Suppose you have one or more of these severe, disabling, or qualifying chronic conditions:
| · Chronic alcohol and other dependence | · End-Stage Renal Disease (ESRD) requiring dialysis (any mode of dialysis) | |
| · Certain autoimmune disorders | · Certain severe hematologic disorders | |
| · Cancer (excluding pre-cancer conditions) | · HIV/AIDS | |
| · Certain cardiovascular disorders | · Certain chronic lung disorders | |
| · Chronic heart failure | · Certain chronic and disabling mental health conditions | |
| · Dementia | · Certain neurologic disorders | |
| · End-stage liver disease | · Stroke | |
Can you enroll in a C-SNP anytime?
If you meet the eligibility requirements for a C-SNP, you can enroll at any time. To enroll in a C-SNP, you must be eligible for Medicare Part A and Part B, and your healthcare provider must verify your qualifying condition.
Chronic condition eligibility requirements:
- You need a note/form from your doctor confirming that you have a condition addressed by the C-SNP.
- The C-SNP Medicare carrier may enroll you before getting confirmation from your doctor. Still, if it cannot verify your eligibility by the end of your first month enrolled, you will be disenrolled from the plan at the end of the following month.
- You will have a Special Enrollment Period (SEP) to enroll in a new plan, beginning when your plan first notifies you that you are being disenrolled, and ending after two months.
When you are considering a Medicare C-SNP, utilize your Medicare Advisor or Agent to help explain what plans are available in your area and the specific benefits.
Most Medicare C-SNPs use a Care Coordinator to help you stay healthy and follow your doctor’s orders. A Care Coordinator is someone who helps make sure people get the proper care and information.
For example, a Medicare C-SNP for people with diabetes might use a care coordinator to help members do these things:
- Monitor their blood sugar
- Follow their diet
- Get proper exercise
- Schedule preventive services(like eye and foot exams)
- Get the right prescriptions to prevent complications