Chronic Special Needs Plans

- Introduction -

 

SBA works with several Carriers to offer Special Needs Plans (SNPs) for members who have either certain chronic diseases or are Dual-eligible (receive both Medicare and Medicaid benefits). The following SNPs are available:

• Chronic Combined SNP- for members with Diabetes, Cardiovascular Disease or Chronic/Congestive Heart Failure

• Chronic Pulmonary SNP- for members with Chronic Lung Disorders

• Dual Eligible SNP- for members who receive both Medicare and Medicaid benefits 

Dual Eligible SNP

The Dual Eligible SNP includes all members who qualify for Medicare and Medicaid benefits and is not based on any chronic disease. Dual SNP's may include Dental, Vision and Hearing coverage, transportation, over the counter benefits, fitness membership, and more. 

Chronic Combined SNP

The chronic diseases that are included under the Chronic Combined SNP are

• Diabetes

• Cardiovascular Disease for the following only:

  • Cardiac Arrhythmias

  • Coronary Artery Disease

  • Peripheral Vascular Disease

  • Chronic Venous Thromboembolic Disorder

  • Chronic/Congetsive Heart Failure

Chronic Pulmonary SNP

The chronic diseases that are included under the Chronic Pulmonary SNP are:

• Chronic Lung Disorders

  • Chronic Obstructive Pulmonary Disease which includes Chronic Bronchitis, Asthma and Pulmonary Fibrosis