Special Needs Plans (SNPs) can only accept people who fit the specific special needs category they are serving. For example, if you have diabetes, congestive heart failure, or HIV/AIDS you might be able to join a SNP for people with your condition. Additionally, people who have both Medicare and Medicaid can join a SNP specifically for people who are dual-eligibles (have both Medicare and Medicaid). You must also live in the SNPs service area.
Unlike other types of Medicare Advantage plans (HMOs and PPOs), Special Needs Plans may enroll people with End-Stage Renal Disease (ESRD) if they choose to serve that population.
If you were enrolled in a SNP before March 2009 and do not fit the criteria for the specific special needs category the SNP serves, you can remain in the SNP through the end of 2011. You can only enroll in a new SNP if you meet that SNP's eligibility criteria.
To find out more about your Medicare coverage options, click on the link in the GO TO box.
For a list of questions you should ask if you are considering joining a SNP, click on the link in the GO TO box.