2025 Elevance Special Needs Plans

Special Needs Plans (SNPs) are either HMO or PPO plans which means all plans, regardless of type, include a contracted network of providers.

With specific goals and objectives for the population it serves, each SNP is required to develop a:

Which of the following are the types of Special Needs Plans (SNPs)?

In order to qualify to enroll in a DSNP, beneficiaries must be entitled to:

CMS created a new monthly integrated care SEP for CY2025 to allow full dual eligible individuals to elect an integrated Dual Eligible Special Needs Plan (D-SNP); for example, Fully Integrated Dual Eligible (FIDE), Highly Integrated Dual Eligible (HIDE), and Applicable Integrated Plan (AIP). This new SEP is allowed only when the individual receives Medicaid through an affiliated managed care plan.

Chronic SNPs (CSNPs) are SNPs that:

The SNP Model of Care (MOC) includes all but which of the following:

The Open Enrollment Period (Institutional), or OEPI, is continuous for eligible beneficiaries.

Special Needs Plans are intended to provide targeted care to beneficiaries with special needs. A “special needs individual” is eligible for Medicare Parts A and B, and:

Institutional Special Needs Plans (ISNPs) restrict enrollment to eligible individuals who, for 90 days or longer, have had or are expected to require an institutional level of care, or an institutional equivalent level of care.