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Special Needs Plans
 » 
New York
 » 
Suffolk County

Medicare Special Needs Plans in Suffolk County, New York

On this page we help consumers: 2022 Medicare Advantage Special Needs Plan (SNP) in Suffolk County, New York. Compare plans for dual-eligible, ESRD, nursing homes...

Suffolk County Medicare Special Needs Plans

Plan Name Monthly
Premium
Qualification Plan
Type
Rating
UnitedHealthcare Nursing Home Plan 1 $42.00 Institutional Local PPO
☆☆☆☆☆
UnitedHealthcare Assisted Living Plan $42.40 Institutional Local PPO
☆☆☆☆☆
VNSNY CHOICE EasyCare Plus $42.40 Dual-EligibleDual-eligible beneficiaries are those who receive both Medicare and Medicaid benefits. It includes beneficiaries enrolled in Medicare Part A and/or Part B while receiving full Medicaid and/or financial assistance through a Medicare Savings Program.... Local HMO
☆☆☆☆☆
VNSNY CHOICE Total $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
Wellcare Fidelis Dual Plus $18.30 Dual-Eligible Local HMO
☆☆☆☆☆
Wellcare Fidelis Dual Access $20.00 Dual-Eligible Local HMO
☆☆☆☆☆
Wellcare Dual Access Open $37.30 Dual-Eligible Local PPO
☆☆☆☆☆
UnitedHealthcare Dual Complete Plan 2 $37.40 Dual-Eligible Local HMO
☆☆☆☆☆
Humana Gold Plus SNP-DE H3533-034 $38.90 Dual-Eligible Local HMO
☆☆☆☆☆
Centers Plan for Nursing Home Care $42.40 Institutional Local HMO
☆☆☆☆☆
UnitedHealthcare Dual Complete Plan 1 $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
AgeWell New York CareWell $42.40 Institutional Local HMO
☆☆☆☆☆
Aetna Medicare Assure Plan $23.20 Dual-Eligible Local HMO
☆☆☆☆☆
Wellcare Dual Access $30.80 Dual-Eligible Local HMO
☆☆☆☆☆
Elderplan Assist $42.00 Institutional Local HMO
☆☆☆☆☆
Elderplan Advantage For Nursing Home Residents $42.40 Institutional Local HMO
☆☆☆☆☆
EmblemHealth VIP Dual $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
Empire MediBlue Dual Advantage Select $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
EmblemHealth VIP Solutions $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
EmblemHealth VIP Dual Select $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
Longevity Health Plan $36.60 Institutional Local HMO
☆☆☆☆☆
Empire MediBlue HealthPlus Dual Plus $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
Empire MediBlue HealthPlus Dual Connect $42.40 Dual-Eligible Local HMO
☆☆☆☆☆
If you qualify for Medicare but don't know where to start, we have licensed Medicare advisors[1] at 1-855-728-0510 (TTY 711) who can answer your questions and help enroll you in Medicare Advantage, Medicare Supplement Insurance, and Part D prescription drug plans. There's no obligation.

How to Find a Special Needs Plan in New York

While New York Medicare Part D plans are the same throughout the state, the complexity of Medicare Special Needs Plans (SNPs) requires them to be localized. The primary reason for this is that each county has different healthcare providers, and the residents have different needs, so localized plans offer the best care. SNPs are similar to Medicare Advantage plans in Suffolk County, NY, but they have different enrollment requirements.

How-To Join a Medicare Special Needs Plan in Suffolk County

Not everyone qualifies to join a SNP plan. To qualify as a person with special needs you must meet one or more of the following criteria:

  • An institutionalized individual,
  • A dual-eligible (Medicare and MedicaidMedicaid 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.

If you qualify, you can join or switch plans during a Medicare Election Period. For most people, the Annual Election Period (AEP), which starts on 15 October and ends 7 December, is the time they update their enrollment.

There's also an Individual Election Period (IEP) that you can use once. Your IEP is a 90 day period around your 65th birthday. It starts the month before you turn 65 and ends the month after.

Outside of these periods, you may be able to join a Special Needs Plan with a Special Election Period. Some 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 sometimes ask what are the advantages and disadvantages of Medicare Advantage plans? With Medicare AdvantageMedicare 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). SNP plans, it all depends on the type of plan. With SNP dual-eligible plans, the one major advantage is that almost all of your copaysA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. are covered for you.

Citations & References

  • https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/special-needs-plans-snp
  • https://www.cms.gov/Medicare/Health-Plans/SpecialNeedsPlans/I-SNPs
  • https://www.cms.gov/Medicare/Health-Plans/SpecialNeedsPlans/D-SNPs
  • https://www.cms.gov/Medicare/Health-Plans/SpecialNeedsPlans/C-SNPs

The Medicare Advantage Special Needs Plan (SNP) information in this directory originates from CMS Landscape Source Files, is maintained by David Bynon and was last updated on April 17, 2022.

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