Call (951) 768-5398 to speak with a licensed insurance agent.

Call (951) 768-5398 to speak with a licensed insurance agent.

What is a Medicare Special Needs Plan and Who Might Need One?

Posted by Darrell Evans, August 8, 2023

No single Medicare plan works perfectly for everyone. Luckily, the market provides numerous types of Medicare plans, each to fit different needs.  In fact, you can even enroll in a special type of plan that is created to help you coordinate your care and provide for unique needs in the event that you’re diagnosed with certain medical conditions.

Medicare Special Needs Plans (SNPs) are specialized and targeted healthcare coverage for individuals with specific health needs or characteristics. Here are some of the key benefits of a Medicare Special Needs Plan:

Focused care for specific health conditions. A SNP can help those with specific conditions, such as chronic illnesses (e.g., diabetes, heart disease), certain disabilities, or those living in institutions like nursing homes. These plans offer specialized care and services that are often better suited to managing and treating these conditions effectively.

Personalized care coordination. SNPs typically provide care coordination services to help beneficiaries navigate the complexities of the healthcare system. Care coordinators work with the individual’s healthcare providers to ensure that all aspects of their care are well-integrated, helping to improve health outcomes and reduce medical errors.

Prescription drug coverage. Many Medicare Special Needs Plans include prescription drug coverage (Medicare Part D). This helps cover the costs of prescription medications, which can be crucial for managing chronic conditions and improving overall health.

Reduced out-of-pocket costs. SNPs may offer lower out-of-pocket costs, including copayments, coinsurance, and deductibles, compared to original Medicare. These reduced costs can make healthcare more affordable for beneficiaries with limited financial resources.

Access to a network of specialists. SNPs often have a network of healthcare providers and specialists who are experienced in treating specific health conditions. This can result in more targeted and effective care for beneficiaries.

Continuous coverage and guaranteed acceptance. Individuals with qualifying health conditions or characteristics can enroll in SNPs at any time, not just during the usual Medicare enrollment periods. Additionally, SNPs are required to accept all applicants who meet their eligibility criteria, ensuring continuous coverage for those who need it.

It’s important to note that the specifics of Medicare Special Needs Plans can vary based on the plan and the location, so it’s crucial for individuals to review the details of the specific plan they are considering in order to understand the full range of benefits it offers. For the most up-to-date and accurate information, it’s best to visit the official Medicare website or speak with a licensed, certified insurance broker.

Need more information?

Contact us online to learn more

Contact Us

Close Accessibility Tools
Accessibility Controls Reset
Content Adjustments
Font Size


Line Height


Content Scaling


Highlight Titles
Highlight Links
Highlight Forms
Align Left
Align Center
Align Right
Focus Mode
Color Adjustments




Accessibility Statement

Despite our attempts to make this website accessible for everyone, there may still be some pages or sections that are not completely accessible, are in the process of becoming accessible, or do not have a suitable technological solution to make them accessible. Nevertheless, we are always striving to enhance our accessibility by adding, updating, improving its options and features, and incorporating new technologies.

We want to provide our users with the best experience possible, so we strive to support as many browsers and assistive technologies as possible.

If you wish to contact this website's owner, please use the contact form on the website.

Our User Interface Adjustment Options

Font adjustments - With this tool, users can modify font size, style, letter spacing, and line height for improved alignment and readability.

Color adjustments - Users can customize their color contrast profiles to light, dark, desaturated, and monochrome.

Content highlighting - Users can prioritize key elements such as links, forms, and titles.

Content focus - Users can enable focus mode to highlight the current page information based on their mouse movement.