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Home > Enrollment > Special Needs Plans

Special Needs Plans

What is the taxiDifference between Medicare and Medicaid?

  • While Medicare is a federal program primarily for people age 65 and over, Medicaid is a similar program meant to address the needs of the poor, pregnant woman, and children.
  • Medicaid is a state-federal effort. There are different eligibility requirements in each state but all states have an income ceiling which recipients must be below.
  • In some instances individuals may be “dual eligible” for Medicare and Medicaid.
  • Medicare Advantage (Part C) Special Needs Plans are available to Medicare beneficiaries who are also covered by Medicaid. You get all of the coverage included in Medicare Parts A, B, and D.

Who can join a Medicare Advantage SNP?

You must live in the service area of the SNP and also meet the eligibility criteria specific to that SNP such as dual eligibility for both Medicare and Medicaid.

 

What Do You Pay with a Special Needs Plan (SNP)?

Depending on the plan you may need to pay for your Medicare Part B premium in addition to the Medicare Advantage SNP premium.
You are also responsible for the copayments and deductibles that are part of the plan.

 

If you have both Medicare and Medicaid, or if you have limited income, Medicaid may be able to cover some or all of your plan’s premiums and/or out-of-pocket costs.

The enrollment period for Medicare Advantage SNP is the same as any other Medicare Advantage Plan. There are also Special Enrollment Periods for those that qualify.

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