Enjoying the Woods

SPECIAL NEEDS & MEDICARE

Special Needs Plans (SNPs) are designed for people who are eligible for both Medicare and Medi-Cal/Medicaid, those residing in certain care facilities or who require nursing care at home, or people with certain chronic or disabling conditions.

Man with Down Syndrome Playing Violin

SNP benefits may include coverage for the following

  • Prescription drugs

  • Enhanced Dental services including dentures

  • Vision services and eyewear

  • Hearing services

  • Hearing aids and batteries

  • Meal delivery

  • Wearable medical alert system

  • Allowance for over-the-counter health and wellness products

  • Transportation services

  • Select Gym memberships

And much more!

Woman in Wheelchair in Greenhouse

When can I enroll?

During your Medicare Initial Enrollment Period

You may be able to enroll in a Medicare Advantage Special Needs Plan during your 7-month Medicare Initial Enrollment Period, after you’ve enrolled in Medicare Part A and Part B.  You must meet the plan’s eligibility requirements and live in the plan’s service area

 

During the Medicare Annual Election Period

You may enroll in a Medicare Special Needs Plan during the Annual Election Period that runs from October 15 to December 7 each year.

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Doctor Talking to Boy in Wheelchair

When Can I enroll?

During a Special Election Period

 

You may also enroll in a Medicare Special Needs Plan if you are granted a Special Election Period

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  • If you currently have or become eligible for         Medi-Cal/Medicaid

  • You are already enrolled in Medi-Cal/Medicaid or Extra Help

  • You move into a nursing home or other long-term care facility

  • You move out of your current SNP coverage area

  • Your SNP leaves the Medicare program