Medicare Special Needs Plans in Ohio
Every Special Needs Plan in Ohio 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 46 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Ohio 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 | CareSource MyCare Ohio (HMO D-SNP)CareSource MyCare Ohio (HMO D-SNP) · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 88 counties | $21.10 | $9,650 | $9,903 | 3.5★ |
| 2 | Molina Complete Care Connect for MyCare Ohio (HMO D-SNP)Molina Healthcare of Ohio · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 88 counties | $21.10 | $9,850 | $10,103 | 3★ |
| 3 | Molina Complete Care for MyCare Ohio (HMO D-SNP)Molina Healthcare of Ohio · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 88 counties | $21.10 | $9,850 | $10,103 | 3★ |
| 4 | Anthem I MyCare Ohio Full Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 88 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 5 | Anthem I MyCare Ohio Full Dual Support (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 88 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 6 | Wellcare Buckeye MyCare Ohio Dual Align Unity (HMO D-SNP)Wellcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 88 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 7 | Wellcare Buckeye MyCare Ohio Dual Align (HMO D-SNP)Wellcare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 88 counties | $10.30 | $9,850 | $9,974 | Too new to rate |
| 8 | Wellcare Buckeye Health Dual Reserve (HMO D-SNP)Wellcare · HMO D-SNPCoordination-onlyAll 88 counties | $0 | $6,750 | $6,750 | Too new to rate |
| 9 | Anthem Dual Advantage (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPCoordination-onlyAll 88 counties | $0 | $7,100 | $7,100 | Too new to rate |
| 10 | Anthem Dual Advantage Plus (HMO D-SNP)Anthem Blue Cross and Blue Shield · HMO D-SNPCoordination-only · $0 Medicare cost sharingAll 88 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 11 | Wellcare Buckeye Health Dual Access (HMO D-SNP)Wellcare · HMO D-SNPCoordination-only · $0 Medicare cost sharingAll 88 counties | $0 | $9,850 | $9,850 | 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 | DEVOTED C-SNP ENHANCED 017 OH (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes36 of 88 counties | $0 | $5,100 | $5,100 | 4★ |
| 2 | DEVOTED C-SNP ENHANCED 018 OH (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes18 of 88 counties | $0 | $5,400 | $5,400 | 4★ |
| 3 | DEVOTED C-SNP ENHANCED 020 OH (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes24 of 88 counties | $0 | $5,700 | $5,700 | 4★ |
| 4 | Zing Elite Essentials Diabetes & Heart OH (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 88 counties | $21.10 | $5,950 | $6,203 | 3.5★ |
| 5 | DEVOTED C-SNP GIVEBACK EXTRAS 024 OH (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes36 of 88 counties | $0 | $6,350 | $6,350 | 4★ |
| 6 | DEVOTED C-SNP GIVEBACK EXTRAS 025 OH (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes18 of 88 counties | $0 | $6,400 | $6,400 | 4★ |
| 7 | Zing Elite Diabetes & Heart OH (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 88 counties | $0 | $6,750 | $6,750 | 3.5★ |
| 8 | Zing Select Diabetes & Heart OH (HMO C-SNP)Zing Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes15 of 88 counties | $0 | $6,750 | $6,750 | 3.5★ |
| 9 | DEVOTED C-SNP GIVEBACK EXTRAS 023 OH (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes24 of 88 counties | $0 | $6,800 | $6,800 | 4★ |
| 10 | UHC Complete Care OH-18 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes83 of 88 counties | $0 | $6,900 | $6,900 | 4★ |
| 11 | Zing Select Dialysis OH (HMO C-SNP)Zing Health · HMO C-SNPChronic kidney disease15 of 88 counties | $0 | $6,900 | $6,900 | 3.5★ |
| 12 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes17 of 88 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 13 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes21 of 88 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 14 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes21 of 88 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 15 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes29 of 88 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 16 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes58 of 88 counties | $0 | $9,500 | $9,500 | 4★ |
| 17 | Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes17 of 88 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 18 | Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes21 of 88 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 19 | Aetna Medicare Chronic Care Total (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes21 of 88 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, Diabetes29 of 88 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 21 | CommuniCare Advantage CSNP (HMO C-SNP)Communicare Advantage · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 88 counties | $0 | $9,850 | $9,850 | Not rated |
| 22 | DEVOTED C-SNP PLUS 016 OH (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes78 of 88 counties | $0 | $9,850 | $9,850 | 4★ |
| 23 | UHC Complete Care Support OH-1A (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 88 counties | $0 | $9,850 | $9,850 | 4★ |
| 24 | UHC Complete Care Support OH-2A (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes75 of 88 counties | $0 | $9,850 | $9,850 | 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 Care Advantage OH-E001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPInstitutional-equivalent (at home)11 of 88 counties | $21.10 | $4,000 | $4,253 | 5★ |
| 2 | Perennial Advantage Premier (HMO-POS I-SNP)Perennial Advantage · HMO-POS I-SNPHybrid (at home or in a facility)42 of 88 counties | $0 | $4,600 | $4,600 | Not rated |
| 3 | Humana Senior Living Plan (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)72 of 88 counties | $0 | $6,180 | $6,180 | 4.5★ |
| 4 | Aetna Medicare Longevity (HMO I-SNP)Aetna Medicare · HMO I-SNPFacility-based14 of 88 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 5 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)74 of 88 counties | $0 | $9,850 | $9,850 | 4★ |
| 6 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)72 of 88 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 7 | UHC Nursing Home Plan OH-F001 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based32 of 88 counties | $12.70 | $9,850 | $10,002 | 5★ |
| 8 | American Health Advantage of Ohio (HMO I-SNP)American Health Advantage of Indiana · HMO I-SNPHybrid (at home or in a facility)4 of 88 counties | $21.10 | $9,850 | $10,103 | Not rated |
| 9 | CommuniCare Advantage ISNP (HMO I-SNP)Communicare Advantage · HMO I-SNPFacility-based13 of 88 counties | $21.10 | $9,850 | $10,103 | Not rated |
| 10 | Perennial Advantage Strive (HMO I-SNP)Perennial Advantage · HMO I-SNPHybrid (at home or in a facility)42 of 88 counties | $21.10 | $9,850 | $10,103 | Not rated |
| 11 | Valor Health Plan (HMO I-SNP)Valor Health Plan · HMO I-SNPFacility-based81 of 88 counties | $21.10 | $9,850 | $10,103 | 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 Ohio for 2027?
CMS lists 46: 11 D-SNPs (Medicare and Medicaid), 24 C-SNPs (chronic conditions) and 11 I-SNPs (institutional), from 13 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Ohio are integrated with Medicaid?
7 of the 11 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 Ohio →
- Medicare Savings Programs →
- Extra Help with drug costs →
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