Medicare Special Needs Plans in Pennsylvania
Every Special Needs Plan in Pennsylvania 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 71 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Pennsylvania 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 | HumanaChoice SNP-DE H7617-048 (PPO D-SNP)Humana · PPO D-SNPCoordination-only · $0 Medicare cost sharing35 of 67 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 2 | Humana Dual Select H6622-103 (HMO D-SNP)Humana · HMO D-SNPCoordination-only26 of 67 counties | $0 | $9,250 | $9,250 | 4★ |
| 3 | Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing21 of 67 counties | $0 | $9,850 | $9,850 | 4★ |
| 4 | Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing21 of 67 counties | $0 | $9,850 | $9,850 | 4★ |
| 5 | Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing5 of 67 counties | $0 | $9,850 | $9,850 | 4★ |
| 6 | HumanaChoice SNP-DE H5216-227 (PPO D-SNP)Humana · PPO D-SNPCoordination-only · $0 Medicare cost sharing36 of 67 counties | $0 | $9,850 | $9,850 | 4★ |
| 7 | Geisinger Gold Secure Rx (HMO D-SNP)Geisinger Gold · HMO D-SNPCoordination-only63 of 67 counties | $1 | $9,850 | $9,862 | 4★ |
| 8 | UPMC for Life Complete Care (HMO D-SNP)UPMC for Life Complete Care · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing19 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 9 | UPMC for Life Complete Care (HMO D-SNP)UPMC for Life Complete Care · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing5 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 10 | UPMC for Life Complete Care (HMO D-SNP)UPMC for Life Complete Care · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing12 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 11 | UPMC for Life Complete Care (HMO D-SNP)UPMC for Life Complete Care · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing26 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 12 | Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing65 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 13 | Amerihealth Caritas VIP Care (HMO D-SNP)VISTA Health Plan Inc. · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing62 of 67 counties | $9 | $9,850 | $9,958 | 3.5★ |
| 14 | Keystone First VIP Choice (HMO D-SNP)VISTA Health Plan Inc. · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing5 of 67 counties | $12.80 | $9,850 | $10,004 | 3.5★ |
| 15 | Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)Wellcare · HMO-POS D-SNPCoordination-only65 of 67 counties | $0 | $5,400 | $5,400 | 3.5★ |
| 16 | Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)Highmark Wholecare Medicare Assured · HMO D-SNPCoordination-only57 of 67 counties | $12.80 | $6,500 | $6,654 | 3.5★ |
| 17 | Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)Highmark Wholecare Medicare Assured · HMO D-SNPCoordination-only5 of 67 counties | $12.80 | $6,500 | $6,654 | 3.5★ |
| 18 | Aetna Medicare Dual (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing62 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 19 | Aetna Medicare Dual Care (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing5 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 20 | Aetna Medicare Full Dual Care (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing5 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 21 | Aetna Medicare Full Dual Extra (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing14 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 22 | Aetna Medicare Full Dual Extra (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing9 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 23 | Aetna Medicare Full Dual Extra (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing19 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 24 | Aetna Medicare Full Dual Extra (HMO D-SNP)Aetna Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharing9 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 25 | DEVOTED DUAL FULL 025 PA (HMO D-SNP)Devoted Health · HMO D-SNPCoordination-only52 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 26 | DEVOTED DUAL FULL 026 PA (HMO D-SNP)Devoted Health · HMO D-SNPCoordination-only5 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 27 | DEVOTED DUAL PLUS 005 PA (HMO D-SNP)Devoted Health · HMO D-SNPCoordination-only52 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 28 | DEVOTED DUAL PLUS 007 PA (HMO D-SNP)Devoted Health · HMO D-SNPCoordination-only5 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 29 | Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)Highmark Wholecare Medicare Assured · HMO D-SNPCoordination-only · $0 Medicare cost sharing5 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 30 | UHC Dual Complete PA-S001 (PPO D-SNP)UnitedHealthcare · PPO D-SNPCoordination-only · $0 Medicare cost sharingAll 67 counties | $11.70 | $9,850 | $9,990 | 3.5★ |
| 31 | Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)Highmark Wholecare Medicare Assured · HMO D-SNPCoordination-only · $0 Medicare cost sharing57 of 67 counties | $12.80 | $9,850 | $10,004 | 3.5★ |
| 32 | UPMC for Life Complete Care (HMO D-SNP)UPMC for Life Complete Care · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing5 of 67 counties | $0 | $9,850 | $9,850 | 3★ |
| 33 | UHC Dual Advantage PA-V1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-onlyAll 67 counties | $12.80 | $7,150 | $7,304 | 3★ |
| 34 | UHC Dual Complete PA-S002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharingAll 67 counties | $0 | $9,850 | $9,850 | 3★ |
| 35 | UHC Dual Complete PA-S3 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing36 of 67 counties | $0 | $9,850 | $9,850 | 3★ |
| 36 | HealthSpring TotalCare Plus (HMO D-SNP)HealthSpring · HMO D-SNPCoordination-only · $0 Medicare cost sharing23 of 67 counties | $12.80 | $9,850 | $10,004 | 3★ |
| 37 | Jefferson Health Plans Dual Pearl (HMO D-SNP)Jefferson Health Plans · HMO D-SNPCoordination-only · $0 Medicare cost sharing22 of 67 counties | $12.80 | $9,850 | $10,004 | 3★ |
| 38 | Jefferson Health Plans Select (HMO D-SNP)Jefferson Health Plans · HMO D-SNPCoordination-only · $0 Medicare cost sharing20 of 67 counties | $12.80 | $9,850 | $10,004 | 3★ |
| 39 | Jefferson Health Plans Special (HMO D-SNP)Jefferson Health Plans · HMO D-SNPCoordination-only · $0 Medicare cost sharing42 of 67 counties | $12.80 | $9,850 | $10,004 | 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 | DEVOTED C-SNP GIVEBACK EXTRAS 030 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 67 counties | $0 | $6,850 | $6,850 | 3.5★ |
| 2 | DEVOTED C-SNP ENHANCED 018 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 67 counties | $0 | $7,000 | $7,000 | 3.5★ |
| 3 | DEVOTED C-SNP ENHANCED 019 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 67 counties | $0 | $7,000 | $7,000 | 3.5★ |
| 4 | DEVOTED C-SNP ENHANCED 020 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 67 counties | $0 | $7,050 | $7,050 | 3.5★ |
| 5 | DEVOTED C-SNP GIVEBACK EXTRAS 028 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes18 of 67 counties | $0 | $7,100 | $7,100 | 3.5★ |
| 6 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 67 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 7 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes3 of 67 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 8 | Aetna Medicare Chronic Care (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes2 of 67 counties | $0 | $7,150 | $7,150 | 3.5★ |
| 9 | HealthSpring Achieve (HMO C-SNP)HealthSpring · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 67 counties | $0 | $7,150 | $7,150 | 3★ |
| 10 | UHC Complete Care PA-17 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, DiabetesAll 67 counties | $0 | $7,150 | $7,150 | 4★ |
| 11 | DEVOTED C-SNP ENHANCED 017 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes16 of 67 counties | $0 | $7,250 | $7,250 | 3.5★ |
| 12 | DEVOTED C-SNP GIVEBACK EXTRAS 029 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 67 counties | $0 | $7,600 | $7,600 | 3.5★ |
| 13 | HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 67 counties | $0 | $7,750 | $7,750 | 4.5★ |
| 14 | DEVOTED C-SNP GIVEBACK EXTRAS 031 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 67 counties | $0 | $7,950 | $7,950 | 3.5★ |
| 15 | DEVOTED C-SNP ENHANCED 016 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes7 of 67 counties | $0 | $8,000 | $8,000 | 3.5★ |
| 16 | DEVOTED C-SNP GIVEBACK EXTRAS 027 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 67 counties | $0 | $8,400 | $8,400 | 3.5★ |
| 17 | HumanaChoice - Diabetes and Heart (PPO C-SNP)Humana · PPO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes19 of 67 counties | $0 | $8,700 | $8,700 | 4.5★ |
| 18 | DEVOTED C-SNP PLUS 021 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes5 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 19 | DEVOTED C-SNP PLUS 022 PA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes52 of 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 20 | UHC Complete Care Support PA-1A (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes31 of 67 counties | $0 | $9,850 | $9,850 | 4★ |
| 21 | UHC Complete Care Support PA-1A (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes36 of 67 counties | $0 | $9,850 | $9,850 | 4★ |
| 22 | Aetna Medicare Chronic Care Value (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes10 of 67 counties | $0.50 | $9,850 | $9,856 | 3.5★ |
| 23 | Aetna Medicare Chronic Care Value (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes8 of 67 counties | $12.80 | $9,850 | $10,004 | 3.5★ |
| 24 | Aetna Medicare Chronic Care Value (HMO C-SNP)Aetna Medicare · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes11 of 67 counties | $12.80 | $9,850 | $10,004 | 3.5★ |
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 | Provider Partners Pennsylvania Community Plan (HMO I-SNP)Provider Partners Health Plans · HMO I-SNPFacility-based18 of 67 counties | $0 | $2,600 | $2,600 | 3.5★ |
| 2 | Perennial Advantage Premier (HMO I-SNP)Perennial Advantage · HMO I-SNPHybrid (at home or in a facility)30 of 67 counties | $0 | $4,500 | $4,500 | Not rated |
| 3 | Aetna Medicare Longevity (HMO I-SNP)Aetna Medicare · HMO I-SNPFacility-basedAll 67 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 4 | UHC Nursing Home Plan EX-F002 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based44 of 67 counties | $12.50 | $9,850 | $10,000 | 5★ |
| 5 | American Health Advantage of Pennsylvania (HMO I-SNP)American Health Advantage of Pennsylvania · HMO I-SNPHybrid (at home or in a facility)33 of 67 counties | $12.80 | $9,850 | $10,004 | Not rated |
| 6 | Perennial Advantage Strive (HMO I-SNP)Perennial Advantage · HMO I-SNPHybrid (at home or in a facility)30 of 67 counties | $12.80 | $9,850 | $10,004 | Not rated |
| 7 | Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)Provider Partners Health Plans · HMO I-SNPFacility-based18 of 67 counties | $12.80 | $9,850 | $10,004 | 3.5★ |
| 8 | Provider Partners Pennsylvania Essential Plan (HMO I-SNP)Provider Partners Health Plans · HMO I-SNPFacility-based18 of 67 counties | $12.80 | $9,850 | $10,004 | 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 Pennsylvania for 2027?
CMS lists 71: 39 D-SNPs (Medicare and Medicaid), 24 C-SNPs (chronic conditions) and 8 I-SNPs (institutional), from 14 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Pennsylvania are integrated with Medicaid?
8 of the 39 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 Pennsylvania →
- Medicare Savings Programs →
- Extra Help with drug costs →
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