Medicare Advantage Special Needs Plans

Medicare beneficiaries with certain health or financial needs are offered specialized plan options via Medicare Advantage Special Needs Plans. Not all medical conditions are universal, just as every person has unique medical requirements. Your medical demands could be complicated, but that doesn’t mean your insurance should be as well. With plans created specifically for your scenario, SNP Medicare plans can help you simplify your insurance coverage.

What are Special Needs Plans under Medicare?

If you fall under any of the above headings, you might need exceptional medical treatment. You can get specialized coverage for these issues through special needs plans. SNPs can choose between three types of health insurance. Membership is likewise restricted to one of the three plan categories under SNP Medicare programs.

Following are three examples of SNP Medicare plans:

• Chronic Condition SNP (C-SNP)
• Institutional SNP (I-SNP)
• Dual-Eligible SNP (D-SNP)

Chronic-Condition Medicare Special Needs Plan

Medicare beneficiaries with certain severe and/or debilitating, incurable diseases are eligible for C-SNPs. Medicare coverage for epilepsy, chronic heart failure, diabetes, cancer, dementia, HIV/AIDS, and beginning in 2021, ESRD patients will be accepted by Medicare Advantage plans.

Institutional Medicare Special Needs Plan

I-SNPs are for some elderly people who reside in facilities like nursing homes. I-SNPs are also available for people who require nursing or at-home medical care for specific conditions.

You must provide documentation proving your requirement for institutionalization for at least 90 days when seeking for this kind of coverage. Even if you receive nursing care at home rather than at a facility, you can still be qualified.

Dual-Eligible Medicare Special Needs Plan

Dual-eligible beneficiaries are those who are covered by both Medicaid and Medicare. Depending on the amount of assistance they get, D-SNPs offer coverage to these people. Not all Dual Eligible plans, however, are appropriate for all forms of Medicaid. The Summary of Benefits for each plan will indicate which accepts your level of Medicaid.

What are the prices of SNP Medicare Advantage Plans?

If you have Medicaid in addition to Medicare, your plan probably won’t cost you anything. Your expenses, however, will be based on your Medicaid coverage level.

The cost of the plan, if you do not qualify for Medicaid, will vary based on your circumstances and the plan you select. There are no deductibles or copayments and premiums as low as 0 dollars are possible.