Benefits
Oct 28, 2024
What’s a Chronic Condition Special Needs Plan (C-SNP)?
If you’re living with a chronic health condition, a C-SNP may be a good option for you. With low or no copays for many of your medications and targeted care, a C-SNP helps you live healthier.
Chronic conditions can be tricky to manage on your own, so it’s great to know about extra support that’s available. When you look into your options, you’ll find C-SNP plans with unique benefits to assist you with certain long-term conditions.
C-SNPs (pronounced “C-snips”) are Medicare Advantage (Part C) plans made for people with chronic health conditions. They provide enhanced coverage to help keep you as healthy as possible. They also include Medicare Part D prescription drug coverage, so you don’t need a separate plan for your medications.
Your care may include:
Each year we review your care plan with you and make changes, as needed. We also update the plan if your condition changes.
C-SNPs (pronounced “C-snips”) are Medicare Advantage (Part C) plans made for people with chronic health conditions. They provide enhanced coverage to help keep you as healthy as possible. They also include Medicare Part D prescription drug coverage, so you don’t need a separate plan for your medications.
Who Qualifies for a C-SNP?
You may be able to enroll in a C-SNP if you:- Are eligible for Medicare
- Have a serious or disabling chronic condition
- Live in an area where a C-SNP is available
Providing a Higher Level of Chronic Condition Care
Between specialist visits and complicated prescription information, keeping track of everything yourself can be a challenge. That’s why all C-SNPs provide care coordination in partnership with your healthcare team.Your care may include:
An Individualized Care Plan
At SCAN, for example, after you enroll in one of our C-SNPs, we work with you to understand your health needs and develop a personalized care plan. This plan serves as a guide for you and your doctors. It includes goals you can work on to improve your health and live independently.Each year we review your care plan with you and make changes, as needed. We also update the plan if your condition changes.
Care Management
Care management can help you stay healthy and avoid medical complications. Depending on your needs, you may have a personal coach—also called a care manager—to help you manage your chronic condition. Care managers provide:- Education and support
- Connections to resources and services
- Help navigating the healthcare system
- Eat a healthier diet and exercise more
- Track your blood sugar levels
- Schedule preventive eye and foot exams
Returning to Home
After a serious illness, the road to recovery continues when you leave the hospital. SCAN members can get in-home support and personal services after a hospital or skilled-nursing facility stay. If eligible, the Returning to Home benefit includes:- Support with day-to-day living, like bathing, laundry, and light housekeeping
- Prepared meals delivered to your home
- Help with understanding your medications
- Help from a care navigator who can coordinate follow-up care
Types of SCAN C-SNPs
At SCAN, we’ve created several C-SNPs to better serve our members:- SCAN Balance HMO: Designed for people with type 1 or type 2 diabetes and certain heart conditions. SCAN Balance features $0 insulin and generous prescription drug coverage.
- SCAN Strive HMO: For members with a chronic health condition and both Medicare and full Medicaid. SCAN Strive offers low or no costs for most of your benefits.
- SCAN VillageHealth HMO-POS: SCAN VillageHealth is for people with end-stage renal disease or who have had a kidney transplant. As a point of service (POS) plan, you can see doctors in and out of your plan’s network. You also have a VillageHealth nurse to help manage your care.
- Acupuncture and chiropractic services
- Dental, hearing and vision care
- Fitness benefits
- Over-the-counter (OTC) products
- Meal delivery and respite for caregivers
- Transportation to medical appointments, gym, grocery store and senior center
When Is the C-SNP Enrollment Period?
You can enroll in a C-SNP at any time, whether you’re new to Medicare or newly diagnosed with a chronic condition. And if you already have Medicare or a Medicare Advantage plan, we make switching to a SCAN C-SNP easy. We’ll even coordinate with your doctor to verify that you qualify based on your chronic condition.How to Learn More
Not sure if a C-SNP is right for you? Visit SCAN Health Plan to learn more and connect with a SCAN representative. Our representatives will explain the benefits of a C-SNP. They’ll also help you compare all your Medicare Advantage plan options to help you find the best fit. Call us today at 1-855-836-7226.
