Schedule preventive services (like eye and foot exams).A care coordinator is someone who helps make sure people get the right care and information.įor example, a Medicare SNP for people with diabetes might use a care coordinator to help members do these things: Some Medicare SNPs use a care coordinator to help you stay healthy and follow your doctor's orders. What is a care coordinator in a Medicare SNP? Contact your plan to learn exactly what benefits and services the plan covers. Medicare SNPs may also cover extra services tailored to the special groups they serve, like extra days in the hospital. Medicare SNPs cover the same Medicare services that all Medicare Advantage plans must cover. What benefits and services are covered in Medicare SNPs? In general, you'll pay the basic costs of having a Medicare Advantage plan. If you don't have both Medicare and Medicaid (or get other help from your state paying your Medicare premiums), your exact costs will vary depending on the plan you choose. Contact your Medicaid office for more information and to see if you qualify for Medicaid benefits. If you have Medicare and Medicaid, most of the costs of joining a Medicare SNP will be covered for you. Each year, insurance companies offering Medicare SNPs can decide to join or leave Medicare.įind and compare Medicare SNPs in your area. Insurance companies may also offer more than one plan in an area, with different benefits and costs. Insurance companies can decide that a plan will be available to everyone with Medicare in a state, or only in certain counties. Insurance companies decide where they’ll do business, so Medicare SNPs may not be available in all parts of the country. Where are Medicare SNPs offered?Įach year, different types of Medicare SNPs may be available in different parts of the country. People who join this plan would get benefits specially tailored to their condition, and have all their care coordinated through the Medicare SNP. Would be designed to cover the drugs usually used to treat congestive heart failure. It would also feature clinical case management programs designed to serve the special needs of people with this condition. The plan might include access to a network of providers who specialize in treating congestive heart failure. D-SNPs contract with your state Medicaid program to help coordinate your Medicare and Medicaid benefits.Įach Medicare SNP limits its membership to people in one of these groups, or a subset of one of these groups.įor example, a Medicare SNP may be designed to serve only people diagnosed with congestive heart failure. Dual Eligible SNP (D-SNP) – You’re eligible for both Medicare and Medicaid. Other facility that offers similar long-term, health care services and whose residents have similar needs and health care status as residents of the facilities listed aboveģ.
Institutional SNP (I-SNP) – You live in the community but need the level of care a facility offers, or if you live (or are expected to live) for at least 90 days straight in a facility like a: Certain chronic and disabling mental health conditionsĢ.Requiring dialysis (any mode of dialysis) Cancer (excluding pre-cancer conditions).Chronic Condition SNP (C-SNP) – You have one or more of these severe or disabling chronic conditions: You meet the plan's eligibility requirements for one of the 3 SNP types:ġ.You can join a Medicare SNP if you meet these requirements:
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