Chronic Condition Special Needs Plans (C-SNP)

What Is It?

A C-SNP is a Medicare Advantage Special Needs Plan designed for people who meet specific qualifying chronic-condition requirements for that plan.

C-SNPs are not a separate Medicare program; they are specialized Medicare Advantage plans.

How Does It Work?

A C-SNP offers benefits tailored to the chronic condition, care coordination, and generally prescription drug coverage (Part D). It may require provider verification to confirm the qualifying condition.

Who Is It For?

For people who meet the qualifying chronic-condition requirements for a specific C-SNP.

Qualifying chronic conditions and verification requirements vary by plan. Eligibility must be confirmed according to the requirements of the specific C-SNP.

What Should You Consider?

• What a C-SNP is.
• How C-SNPs differ from standard Medicare Advantage plans.
• General eligibility requirements.
• Qualifying chronic conditions as permitted for the specific plan.
• Provider verification requirements when applicable.
• Prescription drug coverage.
• Provider networks.
• Care coordination.
• Supplemental benefits when offered.
• Plan availability by service area.
• Do not assume that every chronic condition qualifies for every C-SNP.