Special Needs Plans (SNPs) are Medicare Advantage plans (Part C)
for people with specific health care needs. They include all Medicare benefits (Part A and Part B), usually prescription drug coverage
(Part D), and provide care coordination tailored to members’ needs.
SNPs are a type of Medicare Advantage Plan for people with specific healthcare needs.
D-SNP: For individuals eligible for both Medicare and Medicaid
C-SNP: For individuals with certain chronic conditions (e.g., diabetes, heart disease)
I-SNP: For individuals living in a nursing home or who need nursing care at home
Must include all Medicare Part A and B benefits
Most include Part D prescription drug coverage
May offer care coordination and tailored provider networks
To enroll in an SNP, you must:
Have Medicare Part A and Part B
Live in the plan’s service area
Meet the plan’s specific eligibility requirements
Enrollment Periods:
October 15 – December 7: Annual Medicare Open Enrollment
Based on life events or changes in eligibility
Things to Know:
Availability varies by location
Not all providers accept SNPs
You must continue to meet eligibility to stay in the plan
A Licensed Sales Agent can provide valuable guidance when exploring Medicare Advantage Plan options. We can review the plans available in your area, help you compare costs and benefits, and explain enrollment periods and eligibility so you can make an informed decision.
