Congress: Protect Medicare Advantage Special Needs Plans
Special Needs Plans should be permanently authorized to ensure frail, disabled, and chronically-ill Medicare beneficiaries have access to the specialized care tailored to meet their complex needs.
Better Medicare Alliance supports permanently authorizing SNPs.
Together, we support SNPs:
AIDS Healthcare Foundation
Alliance of Community Health Plans
America’s Health Insurance Plans
Association for Community Affiliated Plans
Better Medicare Alliance
Blue Cross Blue Shield Association
Healthcare Leadership Council
Meals on Wheels America
National Alliance on Mental Illness
National Coalition on Health Care
National Minority Quality Forum
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D-SNPs serve beneficiaries dually eligible for Medicare and Medicaid.
SNPs are a type of Medicare Advantage plan tailored to serve beneficiaries with complex needs.
Peace of Mind Comes Standard
Bonita’s mother needed extra care and support. Her Special Needs Plan was there to provide it. Hear her story, as well as interviews from the nurse practitioners, social workers and physicians that help people like Bonita’s mother every day.
What is a SNP?
SNPs are a type of Medicare Advantage plan that are paid and regulated in the same way as other Medicare Advantage plans, but have the authority to provide specialized care to serve beneficiaries who are dually-eligible for Medicare and Medicaid, have certain chronic conditions, or receive long-term care in an institutional setting such as a Skilled Nursing Facility. In addition to providing all Medicare Part A and Part B benefits, SNPs must also exceed these core benefits by providing reduced cost sharing, individualized care plans, and other tailored benefits related to mental health, social services, and wellness.
Over 2 million beneficiaries are in nearly 600 SNPs nationwide.
Primary Types of Medicare Advantage SNPs
Over 2.4 million beneficiaries are enrolled in nearly 600 SNPs nationwide.
- Dual-Eligible SNPs (D-SNPs): Serve beneficiaries eligible for coverage under both Medicare and Medicaid, known as dual-eligible beneficiaries - 377 D-SNPs serve 1.9 million beneficiaries.
- Chronic Condition SNPs (C-SNPs): Serve beneficiaries with a disabling chronic condition, such as End Stage Renal Disease (ESRD), severe diabetes, dementia, or cancer - 123 C-SNPs serving over 330,000 beneficiaries.
- Institutional SNPs (I-SNPs): Serve institutionalized beneficiaries residing in a long-term care facility, such as a Skilled Nursing Facility, or living at home but qualify for an institutional level of care - 83 I-SNPs serving nearly 63,000 beneficiaries.
SNPs Need Certainty
- SNPs have been recognized as a valuable care delivery model for high-need individuals. SNPs have been reauthorized regularly by Congress since 2003. Additionally, both the Senate Finance Committee Chronic Care Working Group and MedPAC have both recommended permanent reauthorization of the program.
- In April 2016, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) extended the SNP program through December 31, 2018. Without Congressional action, SNP authority will expire December 31, 2018.