Medicare Advantage
Part C plans from private carriers that bundle A, B and usually D with extra benefits.
Special Needs Plans built around your situation
If you have Medicaid, a chronic condition like diabetes or heart failure, or live in a care facility, a SNP may coordinate care better and cost less.
Overview
What Special Needs Plans means for you
Special Needs Plans are Medicare Advantage plans limited to people with specific needs. Every SNP includes Part D drug coverage and a care coordination program built for its members.
There are three types. Dual Eligible SNPs (D-SNPs) serve people with both Medicare and Georgia Medicaid. Chronic Condition SNPs (C-SNPs) focus on conditions such as diabetes, chronic heart failure or cardiovascular disease. Institutional SNPs (I-SNPs) serve people living in a nursing home or needing that level of care at home.
Because eligibility rules are specific, we verify Medicaid levels or condition requirements before recommending a plan, and we help families gather the documentation carriers ask for.
Sample figures for illustration. SNP availability depends on county and eligibility. We do not offer every plan available in your area. Contact Medicare.gov or 1-800-MEDICARE for all of your options.
What is included
The coverage that matters most, in plain language. Details vary by plan.
- All Medicare Advantage medical and hospital benefits
- Part D prescription coverage in every plan
- A personal care coordinator or care team
- Condition-specific programs and supplies
- Transportation to medical appointments in many plans
- Healthy food or utility allowances in some D-SNPs
- Dental, vision and hearing benefits
- Special Enrollment Periods for dual eligible members
How we help you decide
Our process for special needs plans, start to finish.
Confirm eligibility
We review your Medicaid category or diagnosis and what proof the carrier will need.
Map your care team
Specialists, dialysis centers, pharmacies and home health agencies all get checked for network status.
Compare extra support
Transportation, allowances and care coordination vary widely between plans.
Enroll and involve family
With permission, we keep a caregiver or adult child in the loop from the first call.
Why people choose it
Coordinated care
A care team that knows your conditions and medications.
Lower costs with Medicaid
Many dual members pay little or nothing for covered care.
Rides and allowances
Practical help getting to appointments and buying essentials.
Costs and factors
Sample figures for illustration. SNP availability depends on county and eligibility.
- D-SNP premium
- $0
- Typical for full dual members, sample
- C-SNP premium
- $0 - $35
- Monthly, sample Georgia range
- OTC allowance
- $50 - $250
- Per quarter in some plans, sample
- Rides
- 12 - 48
- One-way trips per year in some plans, sample
Special Needs Plans questions
Still wondering about something? A licensed advisor can answer in plain English, usually the same day.
If you receive Georgia Medicaid or a Medicare Savings Program such as QMB or SLMB in addition to Medicare, you may qualify. We can review your letters with you.
Each plan lists specific conditions. Common ones in our area include diabetes, chronic heart failure and cardiovascular disorders. Your doctor usually confirms the diagnosis.
Dual eligible members and people who gain or lose eligibility have additional Special Enrollment Periods. We explain which apply to you.
Yes. With your written permission, we work directly with a family member or authorized representative.
Related coverage
Part D prescription drug plans
Stand-alone drug plans that work with Original Medicare and Medigap.
Dental, vision and hearing
Routine care Original Medicare leaves out, through Advantage benefits or stand-alone plans.
