C-SNP stands for Chronic Condition Special Needs Plan. These plans support eligible people living with severe or disabling chronic conditions. They give you all your Medicare Advantage benefits and more.
Plans available in select counties in Illinois and Pennsylvania
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An Aetna C-SNP offers personal support to help you manage your chronic conditions. It’s for eligible members who have chronic conditions like:
A C-SNP is a Medicare Advantage plan with Part D prescription drug coverage.
Plus, you get a personal care team, low medical and prescription copays and an Aetna Medicare Extra Benefits Card to help pay for certain everyday expenses.
Are you 65 or older, eligible for Medicare and have been diagnosed with diabetes or a heart condition like chronic heart failure?
If you said yes, then you may qualify for a Special Enrollment Period (SEP) to enroll in the Aetna Chronic Condition Special Needs Plan, or C-SNP.
What is a Chronic Condition Special Needs Plan?
These are Medicare Advantage plans that offer specialized coverage, benefits and support. They are designed for eligible people living with certain chronic conditions. These include:
Diabeties
Chronic heart failure
Or any of the following cardiovascular conditions:
Cardiac arrhythmia
Coronary artery disease
Peripheral vascular disease
Chronic venous thromboembolic disorder
At Aetna®, we understand managing a chronic condition can be overwhelming. That’s why our C-SNPs offer the customized benefits you need to manage your condition and stay healthy.
The plan supports you and your wallet. For instance, they offer $0 copays on all visits to your primary care provider and certain specialists that treat your condition. This helps you get access to the care you need to manage your condition - all at no additional cost.
$0 copay specialists include:
Plus, you’ll have a $0 or low monthly plan premium.
Every Aetna Chronic Condition Special Needs Plan member also has access to a personal care team.
They focus on your unique health needs.
Your care team can build your care plan and help you find doctors and schedule doctor visits.
They can also help you understand and manage medications.
And coordinate meal services, or local transportation to and from doctor appointments and more.
A personal care team is led by a Care Manager and, depending on your health needs, may include:
You also get support to help pay for certain everyday expenses.
C-SNP members get a monthly allowance on an Extra Benefits Card. It can be used to help pay for certain everyday expenses including:
Over-the-counter, or OTC, health and wellness products
Healthy foods
Utilities
Transportation, and
Personal care products
The plan also includes dental, vision and hearing aid coverage.
And Aetna® members can get $0 or low-cost covered Part D prescription drugs at in-network pharmacies. This makes it easier to afford your medicines.
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 at no cost to you.
They can also help you complete the eligibility form. And they’ll work with your doctor to verify your condition.
Need support managing your unique health needs? We’re ready to work with you because healthier happens together®.
Call us today at 1-844-521-1851 ${tty} to learn more about Aetna plans.
Or visit us online at AetnaMedicare.com/CSNP25
Watch this video or get more details about C-SNPs. Learn how you may qualify for a C-SNP, what benefits a C-SNP provides and what you need to enroll.
A C-SNP gives you benefits that may help you save money and help you better manage your care.
Works with your provider to develop your care plan and connects you with programs to help beyond health care services.
Low and $0 copays at in-network pharmacies for covered Part D drugs to help your condition.
Coverage that includes preventive and comprehensive dental services, prescription eyeglasses and hearing aids.
Monthly Extra Supports benefit* amount (allowance) on an Extra Benefits Card to help pay for certain everyday expenses.
To qualify for an Aetna C-SNP, you‘ll need your provider to verify your condition. They will need to verify that you have at least one of these conditions:
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.
You can speak with a licensed Medicare agent. They can walk you through the steps to enroll.
As part of the enrollment application, you’ll need to complete a form that covers the details of your condition. This form is called the Prequalification Assessment Tool (PQAT).
Then, we’ll send a form to your provider. Your provider will verify that you have that eligible condition and that you qualify for a C-SNP plan. Your health care provider must respond by the end of your first month enrolled in the Aetna C-SNP plan.
Initial Enrollment Period (IEP)
You can enroll in a C-SNP the first time you enroll in Medicare. Your IEP is open for 7 months. Usually, 3 months prior to the month you turn 65, the month you turn 65 and 3 months after you turn 65.
Annual Enrollment Period (AEP)
You can also enroll every year during the Medicare AEP. AEP begins on October 15 and ends on December 7.
Special Enrollment Period (SEP)
You may qualify for an SEP to enroll in an Aetna C-SNP. With an SEP, you can enroll in a C-SNP outside of the standard Medicare enrollment periods. If you were diagnosed with one of these chronic conditions, you may qualify for an SEP.
Speak with a licensed Medicare agent. They can help you decide when to enroll.
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 C-SNP 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.
Talk to a licensed agent at ${dynamicPhone} ${tty}, ${hours}.
Talk to a licensed agent at ${dynamicPhone} ${tty}, ${hours}.
The benefit(s) mentioned are part of special supplemental program for the chronically ill. Eligibility is determined by whether you have a chronic condition associated with this benefit. Standards may vary for each benefit.
Conditions include Hypertension, Hyperlipidemia, Diabetes, Cardiovascular Disorders, Cancer. Other eligible conditions may apply. Contact us to confirm your eligibility for these benefits.
Specialist visits include:
Talk to a licensed agent at ${dynamicPhone} ${tty} ${hours}.
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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