Special need plan

Humana Medicare Advantage Special Needs plans

Specialized coverage for your health needs

What is a Special Needs Plan?

  • A Special Needs Plan (SNP) is a type of Medicare Advantage plan that combines all the benefits of Original Medicare (Parts A and B) along with prescription drug coverage (Part D) but are only available to beneficiaries who may have a specific health condition, be eligible for both Medicare and Medicaid, and/or be a resident of a long-term care facility.
  • To be eligible for a SNP plan, beneficiaries must have both Medicare A and B but also meet the specific conditions of the SNP .
  • Special Needs Plans provide personalized guidance and resources to help members get the right care and information, based on their specific condition or needs.
  • Many of Humana’s Special Needs Plans have a $0 or low monthly premium. Depending on the specific plan, benefits may also include routine dental, vision, hearing, non-emergency transportation to and from medical care, fitness memberships, over-the-counter allowance and more.

Humana offers the following types of Special Needs Plans:

  • Chronic Condition Special Needs Plans for individuals with one or more of the following conditions: diabetes mellitus, cardiovascular disorders, chronic heart failure, chronic lung disorders
  • Dual Eligible Special Needs Plans for individuals who are entitled to Medicare and who are eligible for some level of assistance from a State Medicaid program

Where does Humana offer Special Needs Plans?

Humana offers Dual Eligible Special Needs Plans in the following states: AL, CA, FL, GA, IN, KY, LA, ME, MO, MS, MT, NC, NY, OH, PR, SC, TN, TX, VA, WA.

Humana offers Chronic Condition Special Needs Plans in the following states: AZ, FL, GA, IL, IN, KY, LA, MO, MS, NC, NV, OH, TX, VA.

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- Plans available

State Cardiovascular Disorders Chronic Heart Failure Diabetes Mellitus Chronic Lung Disorders
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Who can enroll in a Special Needs Plan?

Special Needs Plans are available to anyone who meets the specific eligibility requirements of the plan, lives in the plan’s service area and has both Medicare Part A and Part B due to age or disability. Due to the specific eligibility requirements of Special Needs Plans, they are currently not available for online enrollment. Plan availability varies by state and service area. If you want to find out more, please call Humana at the number below.

Questions? Call 1-888-371-9538 (TTY: 711) Monday-Sunday 8 a.m. - 8 p.m. to speak to a licensed Humana sales agent about Special Needs plans.

For Chronic Disease Special Needs Plans, Humana is a Coordinated Care HMO plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. These plans are available to individuals with certain chronic diseases. To qualify for a Chronic Disease Special Needs Plan, physician diagnosis of the disease must be verified. Enrollees whose condition is not verified will be disenrolled.

For Dual-Eligible Special Needs Plans, Humana is a Coordinated Care HMO plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal. These plans are available to anyone who has both Medical Assistance from the State and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of extra help you receive. Please contact the plan for more details.

Dual-Eligible Special Needs plans offered in Florida are sponsored by Humana Medical Plan, Inc. and the State of Florida, Agency For Health Care Administration.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premium and/or member cost-share may change on January 1 of each year.

You must continue to pay your Medicare Part B premium.

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