Chronic Special Needs Plans (CSNPs)

Chronic Special Needs Plans

Do You Qualify for a Chronic Condition Medicare Plan?

If you have certain chronic health conditions, you may qualify for a Medicare Advantage plan designed to provide extra support, lower costs, and additional benefits.

Certain Chronic Conditions
Diabetes, chronic heart failure, or certain cardiovascular disorders may qualify.
$
Potential Extra Benefits
We’ll review benefits such as dental, OTC, copays, and plan costs.
Mid-Year Plan Change
If eligible, you may be able to change plans outside of AEP.

What Is a C-SNP Medicare Plan?

A CSNP is a type of Medicare Advantage plan designed for people who have specific chronic health conditions. These plans may include benefits and support tailored to individuals managing ongoing medical needs, such as: Diabetes, Chronic Heart Failure and Certain cardiovascular conditions.
Depending on the plan and your location, a CSNP may offer additional benefits beyond Original Medicare, such as dental, vision, hearing, over-the-counter allowances, transportation, and care coordination.

Designed for Certain Conditions

C-SNP plans are only available to people who meet specific medical eligibility requirements.

Physician Verification Required

To enroll, your qualifying condition must be verified by your physician.

May Allow a Mid-Year Change

If you qualify, you may be entitled to make a plan change outside of the usual Annual Enrollment Period.

Who May Qualify?

You may qualify for a CSNP plan if you have been diagnosed with certain chronic conditions, including:

Diabetes Mellitus

If you have diabetes, you may qualify for a C-SNP plan designed to support members with this condition.

Chronic Heart Failure

People diagnosed with chronic heart failure may be eligible for this type of Medicare plan.

Cardiovascular Disorders

Certain cardiovascular conditions may also meet the eligibility requirements for this plan.

Eligibility is based on plan rules and physician verification. Having one of these conditions does not automatically mean the plan is available or appropriate for your situation.

Why Review Your Options?

Many people do not realize they may qualify for a Medicare plan specifically designed around their health condition. A CSNP plan may help you: Lower certain out-of-pocket healthcare costs, Access coordinated care, Receive additional Medicare Advantage benefits, Get support managing chronic conditions, Review doctors, prescriptions, and plan networks before enrolling. Because plan availability and benefits vary by county, it is important to speak with a licensed Medicare advisor before making any decisions.

$0 monthly plan premium
Learn how the plan premium compares with your current Medicare coverage.
$0 medical deductible
Understand how medical cost-sharing works under the plan.
$750 comprehensive dental allowance
Review how the dental benefit may help with routine and more comprehensive dental needs.
$0 primary care copay
See how primary care visits may be covered under the plan.
$0 copay for certain specialists
Includes certain specialists such as cardiologists, endocrinologists, nephrologists, and pulmonologists.
$30 per month OTC / Extra Supports Wallet benefit
Learn what this benefit may include and how it may be used.
Aetna medical provider network
The plan may use the same Aetna medical provider network as your current Aetna plan.
Personal plan review available
After the seminar, a licensed Medicare advisor can help compare your current coverage and options.
Benefits, costs, provider networks, and plan availability can vary by county and plan. This page is for educational purposes and does not guarantee eligibility or enrollment.

Speak With a Licensed Medicare Advisor

Our services are 100% free of charge. There is no commitment

1

How C-SNP Plans Work

We’ll explain what makes a Chronic Condition Special Needs Plan different from a standard Medicare Advantage plan.

2

Who May Be Eligible

We’ll review the qualifying health conditions and explain why physician verification is required.

3

How to Compare Your Options

We’ll show you what to look at before changing plans, including doctors, prescriptions, benefits, costs, and network access.

Not Sure If This Applies to You?

That’s exactly what the seminar is for. We’ll explain who may qualify, how the plan works, and what should be reviewed before making any Medicare plan decision.

Speak to an Advisor now

Frequently Asked Questions

Does booking a meeting mean I have to change my plan?

No. The meetings are purely educational. Attending does not require you to enroll in or change any Medicare plan.

What is a C-SNP plan?

A C-SNP is a Chronic Condition Special Needs Plan. It is a type of Medicare Advantage plan for people who have certain qualifying chronic health conditions.

What conditions may qualify?

For the plan discussed in this seminar, qualifying conditions may include diabetes mellitus, chronic heart failure, and/or certain cardiovascular disorders. Your physician must verify the qualifying condition.

Can I change plans in the middle of the year?

If you qualify for a Special Needs Plan, you may be eligible for a Special Enrollment Period that allows you to make a plan change outside of the usual Annual Enrollment Period.

Will I be able to keep my doctors?

That depends on your doctors and the plan network. Plan Medicare can help review your doctors before you make any decision.

Does the plan include dental benefits?

The Aetna C-SNP plan being reviewed may include a $750 comprehensive dental allowance. Benefits can vary, so it is important to review the exact plan details for your location.

Does it cost anything to meet with an advisor?

No. The our services are free.

Does it cost anything to work with Plan Medicare?

No. Plan Medicare provides Medicare guidance at no cost to clients. If you enroll through our agency, we may be compensated by the insurance carrier.

Plan Medicare is not connected with or endorsed by the United States government or the federal Medicare program. Enrollment depends on eligibility, plan availability, and CMS rules. Benefits and availability may vary by service area.