SPECIAL NEEDS PLANS (SNPs)

special needs plans

What They Are

SNPs are Medicare Advantage plans tailored for specific needs — dual eligibility (Medicare + Medicaid), certain chronic conditions, or a nursing-home level of care. Most include Part D.

 

Types of SNPs

  • D-SNP: For Medicare + Medicaid; often lower cost-sharing and extra benefits
  • C-SNP: For qualifying chronic conditions (e.g., diabetes, CHF, COPD); condition-focused formularies and networks
  • I-SNP: For residents in facilities or those meeting institutional level of care

 

Key Features

SNPs cover at least what Original Medicare covers and add tailored networks, formularies, care teams, and extra benefits. Availability varies by county and plan.

 

Enrollment Windows

You may enroll during Initial/Annual periods or through Special Enrollment Periods tied to Medicaid or health status changes, moving, or facility placement/discharge.

 

Check Special Needs Plans Eligibility

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