Louisiana Special Needs Plans are Organized Locally
Unlike Medicare prescription drug plans in Louisiana, which are the same statewide, Medicare Special Needs Plan (SNP) availability and options vary by area. The reason for this is simple. Not all areas have the same healthcare providers or needs, so localized plans are best. And, even though SNPs are private health plans, like Medicare Advantage plans in Lincoln Parish, LA, enrollment requirements are different.
Getting Enrolled in a Lincoln Parish Medicare Special Needs Plan
SNP plans are limited to those who qualify. To qualify as a special needs individual, you must meet one or more of the following criteria:
- An institutionalized individual,
- A dual-eligible (Medicare and Medicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States.) person, or
- An individual with a severe or disabling chronic condition.
For those who qualify there are several different Medicare Election Periods. This is when you can join or change your plan. Most people wait until 15 October to 7 December to make enrollment changes. This is the Annual Election Period (AEP).
You also have an Individual Election Period (IEP). Your IEP begins the month before your 65th birthday, includes your birth month, and continues the month after your birth month.
In addition to the periods outlined above, you may be able to join a SNP with a Special Election Period in certain situations. Situations that may qualify you for a Special Election Period include:
- You are diagnosed with a severe or disabling condition: You can enroll in a Chronic-Condition Special Needs Plan (C-SNP) for beneficiaries with your illness at any time.
- You move into a nursing home or require skilled nursing care at home: You can enroll in an Institution Special Needs Plan (I-SNP) or switch plans at any time.
- You qualify for Medicaid: If you have Medicaid or are newly eligible for Medicaid, you can enroll in a Dual-Eligible Medicare Special Needs Plan (D-SNP) at any time.
- You move outside of your existing Special Needs Plan’s service area: You'll qualify for a Special Election Period to switch to a new plan.
- Your Special Needs Plan leaves the Medicare program: You'll qualify for a Special Election Period to switch plans.
There are three ways to enroll in an SNP:
- Call our Trusted Partner at 1-855-728-0510 (TTY 711). This toll-free number is staffed by HealthCompare, the outsourced partner of choice for some of the nation’s largest health plans.
- Call a plan directly. If you know the plan you want, this way is quick and easy. All of our plan pages provide contact information.
- Go to www.Medicare.gov and enroll through the government website. From there you can look up your medications, compare plans, and get your application started online.
NOTE: People often ask are Medicare Advantage plans are bad? The disadvantages of these private health plans — primarily the A copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. and other point of service costs — generally do not apply to Special Needs Plans.
Citations & References
The Medicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B). Special Needs Plan (SNP) information in this directory originates from CMS Landscape Source Files, is maintained by David Bynon and was last updated on .