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What is a Medicare Special Needs Plan?
What is a Medicare Special Needs Plan?
A SNP is a kind of Medicare plan for people in unique situations. SNPs offer the same Medicare Part A and B coverage you get with Medicare Advantage plans. This includes prescription drug coverage. Some may also cover special services the member needs because of their situation.
To qualify for SNPs, you must:
- Have Medicare Part A and B
- Live in the area the plan serves
- Meet one of the following requirements:
You are eligible for both Medicare and Medicaid
You have a qualifying chronic condition
You need facility-level care, or you have lived for at least 90 days in a qualifying facility (places like nursing homes, rehabilitation hospitals and psychiatric hospitals)

Types of SNPs and who qualifies
There are three types of Special Needs Plans: Dual-Eligible SNP (D-SNP), Institutional SNP (I-SNP) and Chronic Condition SNP (C-SNP).
Learn more about eligibility to find the one that meets your needs:
D-SNP
Dual-Eligible Special Needs Plans
- People/Individuals who qualify for both Medicare and Medicaid
- Those over 65 who qualify as low-income.
- People who are under 65 and have a qualifying medical condition.
C-SNP
Chronic Condition Special Needs Plans
- People/Individuals who have Medicare
- People/Individuals with a qualifying chronic or disabling condition
Aetna offers C-SNPs in these states: PA and IL.
I-SNP
Institutional Special Needs Plans
- People/Individuals who have Medicare
- People who reside in a skilled nursing facility for 90 days or longer
Medicare-Medicaid Plan (MMP) vs. D-SNP: What’s the difference?
An MMP is a private health plan that provides coordinated Medicare and Medicaid benefits for dual-eligible individuals. Both MMP and D-SNP plans make getting care through Medicare and Medicaid easier for you.
With a D-SNP, you can keep the same Medicaid plan and benefits you get today, but you have a separate Medicare Advantage plan that gives you more benefits and features than Original Medicare.
But with an MMP, all Medicare and Medicaid benefits and services are provided through one single health plan.
Only Ohio, Illinois and Michigan offer Aetna MMPs. If you live in one of these states, choose a link below to learn more about MMPs in your area.
Call to enroll or see if you qualify
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Call to enroll or see if you qualify
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