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.

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!

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.

When..?

During a Special Election Period

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

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