Three Types of Medicare Special Needs Plans
A special needs plan (SNP) is a Medicare Advantage (MA) coordinated care plan (CCP) specifically designed to provide targeted care and limit enrollment to special needs individuals. A special needs individual could be any one of the following:
- An institutionalized individual,
- A dual eligible, or
- An individual with a severe or disabling chronic condition, as specified by CMS.
Institutional Special Needs For individuals who live in an institution, such as a nursing home, long-term care skilled nursing facility (LTC SNF), intermediate care facility, or assisted living facility.
Chronic-Condition Special Needs Plans (C-SNP): These plans serve beneficiaries with certain severe or disabling chronic conditions, such as Diabetes, COPD & Heart conditions. Chronic-Condition Special Needs Plans may target a single chronic condition or more than one condition.
Dual-Eligible Special Needs Plans (D-SNP): Some people have both Medicare and ACCHHS (Medicaid) If so, they could be “dual eligible.” That’s where dual special needs plans — or “dual” plans — come in. Dual plans combine the benefits of both Medicare and Medicaid into one simple health plan. If you have Medicare and Medicaid, chances are you could qualify for a dual plan.
Many special needs plans contain extra benefits such as
- Dental care, plus credit for restorative work.
- Eye exams, plus credit for eyewear.
- Hearing exams, plus credit for hearing devices.
- Rides to health care visits and the pharmacy.
- Credits to buy hundreds of health-related products.
For specific information on Special Needs Plans available in Arizona please contact ralph at 602-390-8573 or email ralph@azmedicarebroker.com
