Special Needs Plans

Benefits and Eligibility of Special Needs Plans

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What is a Special Needs Plan?

Special Needs Plans (SNPs) are a type of Medicare Advantage plan that provides healthcare services tailored to specific groups of individuals with significant or chronic health conditions, those who require institutional care, and those who are dual-eligible for Medicare and Medicaid. SNPs offer benefits such as care coordination, disease management programs, and access to specialized healthcare providers who can manage their unique needs.

Eligibility Criteria for Special Needs Plans

To enroll in an SNP, individuals must meet certain eligibility criteria, including having a qualifying chronic condition or living in a nursing home. If eligible, they can choose from various SNPs provided by private insurance companies contracted with Medicare to offer coverage.

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