SOMA Living February 2023

MEDICARE

SPECIAL NEEDS PLANS

Special Needs Plans (or SNPs) are Medicare Advantage plans that are tailored to meet the needs of individuals with certain health conditions or circumstances. Special medical situations require specialized care. Medicare special needs plans were created with this principle in mind. Dual-eligible Special Needs Plans There are three different types of SNPs- Chronic Condition, Institutional and Dual-eligible Special Needs Plans (or DSNPs). This month I will write about DSNPs. They are available to individuals who qualify for both Medicare and Medicaid. In many cases Medicaid will pay the premiums, along with a significant portion of copays and deductibles. The benefit of a DSNP include the following: • monthly and/or quarterly benefits for over-the-counter products and healthy foods • telemedicine services • transportation to appointments and pharmacies • dental, hearing and vision benefits • gym memberships Enrollment in any SNP is based upon geographical area, and the individual must maintain enrollment in original Medicare. Part B premiums will still be paid to Social Security unless Medicaid eligibility covers those. The SNP may charge a premium separately, and the patient may also be responsible for copays and deductibles as determined by the plan. Those who become eligible for a SNP at any point during the year are eligible for a Special Enrollment Period during which they can select a SNP. Many participants are not aware of these benefits and their eligibility. Determining eligibility for this plan is where insurance professionals like me can be of help. Please reach out to me for a no obligation consultation.

ROBERT HUBSMITH, CLTC Financial Services Professional

I help my clients (at no cost to them) get the best Medicare insurance plan to fit their unique health care needs and at the best price. Navigating the Medicare system can be confus ing and overwhelming, whether you are currently enrolled in Medicare or are newly eligible, so let me answer your ques tions, create a knowledge-based foundation, analyze options and ultimately guide you to an informed decision.

www.RHMedicareFactor.com

(201) 704-7872 rhubsmith@thejgagency.com

Robert Hubsmith, CLTC PINNACLE FINANCIAL SERVICES www.TheRHMedicareFactor.com

Rob Hubsmith is a licensed and trained independent insurance agent with over 30 years in the financial services industry. I am certified with many top Medicare Advantage, Prescription Drug and Medicare Supplement insurance plan carriers. I represent most major companies with a Medicare contract and am qualified to answer any questions you may have.

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