fbpx

Ashford Insurance

Chronic Special Needs Health Plans

Medicare Advantage Made Easy

Chronic Special Needs Health Plans

A Chronic Special Needs Medicare Advantage Plan (C-SNP) is a type of Medicare Advantage plan that is designed to meet the needs of people with one or more chronic conditions. These plans offer a variety of benefits, including:

  • Prescription drug coverage
  • Dental care
  • Vision care
  • Hearing care
  • Transportation assistance
  • Case management
  • Social support services

C-SNPs are available to people who meet certain eligibility requirements, including:

  • Having one or more chronic conditions
  • Living in a plan’s service area
  • Not already enrolled in a Medicare Advantage plan

If you are interested in a C-SNP, you can find more information on the Medicare website or by contacting a Medicare insurance agent.

Who Qualifies for a Chronic Special Needs Plan?

To qualify for a Chronic Special Needs Medicare Advantage Plan (C-SNP), you must meet the following criteria:

  • Be enrolled in Medicare Part A and Part B
  • Have a chronic condition that meets the plan’s eligibility requirements
  • Live in the plan’s service area
  • Not be enrolled in another Medicare Advantage plan

If you meet all these criteria, you can apply for a C-SNP through the Medicare Plan Finder website or by contacting a Medicare insurance agent.

Here are some of the chronic conditions that may qualify you for a C-SNP:

  • Alzheimer’s disease
  • Arthritis
  • Cancer
  • Chronic obstructive pulmonary disease (COPD)
  • Diabetes
  • Heart disease
  • Kidney disease
  • Mental illness
  • Multiple sclerosis
  • Parkinson’s disease
  • Stroke

If you have one or more of these chronic conditions, you may be eligible for a C-SNP. To find out for sure, you can use the Medicare Plan Finder website or contact an Ashford Insurance Medicare Plan Agent.

To use a Chronic Special Needs Medicare Advantage plan, individuals must first enroll in the plan during the Annual Enrollment Period (AEP) or during a Special Enrollment Period (SEP) if they qualify. Once enrolled, beneficiaries will have access to all the benefits offered by their plan, which may include coverage for medical services, prescription drugs, and additional benefits such as vision, dental, and hearing services.

To receive medical care under a Chronic Special Needs Medicare Advantage plan, beneficiaries will typically need to choose a primary care physician (PCP) who is part of the plan’s network. The PCP will work with the beneficiary to develop a care plan that addresses their specific healthcare needs and helps manage their chronic condition. The PCP will also refer the beneficiary to specialists, if needed, and coordinate all aspects of their care.

One of the key benefits of a Chronic Special Needs Medicare Advantage plan is that it provides comprehensive care management and coordination, which can help improve health outcomes and reduce healthcare costs for individuals with chronic conditions. These plans may also offer additional benefits that are not available through Original Medicare, such as transportation services or in-home support.

In summary, a Chronic Special Needs Medicare Advantage plan is used to provide specialized healthcare coverage and care management for individuals with chronic medical conditions. By enrolling in one of these plans, beneficiaries can receive comprehensive care that is tailored to their specific needs and helps them better manage their chronic condition.