Chronic Special needs plans
Medicare Advantage
About Chronic-snps
A Chronic Special Needs Plan (or C-SNP) is a type of Medicare Advantage plan designed specifically for individuals who have certain chronic or disabling health conditions. These plans provide tailored benefits, provider networks, and care management services to help members better manage their ongoing health issues.
Who Is Eligible?
To enroll in a C-SNP, you must:
- Be enrolled in Medicare Part A and Part B, and
- Have a diagnosed chronic condition that the plan is designed to serve.
Eligible chronic conditions in Wisconsin may include:
- Diabetes
- Chronic heart failure
- Certain Cardiovascular disorders
Each C-SNP focuses on one or more of these conditions and may require a doctor’s verification as part of the enrollment process.
How a C-SNP Works
Like all Medicare Advantage plans, C-SNPs cover Part A (hospital), Part B (medical), and often include Part D (prescription drug coverage). What makes a C-SNP unique is how it customizes care around the specific needs of its members.
This includes:
- Care coordination and case management services
- Disease-specific education and support
- Tailored drug formularies to ensure you get the most appropriate medications
Why Choose a C-SNP?
C-SNPs are ideal for people who want:
- More focused care for their specific condition
- Lower out-of-pocket costs on medications and services related to their chronic illness
- Help from care managers who can assist with scheduling, treatment adherence, and navigating the healthcare system
Note: Not everyone with Medicare qualifies for a C-SNP—you must meet the specific medical criteria for the plan.