A Special Needs Plan (SNP) provides benefits and services to people with specific diseases, certain health care needs, or who also have
SNPs include care coordination services and tailor their benefits, provider choices, and list of covered drugs (formularies) to best meet the specific needs of the groups they serve.
SNPs are either HMO or PPO plan types, and cover the same Medicare Part A and Part B benefits that all Medicare Advantage Plans cover. However, SNPs might also cover extra services for the special groups they serve. For example, if you have a severe condition, like cancer or congestive heart failure, and you need a hospital stay, an SNP may cover extra days in the hospital. You can only stay enrolled in an SNP if you continue to meet the special conditions of the plan.
Who can join an SNP?
You can join an SNP if you meet these requirements:
- You have Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance).
- You live in the plan’s service area.
- You meet the eligibility requirements for one of the 3 types of SNPs:
- Dual Eligible SNP (D-SNP)
- Chronic Condition SNP (C-SNP)
- Institutional SNP (I-SNP)