Medicare Special Needs Plans in Virginia
Every Special Needs Plan in Virginia 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 42 plans.
D-SNPs: Medicare and Medicaid
Sorted by CMS star rating, then by how closely the plan is integrated with Virginia 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 VA-Y002 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 133 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 2 | UHC Dual Complete VA-YL (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 133 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 3 | Anthem Full Dual Advantage (HMO D-SNP)Anthem HealthKeepers · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 133 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 4 | Anthem Full Dual Advantage Support (HMO D-SNP)Anthem HealthKeepers · HMO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharingAll 133 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 5 | UHC Dual Advantage VA-V1 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-onlyAll 133 counties | $0 | $3,600 | $3,600 | 3.5★ |
| 6 | Anthem Dual Advantage Plus (HMO D-SNP)Anthem HealthKeepers · HMO D-SNPCoordination-only · $0 Medicare cost sharingAll 133 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 7 | UHC Dual Complete VA-Q001 (HMO-POS D-SNP)UnitedHealthcare · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharingAll 133 counties | $0 | $9,850 | $9,850 | 3.5★ |
| 8 | Aetna Medicare FIDE (HMO D-SNP)Aetna Medicare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 133 counties | $0 | $9,850 | $9,850 | 3★ |
| 9 | Sentara Community Complete (HMO D-SNP)Sentara Medicare · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharingAll 133 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 10 | UHC Dual Complete VA-Y4 (PPO D-SNP)UnitedHealthcare · PPO D-SNPHighly integrated (HIDE) · $0 Medicare cost sharing132 of 133 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 11 | Anthem Dual Advantage Plus (PPO D-SNP)Anthem Blue Cross and Blue Shield · PPO D-SNPCoordination-only · $0 Medicare cost sharing127 of 133 counties | $0 | $9,850 | $9,850 | 3★ |
| 12 | Sentara Community Complete Select (HMO D-SNP)Sentara Medicare · HMO D-SNPCoordination-only · $0 Medicare cost sharingAll 133 counties | $6.30 | $9,850 | $9,926 | 3★ |
| 13 | Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)Humana · HMO-POS D-SNPFully integrated (FIDE) · $0 Medicare cost sharing120 of 133 counties | $0 | $9,850 | $9,850 | Not rated |
| 14 | Humana Dual Fully Integrated H2875-003 (HMO D-SNP)Humana · HMO D-SNPFully integrated (FIDE) · $0 Medicare cost sharing13 of 133 counties | $0 | $9,850 | $9,850 | Not rated |
| 15 | Humana Dual QMB Only (HMO D-SNP)Humana · HMO D-SNPCoordination-only · $0 Medicare cost sharing13 of 133 counties | $0 | $9,850 | $9,850 | Not rated |
| 16 | Humana Dual QMB Only (HMO-POS D-SNP)Humana · HMO-POS D-SNPCoordination-only · $0 Medicare cost sharing120 of 133 counties | $0 | $9,850 | $9,850 | Not rated |
| 17 | Humana Dual Select H2875-005 (HMO D-SNP)Humana · HMO D-SNPCoordination-only13 of 133 counties | $0 | $9,850 | $9,850 | Not rated |
| 18 | Humana Dual Select H2875-006 (HMO-POS D-SNP)Humana · HMO-POS D-SNPCoordination-only120 of 133 counties | $0 | $9,850 | $9,850 | 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.
| # | Plan | Premium / month | In-network max out-of-pocket | Worst-case year | Stars |
|---|---|---|---|---|---|
| 1 | UHC Complete Care TC-0005 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 133 counties | $0 | $4,900 | $4,900 | 4★ |
| 2 | UHC Complete Care Support TC-6 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes14 of 133 counties | $4.90 | $4,900 | $4,959 | 4★ |
| 3 | UHC Complete Care VA-22 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 133 counties | $0 | $5,400 | $5,400 | 4★ |
| 4 | Anthem Chronic Care (HMO-POS C-SNP)Anthem HealthKeepers · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes18 of 133 counties | $0 | $5,675 | $5,675 | 3★ |
| 5 | UHC Complete Care VA-23 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes31 of 133 counties | $0 | $5,900 | $5,900 | 4★ |
| 6 | Anthem Kidney Care (HMO-POS C-SNP)Anthem HealthKeepers · HMO-POS C-SNPChronic kidney disease128 of 133 counties | $0 | $6,100 | $6,100 | 3★ |
| 7 | DEVOTED C-SNP ENHANCED 010 VA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes23 of 133 counties | $0 | $6,200 | $6,200 | Too new to rate |
| 8 | DEVOTED C-SNP ENHANCED 013 VA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes16 of 133 counties | $0 | $6,400 | $6,400 | Too new to rate |
| 9 | UHC Complete Care VA-21 (HMO-POS C-SNP)UnitedHealthcare · HMO-POS C-SNPCardiovascular disorders, Chronic heart failure, Diabetes12 of 133 counties | $0 | $6,400 | $6,400 | 4★ |
| 10 | DEVOTED C-SNP GIVEBACK EXTRAS 026 VA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes15 of 133 counties | $0 | $6,800 | $6,800 | Too new to rate |
| 11 | DEVOTED C-SNP GIVEBACK EXTRAS 027 VA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes23 of 133 counties | $0 | $6,800 | $6,800 | Too new to rate |
| 12 | DEVOTED C-SNP GIVEBACK EXTRAS 028 VA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes16 of 133 counties | $0 | $6,800 | $6,800 | Too new to rate |
| 13 | DEVOTED C-SNP ENHANCED 003 VA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes15 of 133 counties | $0 | $8,200 | $8,200 | Too new to rate |
| 14 | Humana DaVita Kidney Care (PPO C-SNP)Humana · PPO C-SNPChronic kidney disease120 of 133 counties | $0 | $8,450 | $8,450 | 4.5★ |
| 15 | DEVOTED C-SNP PLUS 004 VA (HMO C-SNP)Devoted Health · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes54 of 133 counties | $0 | $9,850 | $9,850 | Too new to rate |
| 16 | Humana DaVita Kidney Care (PPO C-SNP)Humana · PPO C-SNPChronic kidney disease120 of 133 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 17 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes13 of 133 counties | $0 | $9,850 | $9,850 | 4★ |
| 18 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Diabetes119 of 133 counties | $13 | $9,850 | $10,006 | 4★ |
| 19 | Humana Gold Plus - Diabetes and Heart (HMO C-SNP)Humana · HMO C-SNPCardiovascular disorders, Chronic heart failure, Diabetes118 of 133 counties | $31 | $9,850 | $10,222 | 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 | Premier Care (HMO-POS I-SNP)Lifeworks Advantage · HMO-POS I-SNPHybrid (at home or in a facility)71 of 133 counties | $0 | $4,000 | $4,000 | Not rated |
| 2 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 133 counties | $0 | $9,850 | $9,850 | 4★ |
| 3 | Humana Together in Health (PPO I-SNP)Humana · PPO I-SNPHybrid (at home or in a facility)All 133 counties | $0 | $9,850 | $9,850 | 4.5★ |
| 4 | UHC Nursing Home Plan EX-F004 (PPO I-SNP)UnitedHealthcare · PPO I-SNPFacility-based46 of 133 counties | $0 | $9,850 | $9,850 | 5★ |
| 5 | Senior Care (HMO I-SNP)Lifeworks Advantage · HMO I-SNPHybrid (at home or in a facility)71 of 133 counties | $6.30 | $9,850 | $9,926 | Not rated |
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 Virginia for 2027?
CMS lists 42: 18 D-SNPs (Medicare and Medicaid), 19 C-SNPs (chronic conditions) and 5 I-SNPs (institutional), from 7 parent companies. Not every plan is sold in every county; use the county filter.
Which D-SNPs in Virginia are integrated with Medicaid?
9 of the 18 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 Virginia →
- Medicare Savings Programs →
- Extra Help with drug costs →
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