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Chronic Condition Special Needs Plans

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Medicare Advantage Special Needs Plans are intended to provide coverage for certain individuals with very specific needs. For a Chronic Condition Special Needs Plan (C-SNP), you must have one or more of the following conditions:

  • Autoimmune disorders
  • Cancer
  • Cardiovascular disease, stroke, or chronic heart failure
  • Alzheimer’s or Dementia
  • Diabetes
  • ESRD requiring dialysis
  • Hematologic disorders
  • HIV or AIDS
  • Chronic lung disorders (like COPD)
  • Chronic or disabling mental illness
  • Neurologic conditions

Coverage With C-SNP

If you qualify for a C-SNP, it’s important that you understand the coverage available with these plans! Not only are they required to provide prescription drug coverage for their plan members, but they also must provide the same inpatient and outpatient coverage as Original Medicare (Part A and Part B). They also can include additional benefits that aren’t covered by Original Medicare. These additional benefits include:

  • Hearing coverage
  • Vision coverage
  • Dental coverage
  • Prescription drug coverage
  • Gym memberships
  • Nutrition and wellness programs
  • Transportation for doctor visits
  • Adult daycare services

For more information about Special Needs Plans, give us a call today!