Medicare Advantage MSA Plans
Medicare Medical Savings Account (MSA) plans are a type of Medicare Advantage plan with a high deductible health plan and a medical savings account. You can use the Medicare money in your medical savings account for qualified medical expenses before you meet your deductible. To learn more about the MSAs available, speak with an Avila Medicare Solutions agent.
Introduction to SNPs
Special Needs Plans (SNPs) are created to meet the needs of your plan members. There are three types of SNPs, and each is restricted to people who meet certain criteria.
Chronic Condition SNPs (C-SNPs) are for people who have one or more chronic conditions as defined by the Centers for Medicare & Medicaid Services (CMS). These SNPs are designed to help give their members the health care they need. That includes access to treatment and coverage for your conditions and the ability to access a network of healthcare professionals who can treat your condition.
Dual Eligible SNPs (D-SNPs) are for people who are eligible for both Medicare and Medicaid. These SNPs give their members access to a network of health care providers who accept Medicaid coverage.
Institutional SNPs (I-SNPs) are for people who live in an institution such as a skilled nursing facility or an adult disability facility on a permanent basis (at least 90 days). These plans provide their members with all the coverage that this population needs.
As a type of Medicare Advantage plan, special needs plans have all of the coverage you get from Medicare Part A and Part B. This includes medical and hospital insurance, which covers hospital care in a hospital or skilled nursing facility, hospice care, home health care, preventive care, and medically necessary services.
All SNPs also have prescription drug coverage.
For your SNP, you will have to pay premiums, an annual deductible, copayments, and coinsurance. Prescription drug costs will work the same way as in a Part D plan. You will pay copayments based on whether your prescription is generic or brand-name, preferred or non-preferred, or a specialty drug. You will also need to continue paying your monthly Part A and Part B premiums, as with all Medicare Advantage plans.
Special Needs Plans require that you have a Primary Care Physician or Care Coordinator. You must also get a referral to see a specialist in most cases.
These plans have networks of health care providers that are tailored to the needs of these groups. The ability for people with chronic conditions to visit health care providers and specialists who can treat their conditions is a critical benefit of C-SNPs. D-SNPs offer low prescription drug costs and special financing options, making sure your providers accept Medicaid coverage. SNP networks are designed to be a benefit to plan members.
To find out whether an SNP is a good health insurance choice for you, or to learn more about the available Medicare Advantage plans in your area, call us toll free at 855-GO-AVILA or click the below button to request information.