Medicare Advantage

Pennsylvania Medicare Advantage Plans for Chronic Conditions in 2027: 24 C-SNPs

HARRISBURG, Pa. — Pennsylvanians who live with a serious ongoing health condition will have 24 Chronic Condition Special Needs Plans (C-SNPs) to consider for the 2027 plan year, according to the CMS Medicare Advantage Landscape Source Files. C-SNPs are a specialized slice of Medicare Advantage designed around one or more qualifying chronic conditions, and they sit alongside 39 Dual Eligible Special Needs Plans (D-SNPs) and 8 Institutional Special Needs Plans (I-SNPs) in the state. Of the 338 Medicare Advantage plans available statewide in 2027, 24 are C-SNPs.

Chronic-condition plansPennsylvania

What a C-SNP is and who qualifies

A Chronic Condition Special Needs Plan is a type of Medicare Advantage plan built for people with a specific severe or disabling chronic condition — for example, diabetes, chronic heart failure, or cardiovascular disorders — as defined by the Centers for Medicare & Medicaid Services. To enroll in a C-SNP, a person must have Medicare Part A and Part B, live in the plan's service area, and have a qualifying chronic condition verified by a treating provider. Carriers typically ask the enrollee's doctor to confirm the diagnosis before coverage can begin or continue.

C-SNPs are not open enrollment to the general Medicare population. They are, by design, narrow — care teams, drug formularies and extra benefits are organized around the condition the plan serves. The specific benefits, provider networks and costs vary by plan, and are published in each plan's Evidence of Coverage and in the Medicare Plan Finder at medicare.gov.

The statewide count and the carriers offering them

For 2027, five carriers offer C-SNPs in Pennsylvania: Aetna (CVS Health) with 6 plans, Devoted Health with 12, HealthSpring with 1, Humana with 2, and UnitedHealthcare with 3. The full table on this page lists each plan and the number of counties where it is offered.

Several of these plans are new for 2027. Among the newly offered C-SNPs are additional Aetna Medicare Chronic Care (HMO C-SNP) plans from Aetna (CVS Health), five Devoted Health plans in the "DEVOTED C-SNP GIVEBACK EXTRAS" series (027 PA through 031 PA), two HumanaChoice - Diabetes and Heart (PPO C-SNP) entries, and two UHC Complete Care Support PA-1A (HMO-POS C-SNP) listings from UnitedHealthcare. Devoted Health has also renamed its "PREMIUM" line to "ENHANCED" (for example, DEVOTED C-SNP ENHANCED 016 PA was previously DEVOTED C-SNP PREMIUM 016 PA); the plan identifier is the same, but the display name has changed.

The conditions named in plan names, only as named

Most Pennsylvania C-SNP plan names do not spell out the condition they serve. The exceptions in 2027 are the two HumanaChoice - Diabetes and Heart (PPO C-SNP) listings from Humana, whose names identify diabetes and heart conditions. For every other plan — the Aetna Medicare Chronic Care and Aetna Medicare Chronic Care Value lines from Aetna (CVS Health), the full Devoted Health lineup (ENHANCED, PLUS, and GIVEBACK EXTRAS series), HealthSpring Achieve, and the UHC Complete Care and UHC Complete Care Support plans from UnitedHealthcare — the qualifying condition is defined inside the plan documents, not on the label. Confirm the eligible condition with the carrier or in the Evidence of Coverage before enrolling.

The Special Enrollment Period for people with a qualifying condition

Most Medicare beneficiaries use the Annual Enrollment Period, October 15 – December 7, 2026, for a January 1, 2027 effective date. People with a qualifying chronic condition have an additional path: a Special Enrollment Period (SEP) that allows them to enroll in a C-SNP once, outside of AEP, when they first become eligible for that plan. The SEP generally ends when the person makes a C-SNP enrollment. Rules and documentation requirements for SEPs are described at medicare.gov under Medicare enrollment periods and can be confirmed by calling 1-800-MEDICARE.

If a person loses eligibility — for example, if the qualifying condition can no longer be verified — the plan is required to offer a grace period before disenrolling the member. The details are in the plan's materials.

Checking a plan in your county

Pennsylvania C-SNP availability varies widely by county. In the plan table on this page, you'll see county counts ranging from 2 to 67. A plan listed statewide may not be sold in a given ZIP code, and a plan that is sold there may not accept a particular condition. To check a specific plan in your county:

1. Go to medicare.gov and open the Plan Finder. 2. Enter your ZIP code and, if asked, your county. 3. Filter for Special Needs Plans and review the plans that appear. 4. Open each plan to read its Summary of Benefits and Evidence of Coverage. 5. Confirm the eligible chronic condition, provider network and drug list before enrolling.

The CMS MA Landscape Source File is the plan-level record for county availability, and the year-over-year comparison between the CY2026 and CY2027 landscape files is what identifies which plans are new, renamed or continuing.

Free help

Free, unbiased help is available directly from Medicare. Visit medicare.gov to use the Plan Finder, read plan documents, and look up enrollment rules. Call 1-800-MEDICARE (1-800-633-4227), available 24 hours a day, 7 days a week, with questions about eligibility, enrollment periods, or how a C-SNP works. For plan-specific questions — benefits, networks, drug coverage, or verifying a chronic condition — contact the carrier directly using the number on the plan's materials.