Special Needs Plans
Medicare Plans for People with Long Term Illness or Low Income

 

There are Medicare Plans available for certain eligible participants that have special needs or require a certain level of care. If you qualify for one of these programs you may be eligible for many additional benefits that are not provided by Medicare or Medicaid. On this page you should find all the resources you need to research and enroll in a Special Needs Medicare Advantage Plan.
Special Needs plans are one of the nation's largest growing care coordination programs for people who have long-term or advanced illnesses, are older or have disabilities. These Medicare and Medicaid plans and services enhance health and independence by providing a Nurse Practitioner or Care Manager as your personal guide through the complex world of health care. They help make it easier to get the care you deserve.


Chronic Illness Eligibility Chart (For People With Certain Long Term Illnesses)


Benefit Overview
Your benefits and services may include:*

• No premium beyond monthly Medicare payment for Part A & B coverage
• Rides to doctor appointments
• Dental care
• Glasses and eye exams
• Hearing aids
• Flu shots
• Routine foot care
• Choice of doctors in the Plans network
• Choice of pharmacies in the Plans network
• Access to a Care Manager
• Built-in Part D prescription coverage


What Are The Benefits Of Choosing A Special Needs Plan 
When You Already Have Medicaid?

This is a frequently asked question and also a very good one. Special Needs Plans are managed care programs designed to provide you with a level of care customized to your individual needs. You will receive additionsl benefits and personalized service. Click on the links below for more detiled information or call 1-1-800-996-6618

Getting The Most Out Of Your Medicare (Great Guide Book!!)

Special Needs Medicare Plans may also provide enrollees with quarterly credits which can be used to purchase personal healthcare products from a special catalog. These credits can be saved up to purchase larger items but cannot be carried over to the following year. 
 
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*Benefits and services vary by site and plan. Limits and copayments may apply.

Special Needs health plans are Medicare Advantage plans offered by private Insurance Companies, which are Medicare Advantage organizations with a Medicare contract.
This is a proprietary website. and is not, associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at medicare.gov