Medicare Advantage Special Needs Plans (SNP)

Medicare Advantage Special Needs Plans (SNP)

A type of Medicare Advantage plan for those with special health care needs or living in a long-term care or nursing facility.


About Special Needs Plans

A Special Needs Plan (SNP) is a Medicare Advantage plan for customers with specific diseases or traits. A SNP has all the benefits of a Medicare Advantage plan (including a prescription drug plan) and also has extra services specific to the type of plan. Here are some of the services that come with SNPs:

Case Management

A Case Manager helps you set up goals for your medical needs. A SNP Case Manager for a person with diabetes might help monitor blood sugar levels.

Learn more about Case Management

Interdisciplinary Care Team

A team made up of your primary care physician (PCP), caregivers (as needed), and network doctors and specialists (as needed) will be arranged to handle your needs. You may also get support from pharmacists, social workers, and nurse case managers.

Individualized Care Plan

Based on the results of a Health Risk Assessment, a care plan will be made with goals you can work on with your Case Manager or PCP.

Care Transitions

If you need to stay at a hospital or skilled nursing facility, you may be able to get help with your change of care.

Can I get a Special Needs Plan?

To get a SNP, you must:

  • Have Medicare Part A (hospital insurance) and Part B (medical insurance)
  • Live in the plan’s service area
  • Meet the eligibility requirements for the SNP

Types of Special Needs Plans

When shopping for SNPs, you will see these types offered:

Dual SNP (D-SNP) for customers with both Medicare and Medicaid who qualify for a SNP.

Chronic SNP (C-SNP) for customers with diabetes mellitus.

Institutional SNP (I-SNP) for customers who live in a long-term care place or need a level of care most often supplied in a nursing home.

Caregivers

As a caregiver, it’s your role to make sure your family member or loved one is getting their health care needs met. A Special Needs Plan can help you with the hard choices that may need to be made. If you have questions, call us at 1 (800) 668-3813 (TTY 711), 8 am – 8 pm, 7 days a week.

For more information, visit our Caregiver Resources page.

Ready to Shop?

If you have a Cigna Medicare Plan in mind, you can enroll online, or by phone, mail, or fax. Learn more about ways to enroll

Programs and Services

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Cigna has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2021 based on a review of Cigna’s Model of Care. Cigna will still need to be approved each year by CMS (Center for Medicare & Medicaid Services) in order to operate. If you have questions regarding our approval by the NCQA, please contact our Customer Service Team at 1 (800) 668-3813 (TTY 711) 8 am - 8 pm, 7 days a week.