Find Plans in your area with your ZIP Code
To compare the Special Needs Plans available in your area, you can use our zip code lookup tool above or click on your county below. If you'd like to learn more about how the Medicare Advantage SNP program works in North Carolina and how it compares with other options, keep on reading.
2024 Medicare Advantage Special Needs Plans for North Carolina Beneficiaries
Be the first to know. Sign-up for 2024 Medicare SNP notification HERE. 2024 Medicare plan information will be available in early October.
How-To Enroll in a North Carolina Special Needs Plan
Most people living in North Carolina, age 65 and older, qualify for Medicare Advantage but do not qualify for a Special Needs Plan (SNP). A SNP is a Medicare Advantage plan, but they are only available to people with one of the following special needs:
- Chronic Condition (C-SNP): You have one or more severe or disabling chronic conditions.
- Institutional (I-SNP): You live in an institution (like a nursing home), or you require nursing care at home.
- Dual Eligible (D-SNP): You have both Medicare and Medicaid.
Compare 2024 Special Needs Plans in North Carolina by County
Each SNP limits membership to people in one of these groups or a subset of one of these groups. For instance, a SNP that's designed to serve people with chronic and disabling mental health conditions might include access to a network of healthcare providers who specialize in treating severe mental health issues. Such a plan would also feature clinical case management that's designed to serve people with this condition.
To get enrolled:
- Call a plan directly. If you know the plan you want, this way is quick and easy.
- 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.
- Use an independent North Carolina insurance agent. This is the best way to go if you need someone to help advise you.
If You Don't Qualify for SNP
If you don't qualify to enroll in a Special Needs Plan, you have other options, including:
Find Plans in your area with your ZIP Code
Frequently Asked Questions
Still have questions? These common questions and answers might help. Or, call 1-855-728-0510 (TTY 711) to speak with a licensed advisor.
What are the 3 types of Medicare SNP plans?
There are three types of Medicare Special Needs Plans (SNPs). Each type has different eligibility requirements. The SNP plan options are Chronic Condition Special Needs Plan (C-SNPs), Institutional Special Needs Plan (I-SNP), and Dual-Eligible Special Needs Plan (D-SNP).
What is an SNP Medicare plan?
Special Needs Plans (SNPs) are Medicare Advantage private health plans designed for individuals with certain special needs. There are three different types of SNP plans, including D-SNP for dual-eligible (Medicare and Medicaid) individuals, I-SNP plans for people who are institutionalized, and C-SNP plans for individuals with certain chronic health issues. Learn more.
What are the advantages of a SNP plan?
SNPs must provide all the same benefits as Original Medicare, just like all Medicare Advantage plans sold in North Carolina. Every SNP must offer Part D prescription benefits, which is not the case with regular Medicare Advantage plans. Other benefits vary depending on which plan you choose. D-SNP plans, for example, coordinate Medicare and Medicaid benefits for dual-eligible members. Dental, vision, and hearing benefits are common in all types of SNP plans.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.
Citations & Referencesmedicare.gov
- CMS.gov, "2024 Medicare Part C Landscape Source Files", Last Accessed September 27, 2023
- Medicare.gov: the official U.S. government site for Medicare | Medicare http://www.medicare.gov/
- Find a Medicare plan https://www.medicare.gov/plan-compare/
- Medicare Benefits | SSA https://www.ssa.gov/medicare/
- Extra Help with Medicare Prescription Drug Plan Costs | SSA https://www.ssa.gov/medicare/prescriptionhelp/
- Medicare Benefits | SSA https://www.ssa.gov/benefits/medicare/
- Five-Star Quality Rating System | CMS https://www.cms.gov/medicare/provider-enrollment-and-certification/certificat...
- Medicare Open Enrollment | CMS https://www.cms.gov/Outreach-and-Education/Reach-Out/Find-tools-to-help-you-h...
This Medicare Advantage Special Needs Plan state information page was last updated on .