Chronic Condition Special Needs Plan (C-SNP)
Do you have a chronic health condition like heart disease or diabetes? A Chronic Condition Special Needs Plan (C-SNP) might be a good fit for you. This type of plan gives you extra care and support to help you manage your health. And you may be able to enroll online if you qualify.
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What is a C-SNP?
An Aetna® Medicare Chronic Condition Special Needs Plan (C-SNP) is a type of Medicare Advantage plan for people who have certain long-term health conditions. It includes prescription drug coverage and a team of doctors, nurses and other specialists. They work together to create a care plan just for you.
To qualify to enroll in a C-SNP Medicare plan, you need to have at least one of the following conditions:
- Diabetes Mellitus (high blood sugar)
- Chronic Heart Failure (CHF) (heart is unable to pump blood as it should)
- Cardiac arrhythmias (irregular heartbeats)
- Coronary artery disease (blocked blood vessels in the heart)
- Peripheral vascular disease (poor circulation in the arms and legs)
- Valvular heart disease (damage to flaps in the heart that control blood flow)
Support for the whole you
A C-SNP helps you manage your chronic condition. You’ll get the care you need for your condition and save money on the things you use every day.
$0 copay for specialists
You’ll pay $0 for visits to certain in-network specialists* who treat your chronic condition, as well as $0 for visits to an in-network primary care provider (PCP).
Personal care team
Works with you and your provider to develop your care plan and connects you with programs to help beyond health care services.
$0 copays for Rx drugs
Over 200 Tier 1 chronic condition-related prescription drugs have a $0 copay at in-network pharmacies.
$0 diabetic supplies
Members will pay $0 for blood glucose meters (BGM) and test strips from our preferred diabetic suppliers*.
Extra Benefits Card
You’ll get an Extra Benefits Card with a monthly allowance. You can use it to pay for certain over-the-counter (OTC) health and wellness products.
Dental, vision, hearing
Coverage that includes certain dental services, prescription eyewear and hearing aids.
Learn more about a C-SNP
Watch this video or get more details about a C-SNP. Learn how you may qualify for a C-SNP, what benefits a C-SNP provides and what you need to enroll.
Are you eligible for Medicare and have you been diagnosed with diabetes or chronic heart failure?
If yes, then you may qualify for an Aetna Chronic Condition Special Needs Plan, or C-SNP.
This is a Medicare Advantage plan that offers specialized coverage, benefits and care for people living with qualifying chronic conditions like:
Diabetes Mellitus
Chronic Heart Failure or CHF
Or any of the following cardiovascular disorders:
cardiac arrhythmias
coronary artery disease
peripheral vascular disease
or valvular heart disease
At Aetna®, we understand that managing a chronic condition requires added care. That’s why we offer health and financial benefits you need to manage your condition and stay well.
Aetna® C-SNPs offer support that goes beyond traditional coverage.
Like $0 copays on all visits to your primary care provider and certain specialists like cardiologists, endocrinologists, nephrologists and pulmonologists.
And with Aetna®, you’ll also get personalized care. Every C-SNP includes a personal care team that understands your needs.
Your personal care team is led by a nurse care manager and, depending on your health needs, may include another nurses, social workers, medical directors, pharmacists and care coordinators.
Your care team can help you build your care plan, find doctors and schedule appointments. They can answer questions and help you manage your medications. And they can arrange meal services, local transportation to and from doctor visits, and more.
C-SNP members also get a monthly allowance on an Extra Benefits Card.
You can use this card for certain over-the-counter (OTC) health and wellness products.
Members with a qualifying condition who meet all other criteria can use the monthly allowance to help pay for additional everyday expenses, including: healthy foods, utilities, transportation and personal care products.
C-SNPs also include dental, vision and hearing aid coverage.
And over 200 Tier 1 chronic condition prescription drugs have a $0 copay at in-network pharmacies. This makes it easier to afford the medicines you need.
Give us a call to learn about coverage in your area!
A licensed Aetna® agent can answer your questions and guide you through the enrollment process with no obligation to join.
They’ll also work directly with your doctors to make sure you qualify so you don’t have to.
Call us today at 1-844-602-1730 (TTY: 711) to learn more about C-SNP and other Medicare Advantage plans Aetna® has to offer.
Or visit us online at AetnaMedicare.com/Learn
Got questions? We’ve got answers
Want to know more about our Chronic Special Needs Plan (C-SNP)? We’ve put together answers to common questions to help you understand these plans.
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To qualify for an Aetna C-SNP, your provider will need to verify you have at least one of the following conditions:
- Diabetes Mellitus (high blood sugar)
- Chronic Heart Failure (CHF) (heart is unable to pump blood as it should)
- Cardiac arrhythmias (irregular heartbeats)
- Coronary artery disease (blocked blood vessels in the heart)
- Peripheral vascular disease (poor circulation in the arms and legs)
- Valvular heart disease (damage to flaps in the heart that control blood flow)
An Aetna C-SNP is only for Medicare members with at least one of these eligible conditions. We have to check and make sure that all new members have at least one of these conditions. If we find that a member has enrolled in a C-SNP but does not have one of these conditions, we must disenroll that member.What if I don’t have an eligible condition and I enroll in a plan?
An Aetna C-SNP is only for Medicare members who have at least one eligible chronic condition. If you enrolled and don’t have one of these conditions, you'll be removed from the plan by the end of the second month. -
If you have a qualifying chronic condition and meet all other criteria, you can use the monthly allowance on the Extra Benefits Card to help pay for certain healthy foods, utilities, transportation and more.
Learn more and see if you qualify -
To get started, you’ll need the contact information for your primary care provider (PCP) or specialist. This should be the provider who treats you or has treated you for your chronic condition. They'll need to confirm (attest to) that condition. We’ll need this to fill out the Prequalification Assessment Tool (PQAT).
Next, we’ll send a Verification of Chronic Condition (VCC) form to the provider who will confirm (attest to) your chronic condition. They’ll let us know if you have an eligible chronic condition and qualify for a C‑SNP. We need this form sent back to us before the end of the second month that you’re enrolled in the plan.
There are three ways you can enroll:Online: Fill out the enrollment form
By phone: Call ${dynamicPhone} ${tty} to talk to a licensed agent, ${hours}.
With a broker in your area: They can help you enroll. -
If you have a heath condition that qualifies for an Aetna Medicare C-SNP and haven’t enrolled in a C-SNP before, you may qualify for a Special Enrollment Period (SEP). This means you can enroll anytime during the year.
You still have options if you’re already enrolled in a C-SNP and want to switch plans:
Special Enrollment Period (SEP)
If you get a new chronic condition that your C-SNP doesn’t cover, you’ll get a new SEP so you can enroll in another plan. You can get one SEP for each new condition that qualifies.Annual Enrollment Period (AEP)
You can also enroll every year during the Medicare AEP. AEP begins on October 15 and ends on December 7.
It’s important that your doctor lets us know about your chronic condition by the end of your second month active on the plan. If that doesn't happen, you'll be taken off of it. But don’t worry, you will get an SEP of 60 days to enroll in a different Medicare plan, like MA, MAPD or PDP.Speak with a licensed Medicare agent. They can help you decide when to enroll.
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An Aetna C-SNP pairs each member with a team of health care professionals. Your care team works with you and your providers to develop your care plan. And they connect you with programs to help beyond health care services.
Your care team understands your plan benefits and helps you access the ones you need. If you want, they can schedule medical and dental appointments for you.
They can also connect you with local and state programs and resources to help you with meals, local transportation and more.
Still have questions?
We have answers.
Call us
Talk to a licensed agent at ${dynamicPhone} ${tty}, ${hours}.
Stay informedGet C-SNP updates
Disclaimers
The Aetna C-SNP is available to Medicare members who have at least one of the qualifying chronic conditions. To ensure a successful enrollment process, we’ll confirm with your healthcare provider that you have one of these eligible conditions. If verification of eligible condition is not received, involuntary disenrollment will occur.
The benefit(s) mentioned are part of special supplemental benefits for the chronically ill (SSBCI). SSBCI conditions include certain cardiovascular disorders, Chronic Heart Failure, and diabetes. Eligibility is determined by whether you have a chronic condition associated with the benefit(s) and you meet all other criteria. Even if you have a listed chronic condition, you may not necessarily receive the benefit because other eligibility and coverage criteria may apply. Standards and conditions vary for each benefit. Contact us to confirm the specific SSBCI condition requirements for the benefit(s) for this plan and determine your eligibility.
This material is for informational purposes only and is not medical advice. Health information programs provide general health information and are not a substitute for diagnosis or treatment by a physician or other health care professional. Contact a health care professional with any questions or concerns about specific health care needs. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna is not a provider of health care services and, therefore, cannot guarantee any results or outcomes. The availability of any particular provider cannot be guaranteed and is subject to change. Information is believed to be accurate as of the production date; however, it is subject to change. For more information about Aetna plans, refer to our website.
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