Medicare Advantage Special Needs Plans in Virginia

You can compare all the available Special Needs Plans in your area by using our zip code lookup tool above or by clicking on your county below. Continue reading to find out more about Virginia's Medicare Advantage SNP program and how it compares to other options.

Do I Qualify to Enroll in a Medicare Special Needs Plan in Virginia?

Most people living in Virginia, age 65 and older, qualify for Medicare Advantage but do not qualify for a Special Needs Plan (SNP). A SNP is a Medicare Advantage planMedicare 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)., 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 MedicaidMedicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States..

Compare Medicare Advantage Special Needs Plans in Virginia 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.

There are three ways to enroll:

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 Virginia insurance agent. This is the best way to go if you need someone to help advise you.

If You Don't Qualify for Special Needs Benefits

If you're not eligible for a Medicare SNP plan, there are several other options to get more coverage:

• Medicare Part C plans
• Medicare prescription drug plans
• Supplemental Medicare insurance

References

medicare.gov

• 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/

ssa.gov

• Medicare Benefits | SSA https://www.ssa.gov/medicare/
• Extra HelpSocial Security's Low-Income Subsidy (LIS) program helps Medicare beneficiaries pay for their Medicare Part D prescription drugs by paying some of the costs. Also known as "Extra Help", beneficiaries who qualify for LIS receive premium... 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...

This Medicare Advantage Special Needs Plan state information page was last updated on July 7, 2022.