SPECIAL NEEDS PLAN

SPECIAL NEEDS PLAN

A Medicare Advantage Special Needs Plan (SNP) is a type of Medicare Advantage plan that is specifically designed to meet the needs of people with certain chronic conditions or disabilities. SNPs provide all of the benefits of a regular Medicare Advantage plan, plus extra benefits and services that are designed to meet the unique needs of those with chronic conditions or disabilities.

There are three types of Special Needs plan:

1 Chronic-Condition Special Needs Plan — This plan is for Medicare beneficiaries with disabling chronic conditions such as certain autoimmune diseases, cancer, cardiovascular disorders, dementia, HIV/AIDS, and other chronic conditions.

2 Dual-Eligible Special Needs Plan — This plan is for those who have both Medicare and Medicaid benefits.

3 Institutional Special Needs Plan — This plan is for those who live in an institution, like a nursing home, or who require nursing care at home.

SNPs are available to people who have Medicare and Medicaid, and to people who have Medicare and a disability. To be eligible for a SNP, you must be enrolled in Medicare Part A and Part B, and you must live in the service area of the SNP.

SNPs offer a wide range of benefits and services, including:

-Coordinated care from a team of doctors and other health care providers
-A care manager who can help you coordinate your care
-Extra services, like transportation to and from doctor’s appointments
-A pharmacy plan that meets your specific needs

If you have Medicare and a chronic condition or disability, a Medicare Advantage SNP may be the right choice for you.

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