Top Rated Medicare Special Needs Plans in Oregon

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 Oregon and how it compares with other options, keep on reading.

How-To Enroll in a Oregon Special Needs Plan

Most people living in Oregon, 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 2025 Special Needs Plans in Oregon 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 diabetes mellitus might include access to a network of healthcare providers who specialize in treating this form of diabetes. Such a plan would also feature clinical case management that's designed to serve people with this condition.

You can get enrolled three ways:

1. Call a plan directly. If you know the plan you want, this way is quick and easy.
2. 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.
3. Use an independent Oregon 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:

• Medicare Advantage plans
• Medicare Part D plans (prescriptions)
• Medicare Supplements

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 different types of Medicare special needs 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).

Are SNP and D-SNP plans the same thing?

SNPs are Medicare Advantage private health plans that cater to individuals with special needs. There are three types of SNP plans: D-SNP for dual-eligible (Medicare or Medicaid) individuals; I-SNP plans to support people who are institutionalized or homebound; and C-SNP plans that support people with certain chronic conditions. Learn how to qualify.

What are the advantages of a SNP plan?

Like all Medicare Advantage plans sold in Oregon, Special Needs Plans (SNPs) must offer all of the same benefits found in Original Medicare. However, unlike regular Medicare Advantage plans, every SNP must include Part D benefits for prescriptions. Other plan benefits depend on the plan type. For example, most D-SNP plans coordinate Medicare and Medicaid benefits for dual-eligible plan members.

Citations & References

medicare.gov

• CMS.gov, "2024 Medicare Part C Landscape Source Files", Last Accessed October 14, 2023
• Medicare.gov: the official U.S. government site for Medicare | Medicare https://www.medicare.gov/
• Find a Medicare plan https://www.medicare.gov/plan-compare/

ssa.gov

• 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/

cms.gov

• Five-Star Quality Rating System | CMS https://www.cms.gov/medicare/provider-enrollment-and-certification/certificat...
• https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS10106.pdf
• Medicare Open Enrollment | CMS https://www.cms.gov/Outreach-and-Education/Reach-Out/Find-tools-to-help-you-h...

For details on how we research, analyze, and construct plan information for Oregon using CMS data, see our Medicare Plan Research Methodology.

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.