wheelechairMedicare Special Needs Plans, also called SNPs, are similar to Medicare Advantage plans. However, they are only open to people who satisfy for the specific criteria of the plan. The idea behind these plans is that they are tailored for Medicare beneficiaries with specific issues, so these plans may serve people with those unique needs better.

What Are Medicare Special Needs Plans (SNP)?

Three groups of Medicare beneficiaries might qualify for these plans. According to the Kaiser Family Foundation, these are the numbers of Americans enrolled in these different kinds of plans:

  • Chronic conditions:  305,081
  • Institutionalized: 1,655,670
  • Dual Eligible (Medicare and Medicaid): 48,664
  • Total Enrolled in Special Needs Plans in the USA: 2,011,505

People with certain chronic conditions, those who confined to nursing homes, and people who qualify for both Medicare and Medicaid might qualify for an SNP. While plans may limit membership based upon health conditions, Medicaid eligibility, or confinement, they may also limit membership further. For example, in some areas there may be specialized plans only for diabetics or people with end stage renal disease.

These plans usually work a lot like Medicare Advantage HMOs. Patients must seek treatment from network providers and typically, they will need a referral to see a specialist. On the other hand, the plans are supposed to make sure that the network has the right providers for the specific situation. You can read the complete description of Special Needs Plans on Medicare.gov for more information.

How to Find Local SNPs

If you or somebody that you care about has questions about local SNPs, please contact us for help:  1-855-474-6234 or schedule an appointment by clicking this link: http://www.meetme.so/medicare    

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