Explore Anthem Special Needs Plans (SNPs)
Medicare Advantage SNPs are for people with disabilities, living with certain medical conditions, or those who qualify for Medicare and Medi-Cal. These plans include Original Medicare Part A (hospital) and Part B (medical) and add many valuable benefits.
Dual Special Needs Plans (D-SNPs)
Our HMO D-SNPs offer benefits for people eligible for both Medicare and Medi-Cal.
A Care Manager that coordinates your care, medications, and benefits
Prescription drug coverage
Dental, vision, and hearing coverage
Support for OTC, utilities1, 2, groceries1, 2, and transportation2, 3
And a range of other benefits
Anthem has full and partial dual eligible plans. If you’re receiving full medical benefits from Medi-Cal, almost all of your out-of-pocket costs may be paid. Plan availability, premiums, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your Medi-Cal eligibility status. Our PPO D-SNP plans do not include groceries or utilities and only some include an OTC benefit.
Chronic Condition SNPs (C-SNPs)
Our C-SNPs offer care for people with diabetes, heart conditions, lung disease, or kidney disease. Plan availability, premiums, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your eligibility.
Benefits tailored to your chronic condition
Dedicated care team to support you
Prescription drug coverage
Dental, vision, and hearing coverage
Support for OTC, utilities1, 2, groceries1, 2, and transportation2, 3
And a range of other benefits
Explore Anthem Chronic Condition (C-SNPs)
Institutional Special Needs Plans (I-SNPs)
Anthem offers Institutional Special Needs Plans (I-SNPs) in California. You are eligible for an I-SNP if you expect to be in a long-term care (LTC) or skilled nursing facility, or if you need intermediate care for 90 days or longer.
Count On Comprehensive Benefits Made For Your Specific Needs
An Anthem Special Needs Plan gives you all-in-one coverage plus a care team that supports you every step of the way. Many of our SNP plans include benefits like these:
Over-the-counter health items, groceries1, 2, and utilities1, 2
Many plans have $0 monthly premiums which is good news for your pocketbook
$0 prescription drug copays means your money goes further
Routine exams, cleanings, and a yearly eyewear allowance
Routine hearing exams and hearing aids
Rides2, 3 included to plan-covered services
Stay in shape with free access to SilverSneakers® fitness programs
Helps you understand your benefits and get the most out of your plan
Large network of doctors and hospitals
* Plan availability, premiums, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your eligibility.
Smart Tip: You may be eligible for the Anthem Benefits Prepaid Card to help pay for utilities1, 2, groceries1, 2, and over-the-counter health items4.
Am I Eligible And How Do I Enroll?
You can enroll in an Anthem Special Needs Plan (SNP) if you meet certain qualifications by plan type:
D-SNPs
Plans require that you are eligible for both Medicare and Medi-Cal.
Full dual eligible means that you also qualify for full-state Medi-Cal benefits.
If you have Medicare Part A and Part B, you can enroll in a Dual Special Needs Plan the month you become fully eligible for Medi-Cal.
If you are already enrolled in a D-SNP plan, you may be able to change plans monthly depending on your current plan and/or the plan you want to enroll in. And if you've had a life event such as moving, losing coverage or newly eligible for Medicare, you may qualify for a Special Enrollment Period. You can always change plans during the Annual Enrollment Period from October 15 to December 7 every year.
C-SNPs
Plans require that your doctor certifies that you have one of the following chronic conditions: diabetes, a heart condition, lung disease, or end-stage renal disease.
You can enroll when you’re first diagnosed with a qualifying chronic condition or during the Medicare Annual Enrollment Period (AEP). You may also qualify for a Special Enrollment Period (SEP).
Smart Tip: If you don’t qualify for a SNP, see which Medicare Advantage plans might be right for you.
Frequently Asked Questions About Special Needs Plans
Special Needs Plans (SNPs) are for people with limited income or certain conditions or diseases. Benefits may include:
Extra support from a special team of care providers
Prescription drug coverage
Rides to health-related appointments
Healthy meals allowance
This list does not include all the benefits that come with Special Needs Plans. Plan availability, premiums, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your eligibility.
Many SNPs are available with $0 premiums, deductibles, and copays. Depending on eligibility, some plans may charge a monthly premium in addition to the Part B premium. Deductibles, copayments, and other costs may vary based on the plan you choose and where you live. If you have Medicare and Medi-Cal, most of the costs may be covered for you by the Medi-Cal program.
Specific groups of people can qualify for one of three types of SNPs:
Dual Special Needs Plans (D-SNPs) for people who are eligible for both Medicare and Medi-Cal
Chronic Special Needs Plans (C-SNPs) for people with diabetes, heart, lung or kidney disease
Institutional Special Needs Plans (I-SNPs) for residents of long-term care facilities
If you don’t qualify, Anthem offers other Medicare Advantage plans that may be right for you.
Many people don’t realize they can get financial assistance from the federal government or their state. If you're not sure if you qualify for financial assistance or a duals plan, contact California’s Medi-Cal office.
Read Our Medicare Articles
Compare the differences between Medicare and Medicaid plans. You can also take a deeper dive and learn about Medicare Advantage enrollment, benefits, and more.
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1 Members may receive a monthly or quarterly allowance in the form of a benefits prepaid card to pay for a wide range of approved groceries and utilities. Unused amounts will expire at the end of the month or quarter. Benefits vary by plan.
2 Depending on your plan, the benefits listed may be available through the Medicare Advantage Value-Based Insurance Design Model or to eligible members as Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan's Evidence of Coverage.
3 Transportation services are issued as one-way trips and provided on an annual basis. Benefits vary by plan.
4 Plan availability, premiums, benefits, and benefit amounts may vary based on where you live, the plan you choose, and your eligibility.
The Benefits Mastercard® Prepaid Card is issued by The Bancorp Bank, N.A., Member FDIC, pursuant to license by Mastercard International Incorporated. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. This is a benefits card that can only be used at certain Mastercard merchants participating in this program and will be authorized for qualified purchases as set forth in your Terms and Conditions. Valid only in the U.S. No cash access. Other languages are available upon request.
The SilverSneakers fitness program is provided by Tivity Health, an independent company. Please talk to your doctor before starting an exercise program. SilverSneakers, the SilverSneakers shoe logo type and SilverSneakers Flex are registered trademarks of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.
Anthem Blue Cross, a Medicare Advantage organization with a Medicare Contract, offers HMO, HMO D-SNP, HMO C-SNP, and HMO I-SNP plans. Anthem Blue Cross Partnership Plan, a Medicare Advantage Organization with a Medicare Contract, offers HMO and HMO-CSNP plans. Anthem Life and Health Insurance Company, a Medicare Advantage Organization with a Medicare Contract, offers LPPO, LPPO D-SNP, and LPPO C-SNP plans. Anthem Blue Cross HMO D-SNP plans and Anthem Life and Health Insurance Company LPPO D-SNP plans additionally contract with state Medicaid programs. Anthem BC Health Insurance Company, a Medicare Advantage Organization with a Medicare Contract, offers LPPO plans. Enrollment in an Anthem Blue Cross, Anthem Blue Cross Partnership Plan, Anthem BC Health Insurance Company and Anthem Life and Health Insurance Company plans depend on contract renewal.