Chronic Special Needs Plans (CSNPs) are a type of Medicare Advantage plan where the membership is limited to patients with certain chronic disabling conditions. Depending upon what plans are available in the zip code where you reside, there may be cardiac, pulmonary, and even diabetes plans to choose from. SNP plans are even available to Medicare recipients who live in nursing homes. These plans tailor the benefits, provider choices, and prescription formulary to best meet the needs of the patient with the specified condition that they have.
Special Needs Plans (SNP)
Special Needs Plans (SNPs) are a type of Medicare Advantage plans where the membership is limited to patients with certain needs.
Chronic Special Needs Plans (CSNPs)
The idea behind a CSNP plan is that because the benefits are tailored to a specific condition, they are better suited for coordinated care for the member, thus keeping them healthier longer.
If you have heart or lung disease, are diabetic or live in a nursing home you may be surprised to find out that you have a one-time-a-year Special Enrollment Period (SEP) available to you to switch plans! Talk to your local Essential Solutions Medicare Advisor today to find out your options.
Medicare & Medicaid Dual Special Needs Plans (DSNP)
Dual Special Needs Plans (DSNPs) are a type of Medicare Advantage plan where the membership is limited to patients who are dually eligible for Medicare and Medicaid at the same time.
Medicare and Medicaid are important sources of health care benefits for millions of Americans, but the programs can be confusing and tough to navigate. This is especially true for people eligible for both programs. By coordinating Medicare and Medicaid benefits, DSNPs can make it simpler for members to navigate the healthcare system. DSNPs encourage everyone involved in caring for a member, including primary care doctors, specialists, hospitals and care managers to work together, in an effort to improve the members’ health as well as their experience with the healthcare system.
DSNPs usually offer additional benefits, which can include:
- Dental care, such as exams, x-rays, cleanings, fillings, crowns and extractions
- Access to a health products catalogue to order over-the-counter products such as vitamins and first-aid supplies at a discount;
- Hearing exams and access to hearing aids at a reduced cost
- An annual eye exam and a credit for eyewear; and
- Transportation to health care visits and the pharmacy
And an added bonus: People who are eligible for a DSNP can usually enroll for no monthly premium, making it an affordable option.
People who are eligible for a DSNP can enroll or switch to a new plan at any time during the year.
We do not offer every plan available in your area. Currently, we represent 10 organizations that offer 115 products in your area.
Please contact Medicare.gov, 1–800–MEDICARE, or your local State Health Insurance Program to get information on all of your options.