Medicare Advantage Special Needs Plans (SNPs)

Special Needs Plans (SNPs) are one of the 5 types of Medicare Advantage Plan Types. These are PPOs or HMOs that only admit people with Medicare who have certain conditions such as:

  • Individuals that are formally diagnosed with serious and disabling chronic medical conditions; or

  • People who have Medicaid and Medicare; or

  • People who reside in nursing homes or at home but have high care needs and could qualify for a nursing home.

Joining a Special Needs Plan (SNP)

To enroll in a SNP, Medicare beneficiaries must have Medicare Parts A and B, live in the SNP service area and meet the plan’s eligibility requirements. See the eligibility requirements for SNPs.

Each year, different types of Medicare SNPs may be available in different parts of the country. Insurance companies decide SNPs locations, benefits, and costs. Each year, insurance companies offering Medicare SNPs can decide to join or leave Medicare.

Related Content

Medicare Special Enrollment Periods (SEP)
There are Special Enrollment Periods (SEPs) that apply when eligible for delayed enrollment in Medicare Parts A, B, C & D. Only for certain circumstances.
Part D Low Income Subsidy (LIS/Extra Help)
The Part D Low Income Subsidy (LIS/Extra Help) program helps pay for a portion of Part D prescription drug plan costs, including Part D premiums.
Understand Medicare Enrollment Periods
There are certain times when Medicare enrollment can occur. For some, enrollment is automatic but for others, they will need to apply.

Age Well Planner is an educational website created by nonprofit the National Council on Aging (NCOA). We provide information, resources, and referrals on topics such as: Benefits, Income, and Medicare.

Connect With Us