How do I qualify for A Special Needs Plan?

A special needs plan (SNP) is a Medicare Advantage coordinated care plan (CCP) designed to provide targeted care and limit enrollment to special needs individuals. A special needs individual could be any one of the following:

• An institutionalized individual,
• A dual eligible* or
• An individual with a severe or disabling chronic condition, as specified by CMS.

*Dual Eligible Special Needs Plans (D-SNPs) enroll individuals who are entitled to both Medicare (title XVIII) and medical assistance from a state plan under Medicaid (title XIX). States cover some Medicare costs, depending on the state and the individual’s eligibility.