HIDE)20 of 62 counties $23.60 $9,850 $10,133 4★
9 UHC Dual Complete NY-S002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing4 of 62 counties $31.70 $9,850 $10,230 4★
10 UHC Dual Complete NY-S002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing3 of 62 counties $31.70 $9,850 $10,230 4★
11 UHC Dual Complete NY-S002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing26 of 62 counties $31.70 $9,850 $10,230 4★
12 UHC Dual Complete NY-S002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing6 of 62 counties $31.70 $9,850 $10,230 4★
13 UHC Dual Complete NY-S002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing4 of 62 counties $31.70 $9,850 $10,230 4★
14 UHC Dual Complete NY-S002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing4 of 62 counties $31.70 $9,850 $10,230 4★
15 MetroPlus Advantage Plan (HMO D-SNP)MetroPlus Health Plan · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing5 of 62 counties $40.50 $9,850 $10,336 4★
16 UHC Dual Complete NY-Q001 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing54 of 62 counties $0 $9,850 $9,850 4★
17 UHC Dual Complete NY-Q001 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing7 of 62 counties $0 $9,850 $9,850 4★
18 UHC Dual Complete NY-S4 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing14 of 62 counties $0 $9,850 $9,850 4★
19 Hamaspik Medicare Select (HMO D-SNP)Hamaspik, Inc. · HMO D-SNPCoordination-only19 of 62 counties $40.40 $9,850 $10,335 4★
20 Elderplan Plus Long-Term Care (HMO-POS D-SNP)Elderplan · HMO-POS D-SNPFully integrated (FIDE)11 of 62 counties $40.40 $9,850 $10,335 3.5★
21 Healthfirst CompleteCare (HMO D-SNP)Healthfirst Medicare Plan · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing10 of 62 counties $40.50 $9,850 $10,336 3.5★
22 VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)VillageCareMAX · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing8 of 62 counties $40.50 $9,850 $10,336 3.5★
23 MVP DualAccess Complete (HMO D-SNP)MVP HEALTH CARE · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing22 of 62 counties $22.20 $9,850 $10,116 3.5★
24 Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)Elderplan · HMO-POS D-SNPHighly integrated (HIDE)8 of 62 counties $37.90 $9,850 $10,305 3.5★
25 Healthfirst Life Improvement Plan (HMO D-SNP)Healthfirst Medicare Plan · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing11 of 62 counties $40.50 $9,850 $10,336 3.5★
26 VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)VillageCareMAX · HMO D-SNPHighly integrated (HIDE)7 of 62 counties $40.50 $9,850 $10,336 3.5★
27 Healthfirst Connection Plan (HMO D-SNP)Healthfirst Medicare Plan · HMO D-SNPCoordination-only · $0 Medicare cost sharing10 of 62 counties $0 $9,850 $9,850 3.5★
28 MVP DualAccess (HMO D-SNP)MVP HEALTH CARE · HMO D-SNPCoordination-only · $0 Medicare cost sharing14 of 62 counties $13.10 $9,820 $9,977 3.5★
29 Wellcare Fidelis Dual Align Unity (HMO D-SNP)Wellcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing60 of 62 counties $40.50 $9,850 $10,336 3★
30 Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)Wellcare · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing52 of 62 counties $0 $9,850 $9,850 3★
31 Wellcare Fidelis Dual Liberty Sync (HMO D-SNP)Wellcare · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing9 of 62 counties $0 $9,850 $9,850 3★
32 Medicare Blue Dual (HMO D-SNP)Excellus Health Plan Community Care LLC · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing11 of 62 counties $23.70 $9,850 $10,134 3★
33 Univera Medicare Dual (HMO D-SNP)Excellus Health Plan Community Care LLC · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing2 of 62 counties $26.60 $9,850 $10,169 3★
34 Anthem HealthPlus Full Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield HP · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing4 of 62 counties $40.50 $9,850 $10,336 3★
35 Anthem HealthPlus Full Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield HP · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing11 of 62 counties $40.50 $9,850 $10,336 3★
36 Aetna Medicare Full Dual (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing45 of 62 counties $0 $9,850 $9,850 3★
37 Humana Gold Plus SNP-DE H3533-036 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing31 of 62 counties $0 $9,850 $9,850 3★
38 Humana Gold Plus SNP-DE H3533-036 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing9 of 62 counties $0 $9,850 $9,850 3★
39 Medicare Blue Dual Secure (HMO D-SNP)Excellus Health Plan Community Care LLC · HMO D-SNPCoordination-only · $0 Medicare cost sharing11 of 62 counties $0 $9,850 $9,850 3★
40 Wellcare Dual Access Open (PPO D-SNP)Wellcare · PPO D-SNPCoordination-only · $0 Medicare cost sharing50 of 62 counties $0 $9,850 $9,850 3★
41 Wellcare Fidelis Dual Access (HMO D-SNP)Wellcare · HMO D-SNPCoordination-only · $0 Medicare cost sharing52 of 62 counties $0 $9,850 $9,850 3★
42 Wellcare Fidelis Dual Access (HMO D-SNP)Wellcare · HMO D-SNPCoordination-only · $0 Medicare cost sharing8 of 62 counties $0 $9,850 $9,850 3★
43 Univera Medicare Total Care (HMO D-SNP)Excellus Health Plan Community Care LLC · HMO D-SNPCoordination-only · $0 Medicare cost sharing2 of 62 counties $18.30 $9,850 $10,070 3★
44 Aetna Medicare FIDE (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing1 of 62 counties $40.50 $9,850 $10,336 3★
45 Aetna Medicare Full Dual Care (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing9 of 62 counties $40.50 $9,850 $10,336 3★
46 Senior Whole Health of New York NHC (HMO D-SNP)Senior Whole Health of New York · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing9 of 62 counties $21.40 $9,850 $10,107 Not rated
47 ElderServe MAP (HMO D-SNP)ElderServe Health · HMO D-SNPFully integrated (FIDE)7 of 62 counties $40.50 $9,850 $10,336 Not rated
48 Senior Whole Health Medicare Complete Care (HMO D-SNP)Senior Whole Health of New York · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing9 of 62 counties $0 $9,850 $9,850 Not rated
49 Nascentia Dual Advantage (HMO D-SNP)Nascentia Health Plus · HMO D-SNPHighly integrated (HIDE)15 of 62 counties $27 $9,850 $10,174 Not rated
50 Nascentia Medicaid Advantage Plus (HMO D-SNP)Nascentia Health Plus · HMO D-SNPCoordination-only · $0 Medicare cost sharing15 of 62 counties $30.30 $9,850 $10,214 Not rated

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 UHC Complete Care NY-33 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 62 counties $0 $6,900 $6,900 3.5★
2 Independent Health's Assure Advantage (HMO C-SNP)Independent Health · HMO C-SNPChronic heart failure1 of 62 counties $15 $8,500 $8,680 4.5★
3 UHC Complete Care NY-30 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 62 counties $0 $8,900 $8,900 3.5★
4 UHC Complete Care NY-31 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 62 counties $0 $8,900 $8,900 3.5★
5 UHC Complete Care NY-35 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 62 counties $29 $8,900 $9,248 3.5★
6 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 025 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,650 $9,650 Too new to rate
7 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 022 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,750 $9,750 Too new to rate
8 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 023 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes10 of 62 counties $0 $9,750 $9,750 Too new to rate
9 DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 026 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,750 $9,750 Too new to rate
10 Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 62 counties $0 $9,850 $9,850 3★
11 Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 62 counties $0 $9,850 $9,850 3★
12 Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes45 of 62 counties $0 $9,850 $9,850 3★
13 Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes9 of 62 counties $0 $9,850 $9,850 3★
14 DEVOTED C-SNP CHOICE ENHANCED 016 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,850 $9,850 Too new to rate
15 DEVOTED C-SNP CHOICE ENHANCED 017 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes10 of 62 counties $0 $9,850 $9,850 Too new to rate
16 DEVOTED C-SNP CHOICE ENHANCED 019 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,850 $9,850 Too new to rate
17 DEVOTED C-SNP CHOICE ENHANCED 020 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,850 $9,850 Too new to rate
18 DEVOTED C-SNP CHOICE PLUS 013 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,850 $9,850 Too new to rate
19 DEVOTED C-SNP CHOICE PLUS 014 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 62 counties $0 $9,850 $9,850 Too new to rate
20 DEVOTED C-SNP CHOICE PLUS 015 NY (PPO C-SNP)Devoted Health · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 62 counties $0 $9,850 $9,850 Too new to rate

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 Independent Health's Medicare Family Choice (HMO I-SNP)Independent Health · HMO I-SNPHybrid (at home or in a facility)8 of 62 counties $40 $5,000 $5,480 4.5★
2 Longevity Health Plan (HMO I-SNP)Longevity Health Plan · HMO I-SNPFacility-based8 of 62 counties $29.70 $8,750 $9,106 Not rated
3 Elderplan Select (HMO-POS I-SNP)Elderplan · HMO-POS I-SNPHybrid (at home or in a facility)18 of 62 counties $0 $9,850 $9,850 3.5★
4 UHC Nursing Home Plan NY-F002 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based12 of 62 counties $0 $9,850 $9,850 5★
5 UHC Nursing Home Plan NY-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based26 of 62 counties $4.20 $9,850 $9,900 5★
6 Aetna Medicare Longevity (PPO I-SNP)Aetna Medicare · PPO I-SNPFacility-basedAll 62 counties $10.70 $9,850 $9,978 4★
7 ElderServe Star (HMO I-SNP)ElderServe Health · HMO I-SNPHybrid (at home or in a facility)7 of 62 counties $22 $9,850 $10,114 Not rated
8 Nascentia Skilled Nursing Facility (HMO I-SNP)Nascentia Health Plus · HMO I-SNPFacility-based15 of 62 counties $25.40 $9,850 $10,155 Not rated
9 Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)Elderplan · HMO-POS I-SNPFacility-based18 of 62 counties $33.70 $9,850 $10,254 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 New York for 2027?

CMS lists 79: 50 D-SNPs (Medicare and Medicaid), 20 C-SNPs (chronic conditions) and 9 I-SNPs (institutional), from 19 parent companies. Not every plan is sold in every county; use the county filter.

Which D-SNPs in New York are integrated with Medicaid?

31 of the 50 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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