What are Special Needs Plans (SNP)
Special Needs Plans (SNPs) are specialized Medicare Advantage plans designed to meet the unique healthcare needs of certain individuals. SNPs specifically cater to three main groups: those with chronic conditions, individuals eligible for both Medicare and Medicaid (dual eligibles), and those living in nursing homes or long-term care facilities. These plans offer targeted benefits, care coordination, and a network of providers experienced in managing the specific health conditions of the intended population. SNPs aim to provide tailored care and improved health outcomes for individuals with special needs.
Medicare’s Special Needs Plans (SNP) cater to members who have specific needs that are not already covered in Medicare Parts A and B. This allows members to tailor things like their drug formularies and provider choices to better meet the care they need
Types of SNPs and Who They Serve
Chronic Illness Special Needs Programs (C-SNPs) are specialized health plans designed for members with conditions like:
Chronic Illness Special Needs Programs (C-SNPs) are specialized health plans designed for members with conditions like:
✔ Cardiovascular Disease
✔ Congestive Heart Failure
✔ Dementia / Alzheimers
✔ Diabetes / High Blood Sugar
✔ Chronic and Disabling Mental Health Conditions
✔ History of Stroke
✔ Hypertension / High Blood Preasure
Institutional Special Needs Program (I-SNP) is for members who live in an institution or facility or those who require nursing care at home.
If qualified, you can enroll year-round.
Dual Eligible Special Needs Program (D-SNP) are those who qualify for both Medicare and Medicaid.
If qualified, you can enroll once a quarter.
How Do I Know If I’m Qualified?
Speak with an experienced Medicare specialist who can help you with this step
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