Chronic Special Needs Plans

What are C-SNPs?

C-SNPs are a type of Medicare Advantage Plan within the Special Needs Plan subcategory. As the name suggests, this program is tailored to those who have severe and chronic disabling conditions.

Eligibility

C-SNPs are among the most exclusive of the Special Needs Plans. You must suffer from one of the 15 types of chronic and debilitating conditions listed. HIV/AIDS, cancer, major depressive disorder, hemophilia, and chronic heart failure are examples here.

What this means

With this, you get a policy which offers greater coverage for the services you need the most. You can get a plan which gives you focused coverage, not just for a single serious condition, but you can also get one that is angled toward treating comorbid conditions (such as diabetes and chronic heart failure being comorbid with one another).

You can have a policy that focuses on these groupings:

  • Diabetes and chronic heart failure
  • Cardiovascular disorders and chronic heart failure
  • Cardiovascular disorders and diabetes
  • Diabetes, cardiovascular disorders, and chronic heart failure
  • Combinations of the above and stroke

This exemplifies how personalized Medicare can be. For someone who may suffer from multiple serious conditions, this is the best policy to apply for.

We Have you covered.


When to enroll

If you are eligible to enroll in a C-SNP, here are the Medicare enrollment periods you should take note of:

  • Initial Enrollment Period: The Initial Enrollment Period is a seven-month period that starts your Medicare eligibility. It begins three months before your 65th birthday, and ends three months after. 
  • Annual Enrollment Period: AEP begins on October 15 and ends December 7 of every year. During this period, you have the option to make changes to your Medicare coverage, such as switching from Original Medicare to Medicare Advantage. If you’re currently enrolled in Medicare Advantage, you also have the option to switch to a different Medicare Advantage Plan.
  • Special Enrollment Period: The SEP can be triggered in several ways, but is ultimately unique to the individual’s situation. It is best to speak with a Medicare agent to determine if you do qualify for a SEP, but one of the most common reasons beneficiaries do qualify for this period is because they moved out of their plan’s service area and need a new plan. If you do qualify for this period, you have the option to make changes to your Medicare Advantage Plan, or you switch back to Original Medicare.

Call me today at (407) 924-8109 for more information.