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Chronic Special Needs Plans

A Chronic Condition Special Needs Plan (C-SNP) is a type of Medicare Advantage Special Needs Plan that provides coverage for those with specific illnesses and conditions. 

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Who Qualifies For C-SNP?

C-SNPs are specifically targeted to meet the healthcare needs of their plan members who have chronic or disabling conditions. A chronic condition is considered to be a condition that lasts for a year or more and causes the individual to receive ongoing medical care. 

To qualify for a C-SNP, you must have one of the following 15 chronic conditions:

  • Severe hematologic disorder
  • Stroke
  • Neurologic disorder
  • Chronic and disabling mental health condition
  • Chronic heart failure
  • Cardiovascular disorder
  • Cancer
  • Dementia
  • HIV/AIDS
  • Diabetes mellitus
  • Autoimmune disorder
  • End-stage renal disease
  • End-stage liver disease
  • Chronic lung disorder
  • Chronic alcohol or drug dependence

Since C-SNPs are designed to cater to your specific healthcare needs, you will essentially pay very few out-of-pocket costs. All C-SNPs are also required to provide their plan members with prescription drug coverage.

How To Enroll

If you meet the requirements for a C-SNP, you can enroll at any time as you will qualify for a Special Enrollment Period. The Special Enrollment Period is a period that exists outside of the regular enrollment periods that are only available to those who have gone through very specific situations, such as having a chronic condition and needing to enroll in a C-SNP that serves your condition.

Do You Need A C-SNP?

If you have a chronic or disabling condition that qualifies you for a Chronic Condition Special Needs Plan but are unsure of where to begin in the enrollment process, give us a call today! Our experienced team of Medicare agents are here to help you get the coverage you need.