Medicare Advantage Special Needs Plans (SNPs) From Anthem

Anthem Special Needs Plans are for people living with disabilities, certain chronic conditions or who have limited incomes. If you qualify, you can get health benefits tailored to fit your needs. And SNPs often have $0 premiums, deductibles, and copays1 to make your budget go further.

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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 Medicaid. These plans include Original Medicare Part A (hospital) and Part B (medical) and add many valuable benefits.

Dual Special Needs Plans (D-SNPs)

 

 

Our D-SNPs offer benefits for people eligible for both Medicare and Medicaid.

 

 

    A Care Manager that coordinates your care, medications, and benefits

 

    Prescription drug coverage

 

    Dental, vision, and hearing coverage

 

    Support for OTC, utilities, groceries, and transportation

 

    And a range of other benefits


 

Anthem has full and partial dual eligible plans. If you’re receiving full medical benefits from your state, almost all of your out-of-pocket costs will be paid. Plans and benefits vary by state.

 

Explore Anthem Dual Special Needs Plans (D-SNPs) 

   

Chronic Condition SNPs (C-SNPs)

 

 

Our C-SNPs offer care for people with diabetes, heart conditions, lung disease, or kidney disease. Plans and benefits vary by state.


 

 

    Benefits tailored to your chronic condition

 

    Dedicated care team to support you

 

    Prescription drug coverage

 

    Dental, vision, and hearing coverage

 

    Support for OTC, utilities, groceries, and transportation


 

    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, Connecticut, Nevada, and Virginia. 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.  You can count on benefits like these:

Benefits Prepaid Card

Over-the-counter health items, groceries, and utilities

$0   Premiums

Most plans have $0 monthly premiums which is good news for your pocketbook

$0  Copays

$0 prescription drug copays means your money goes further

Dental & Vision Benefits

Routine exams, cleanings, and a yearly eyewear allowance

Hearing Benefits

Routine hearing exams and hearing aids

Transportation

Rides included to plan-covered services

Gym Membership

Stay in shape with free access to SilverSneakers® gym membership

Assistive Devices

This allowance supports your mobility and makes life a little easier

In-Home Support

Get companionship and support to enhance your quality of life

Smart Tip: You may be eligible for the Anthem Benefits Prepaid Card to help pay for utilities, groceries, and over-the-counter health items.1

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 Medicaid.

Full dual eligible means that you also qualify for full-state Medicaid benefits

Partial dual eligible means you qualify for a Medicare Savings Program as part of your state’s Medicaid program, but don’t receive full Medicaid medical benefits.

You can enroll or change plans one time each quarter and during the Medicare Annual Enrollment Period (AEP). If your status changes to full dual eligible, you can change to a full D-SNP at any time. Plans and benefits vary by state.

   


 

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 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

 

    Medicare Part B premium coverage

 

     SilverSneakers® gym membership

 

This list does not include all the benefits that come with Special Needs Plans. Coverage may change based on where you live.

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. If you have Medicare and Medicaid, most of the costs will be covered for you by your state’s Medicaid 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 Medicaid

 

    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 your state's Medicaid 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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Sign up and find out how Anthem Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual webinar, or a live seminar where a Medicare licensed agent will be present to answer your questions.

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1 Benefits and rates may vary depending on where you live and which plan you choose.

 

Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal