Medicare Advantage special needs plans cover individuals dually eligible for Medicaid and Medicare, beneficiaries with certain chronic conditions and those living in institutional settings. SNP enrollment grew to 7.3 million in 2025, up from 6.6 million in February 2024.
Over 1,500 special needs contracts were available in 2025, according to CMS.
Here’s how the largest payers compare on SNP enrollment:
- UnitedHealth Group: 2.87 million
- Humana: 1.06 million
- Elevance Health: 754,247
- CVS Health: 485,459
- Centene: 388,126
- Molina Healthcare: 113,921
- The Cigna Group: 93,652
