Complete Guide to Medicare Special Needs Plans in Calhoun County, AL
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For 2025, Calhoun County, AL offers 17 Medicare Special Needs Plans (SNPs) tailored to meet diverse healthcare needs. These plans provide specialized coverage for those with particular conditions.
Whether you're looking for a plan tailored to your unique situation or want to compare the options available, this guide provides all the information you need to make an informed decision.
Compare Medicare SNP Plans in Calhoun County, AL
Below is a list of the 17 Medicare Special Needs Plans (SNPs) available in Calhoun County, AL for 2025. Click on any plan to view full details, including eligibility, coverage, and costs, to find the best fit for your healthcare needs.
Calhoun County, Alabama Medicare SNP Plans
| Plan Name | Type | Premium | Network | Part D Deduct. |
Rating |
|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F001 | I-SNP | $38 | PPO | $590 | |
| Aetna Medicare Dual Preferred | D-SNP | $9 | HMO | $590 | |
| Aetna Medicare Dual Select | D-SNP | $12 | HMO | $590 | |
| UHC Dual Complete AL-V002 | D-SNP | $40 | HMO-POS | $590 | |
| UHC Dual Complete AL-Y1 | D-SNP | $0 | HMO-POS | $590 | |
| VIVA Medicare Extra Value | D-SNP | $40 | HMO | $577 | |
| Humana Dual Select H5619-093 | D-SNP | $33 | HMO | $590 | |
| HumanaChoice SNP-DE H5216-370 | D-SNP | $0 | PPO | $590 | |
| UHC Complete Care AL-5 | C-SNP | $0 | HMO-POS | $340 | |
| UHC Dual Complete AL-D001 | D-SNP | $35 | HMO-POS | $590 | |
| UHC Dual Complete AL-D002 | D-SNP | $40 | PPO | $590 | |
| UHC Dual Complete AL-V001 | D-SNP | $40 | HMO-POS | $590 | |
| Simpra Advantage Assist | I-SNP | $86 | PPO | $150 | |
| Simpra Advantage Dual Care | D-SNP | $0 | PPO | $590 | |
| Simpra Advantage Nursing Home Plan | I-SNP | $40 | PPO | $590 |
Understanding Medicare SNPs
Special Needs Plans (SNPs) under Medicare are designed to provide specialized coverage for individuals with unique healthcare needs. These plans offer benefits and services that are specifically aligned with the health challenges faced by their members.
There are three primary types of SNPs, each designed for a particular group of beneficiaries:
- Dual Eligible SNPs (D-SNPs): Dual eligible plans are for those who qualify for both Medicare and Medicaid, offering integrated care and additional services tailored to their needs.
- Chronic Condition SNPs (C-SNPs): Targeted at individuals with chronic health conditions, C-SNPs provide specialized care and benefits designed to manage and treat these ongoing conditions.
- Institutional SNPs (I-SNPs): I-SNPs are tailored for individuals residing in long-term care facilities or requiring in-home nursing care, focusing on providing coordinated and specialized care.
Medicare SNP Eligibility Criteria in Calhoun County
SNPs have specific eligibility requirements, including health conditions and dual eligibility status. See if you’re eligible to join a Special Needs Plan.
Read: Guide to Medicare Special Needs Plans
Why Choose a Medicare SNP?
The specialized benefits offered by Medicare SNPs are tailored to meet the specific healthcare needs of individuals, providing additional services that help manage their conditions more effectively.
- Dual Eligible SNPs: D-SNPs coordinate care between Medicare and Medicaid, offering extra services such as transportation, care management, and/or assistance with daily living. These plans typically include comprehensive drug coverage with minimal copays.
- Chronic Condition SNPs: C-SNPs provide focused care management for chronic conditions like COPD or heart disease, offering tailored treatment plans and easier access to specialized care providers.
- Institutional SNPs: I-SNPs are designed to provide seamless care across nursing homes or in-home care settings, offering personalized health services like therapy and checkups, and possibly support for caregivers.
Tips for Choosing a Medicare SNP in Calhoun County, AL
Finding the right SNP for you can make a big difference in how well your healthcare needs are met. It’s essential to carefully compare your options to find a plan that suits your health and lifestyle. Just be aware that all types of SNP plan may not be available in Calhoun County, AL.
- Consider Your Medical Needs: Assess your current health status and any special medical needs you may have. This will help you determine which type of SNP—D-SNP, C-SNP, or I-SNP—will best serve your needs.
- Examine Plan Benefits: Take a close look at the benefits provided by each SNP, including drug coverage, access to specialists, and other essential services. Select a plan that covers the healthcare services you rely on most.
- Check the Network: Make sure that your current doctors, specialists, and hospitals in the Calhoun County area are part of the plan’s provider network. This ensures continuity of care and access to the providers you trust.
How to Enroll in a Medicare SNP
Enrolling in the right Medicare SNP for you is essential to accessing the healthcare services you need. Knowing when and how to enroll can help you make the most of your Medicare benefits.
Medicare offers several enrollment periods each year, allowing beneficiaries to join or switch SNPs:
- Initial Enrollment Period (IEP): The IEP spans seven months around your 65th birthday, providing your first opportunity to enroll in Medicare and an SNP.
- Annual Enrollment Period (AEP): From October 15 to December 7, Medicare enrollees can make changes to your Medicare Advantage plan, including SNPs, for the following year.
- Special Enrollment Periods (SEPs): Life events such as moving or losing coverage may qualify you for an SEP, allowing you to modify your Medicare plan outside the usual windows.
- CMS.gov, 2024 SNP Landscape Source Files, Last Accessed October 14, 2023
- Medicare.gov, "Special Needs Plans (SNP)", Last Accessed September 11, 2023
- CMS.gov, "Institutional Special Needs Plans (I-SNPs)", Last Accessed September 11, 2023
- Medicare.gov, "Your health plan options", Last Accessed May 17, 2023
Make sure you’re enrolling at the right time by reading our comprehensive guide on enrollment periods.
Plans Offered
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.