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Anthem Medicare Advantage Special Needs Plans (SNPs)

Anthem Blue Cross (Anthem) offers a few different types of Medicare Advantage plans in California. One type of Medicare Advantage plan is a Special Needs Plan (SNP). Depending on where you live, you may be able to find an Anthem Medicare Advantage SNP in your area.

Learn more about Medicare Advantage SNPs, such as the potential benefits a plan may offer and how who may qualify.

 

What are Anthem Medicare Advantage Special Needs Plans?

A Special Needs Plan is similar to other types of Medicare Advantage plans, but with a unique twist. The benefits included in these plans are custom-built to fit the specific needs of people who live with certain health conditions or those who have low incomes. 

For example, a Chronic Conditions Special Needs Plan (C-SNP) for people living with diabetes mellitus may include more robust coverage of insulin, blood sugar monitors and other items or services that are commonly used to manage diabetes.

A Dual-Eligible Special Needs Plan (D-SNP) can give extra coverage to people who have both Medicare and Medicaid.

Institutional Special Needs Plans (I-SNPs) are designed for beneficiaries living in an Anthem network nursing home or assisted living community or other approved location.

Special Needs Plans offer the same basic benefits covered by Original Medicare (Medicare Part A and Part B). They may also offer additional valuable benefits such as:

  • $0 monthly premiums
  • $0 deductibles
  • $0 copayments or coinsurance
  • SilverSneakers® fitness membership
  • Nutritional training
  • A 24/7 Nurse Help Line
  • Occupational, physical and behavioral health therapy
  • A personal emergency response system
  • Transportation services or in-home support

A Special Needs Plan will also typically include dental, vision, hearing and prescription drug coverage.

What conditions are covered by Anthem C-SNPs?

Depending on where you live in California, you may be able to find an Anthem Medicare Advantage C-SNP that is designed to cover the following conditions.

Diabetes mellitus

An Anthem C-SNP for people who live with diabetes can include coverage for blood glucose monitors, insulin and other tools used to help manage blood glucose. Members also receive coverage for foot care as well as nutritional training and additional screenings and monitoring.

End-Stage Renal Disease (ESRD)

A C-SNP for people living with End-Stage Renal Disease (ESRD) covers nutritional training, prescription drugs and common treatments of the disease. The plans also offer care teams who work with your nephrologist and primary care physician to offer personal support.

Chronic lung disorders

These C-SNPs offer coverage for oxygen supplies and other related equipment used to help treat lung-related disorders such as chronic obstructive pulmonary disease (COPD), asthma, chronic bronchitis, pulmonary hypertension and emphysema. Network participants for these plans include pulmonologists (lung specialists) who work with your primary care doctor to help manage your care.

Chronic heart failure and cardiovascular disorders

This type of C-SNP covers the necessary treatment you receive from cardiologists and your doctor to treat chronic venous thromboembolic disorder, chronic heart failure, cardiac arrhythmias, coronary artery disease or peripheral vascular disease.

 

What are Dual-Eligible Special Needs Plans (D-SNPs)?

D-SNPs are designed for beneficiaries who are dual-eligible, meaning someone who is eligible for both Medicare and Medicaid.

These plans include all Medicare Part A and B coverage, Medicaid benefits and prescription drug coverage combined into one plan. Anthem D-SNPs typically include some extra benefits such as money for over-the-counter health items and transportation services or in-home support.

 

Find an Anthem Medicare Advantage SNP in your area

Could an Anthem SNP be right for you? Call to speak with a licensed insurance agent and find plans that may be available in your area.

You can call a licensed agent directly at 1-866-831-1126, TTY 711, 24/7.

 

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1 Anthem “About Anthem, Inc.” (Accessed May 7, 2021). AnthemInc.com.

2 You must continue to pay your Part B premium. $0 premium plans may not be available in all areas.

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This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The provider network may change at any time. You will receive notice when necessary.

For Dual-Eligible Special Needs Plans: This plan is available to anyone who has both Medical Assistance from the State and Medicare.

Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711). 注意:如果您使用非英語的其他語言,您可以免費獲得語言援助服務。請致電聯絡客戶服務部(聽語障用戶請致電:711)。

Y0114_22_210507_U Accepted 9/2021