Special Needs Plans (SNP)

Get The Coverage You Need For Your Qualified Condition

What Medicare Advantage Special Needs Plans Cover

A special needs plan (SNP) is a Medicare Advantage plan that is designed to provide specific care while limiting enrollment to special needs individuals. A special needs individual under Medicare plans include an institutionalized person — long-term care, or another facility — dual-eligible (Medicare + Medicaid), and people with a severe or disabling chronic condition listed in the SNP plan

An SNP includes may be: Chronic Condition SNP (C-SNP), Dual Eligible SNP (D-SNP), Institutional SNP (I-SNP) depending on your qualifying condition. Eligibility is based on condition and may not be restricted to age requirements like traditional Medicare.

Chronic Condition SNP helps individuals who suffer from specified conditions including:

  • Chronic alcohol and other dependence

  • Autoimmune disorders

  • Cancer

  • Cardiovascular disorders

  • Chronic heart failure

  • Dementia

  • Diabetes mellitus

  • End-stage liver disease

  • End-Stage Renal Disease (ESRD)

  • Severe hematologic disorders


  • Chronic lung disorders

  • Chronic and disabling mental health conditions

  • Neurological disorders

  • Stroke

Medicare Advantage SNP plans offer all of the benefits of original Medicare in addition to covering all of what the condition typically costs — medical equipment, extra hospital days, medications, and other extra services tailored to the special groups they serve. If you have a qualifying condition, connect with Medicare Plan Solutions to find the right coverage for you.

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What SNPs Include

When diagnosed with one of the above conditions, cost may be a barrier to seeking effective treatment, even if you have Medicare Parts A and B. Special Needs Plans help cover the financial burden of these chronic conditions or situations so you can focus on recovering. SNPs include:

  • Medicare Part D
  • Entire medication formulary for treating the condition
  • May cover vision, dental, or hearing
  • Coverage for specialists that treat your condition
  • Dialysis and/or chemotherapy coverage
  • Emergency or urgent care services
  • Additional hospital days from Original Medicare
  • May cover demonstrations or pilot programs (research studies)
  • May include All-Inclusive-Care programs

Plans vary based on the provider and area you live in. Connect with a broker at Medicare Plan Solutions to find a plan that's right for you.