Medicare Advantage Special Needs Plans

Medicare Advantage Special Needs Plans (SNPs) with Wellpoint are plans for people living with certain medical conditions or who qualify for Medicaid and Medicare.

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Find a Medicare Advantage Special Needs plan for you

Dual Eligible Special Needs Plan (D-SNP)

 

D-SNPs offer help for people eligible for both Medicare and Medicaid:

  • For Medicare, you qualify if you’re 65 or older or have certain health conditions.
  • For Medicaid, you qualify based on your income levels instead of age.

 

Our D-SNPs may include:

  • Prescription drug coverage
  • Routine dental, vision, and hearing coverage
  • Benefits Prepaid Card for over-the-counter items, utilities,1 and groceries1

 

Learn more about a D-SNP plan 

Chronic Conditions Special Needs Plan (C-SNP)

 

C-SNPs offer support and care for people living with chronic conditions like:

  • Diabetes
  • Lung conditions
  • Heart disease
  • End-stage renal disease (ESRD)

 

Most of our C-SNPs include:

  • Additional benefits tailored to your healthcare needs
  • Enhanced care management
  • Prescription drug coverage
  • Routine dental, vision, and hearing coverage
  • Lower out of pocket costs

 

Learn more about a C-SNP plan 

Institutional Special Needs Plan (I-SNP)

 

Wellpoint also offers I-SNPs in Arizona. An I-SNP offers support for those in a long-term care (LTC) or skilled nursing facility, or who need intermediate care for 90 days or longer.

 

You can enroll in an I-SNP if you have Original Medicare and live in one of our network nursing homes or assisted living communities (or other plan-approved location).

Find the support you need with a Medicare SNP

 

If you’re living with a chronic condition that requires additional healthcare or need to cover health costs on a fixed or low income, you may qualify for a Medicare Advantage Special Needs Plan (SNP). These plans cover Original Medicare Part A (hospital) and Part B (medical), plus Part D (prescription drug). They sometimes cover more depending on the plan type and where you live.

$0 Premium

 

$0 or low monthly premiums

$0 Prescriptions

 

$0 or low prescription copays

Benefits Prepaid Card

 

Help paying for things like groceries1,3 and utilities1,3

Dedicated support team

 

Support to help you understand your benefits

Dental, vision, and hearing

 

Coverage to help support your whole health

Transportation

 

Rides to health-related appointments2

Benefits may vary depending on your state and plan.

Get a prepaid card for everyday essentials

Our Wellpoint Medicare Advantage plans include a Benefits Prepaid Card. If you’re eligible, you can use this to help pay for things like groceries,1,3 utilities,1,3 and over-the-counter items.

 

Find out more about the Wellpoint Benefits Prepaid Card 

Health coverage eligibility

 

Not sure if you qualify for a D-SNP?

 

We’re here to help. Answer a few quick questions to see if a Dual Eligible plan might be a good fit.

Don’t qualify for a SNP?

If you don't qualify for a SNP, our Medicare Advantage HMO plans also cover benefits beyond Original Medicare such as dental, vision, and prescription drug coverage.

Find plans in your area

Need help finding the right plan? Talk to a licensed agent:

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Frequently asked questions

Need more help navigating Medicare?

 

We’re here to help. Find helpful articles and resources to boost your Medicare knowledge.

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.

 

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.

 

2 Transportation services are issued as one-way trips and provided on an annual basis. Benefits vary by plan.

 

3 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.

Wellpoint, a Medicare Advantage organization with a Medicare Contract, offers HMO, HMO D-SNP, HMO C-SNP, HMO I-SNP, LPPO, and PDP plans. Wellpoint HMO D-SNP plans additionally contract with state Medicaid programs. Enrollment in a Wellpoint health plan depends on contract renewa