Chronic Special Needs Plans (C-SNP)

If you’re dealing with a certain condition like diabetes, lung disorders, end-stage renal disease, or heart disease, it’s crucial to have access to the right care and doctors. We can help you join a Medicare Advantage plan that will cover extra care and everyday needs to help you stay as healthy as possible. While living with a special condition is hard, a customized health insurance plan and resources can make things easier!

For instance, C-SNPs with diabetes benefits may include supplies to monitor a patient’s blood glucose and insulin. The plans can also connect you to specialists to support your medical needs.

Valuable Benefits in C-SNPs

What C-SNPs CoverC-SNP: Common Qualifying Conditions

You must have a certain illness or a chronic condition to be considered for a C-SNP. Specific insured illnesses include:

  • Autoimmune disorders
  • Cancer
  • Cardiovascular disorders
  • Chronic heart failure
  • Dementia
  • Diabetes mellitus
  • End-stage liver disease
  • End-stage renal disease (ESRD)
  • Severe hematologic disorders
  • HIV/AIDS
  • Chronic lung disorders, like asthma or bronchitis
  • Chronic and disabling mental health conditions
  • Stroke
  • Neurologic disorders

Commonly-linked conditions may also be grouped together for even more specific benefits. These groups include:

  • Group 1: Diabetes mellitus and chronic heart failure;
  • Group 2: Chronic heart failure and cardiovascular disorders;
  • Group 3: Diabetes mellitus and cardiovascular disorders;
  • Group 4: Diabetes mellitus, chronic heart failure, and cardiovascular disorders; and
  • Group 5: Stroke and cardiovascular disorders.

Coverage will vary depending on your area.

How Much C-SNPs Cost?

C-SNPs may charge a low monthly premium, and plan members will continue to pay the standard premium for Medicare Part B. Your plan may set its own deductibles, copays, and other cost-sharing for healthcare services (like home health, DME, and inpatient hospital care). However, SOME plans may have $0 monthly premiums, $0 deductibles, and $0 copays.

Enrolling in a C-SNP

If you meet the C-SNPs eligibility requirements, you may qualify for a Special Enrollment Period (SEP) — during which you can enroll in the plan that serves you. In other words, you can enroll at any time, as long as you have the condition

Before enrolling, you must have a confirmed diagnosis from a doctor of your qualifying condition and submit it to the official Medicare office.

Don’t Settle For Anything Less.

Get The Coverage You Deserve!

See What Plans Are Available Near You!

If you don’t qualify for a C-SNP, we offer other SNPs, including Dual-Eligible Special Needs Plans for individuals with both Medicare and Medicaid. Our Medicare Advantage plans come with similar benefits. You just have to be enrolled in Original Medicare to apply! Contact InvoBH to learn more about the plans available in your area.