C-SNP stands for Chronic Condition Special Needs Plan. These plans support eligible people living with severe or disabling chronic conditions. They give you all your Medicare Advantage benefits and more.
Plans available in select counties in Illinois and Pennsylvania
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An Aetna C-SNP offers personal support to help you manage your chronic conditions. It’s for eligible members who have chronic conditions like:
A C-SNP is a Medicare Advantage plan with Part D prescription drug coverage.
Plus, you get a personal care team, low medical and prescription copays and an Aetna Medicare Extra Benefits Card to help pay for certain everyday expenses.
Are you 65 or older and living with diabetes or a heart condition like chronic heart failure?
The Aetna Medicare Advantage Chronic Condition Special Needs Plan, or C-SNP, may be right for you.
What is an Aetna® C-SNP?
These are Medicare Advantage plans that are specially designed for eligible people living with severe or disabling chronic conditions.
To be eligible for an Aetna C-SNP, you must be aged 65 or older and have at least one of the following conditions:
High blood sugar
Enlarged heart or fluid on the lungs
Or any of the following cardiovascular conditions:
Irregular heartbeat
Heart blockages
Poor circulation in the hands and arms or feet and legs
Blood clots in your legs or lungs
Every Aetna C-SNP plan member has a personal care team.
They focus on your unique health needs to help keep you well.
Your care team can help you find doctors and schedule doctor visits. They can also help you find safe housing, local transportation, meal services and more.
Your care team will consist of a:
Care coordinator
Nurse care manager
Social worker and more
At Aetna, we understand managing a chronic condition can be overwhelming. That’s why our plans offer the quality benefits you need to manage your condition and stay healthy.
Aetna C-SNP plans offer health coverage with added benefits. For instance, $0 copays on all visits to your primary care provider and certain specialists that treat your condition. This helps you get access to the care you need all at no cost to you.
$0 copay specialists include:
Cardiologists
Endocrinologists
Nephrologists
Pulmonologists
And you’ll have a $0 monthly plan premium.
You also get extra support to help pay for everyday expenses.
By qualifying for enrollment in the plan, Aetna C-SNP members get a monthly allowance on the Extra Benefits Card. This will help pay for everyday expenses including:
Over-the-counter, or OTC, health and wellness products
Healthy foods
Certain utilities
Transportation
Personal care products
C-SNPs also include dental, vision and hearing aid coverage.
And members can get $0 or low-cost covered Part D prescription drugs at in-network pharmacies. This makes it easier to afford your needed medicines.
Give us a call to learn about coverage in your area.
A licensed Aetna agent can answer your questions and guide you through the process at no added cost.
They can also help you complete the eligibility form. And they’ll work with your doctor to verify your condition.
If you need support managing your unique health needs, let’s talk. We’re ready to work with you because healthier happens together.
Call us today at 1-888-210-4132 ${tty} to learn more about Aetna plans.
Watch this video or print out this page about C-SNPs. Find out if you qualify, what benefits a C-SNP provides and what you need to enroll.
A C-SNP gives you benefits that may help you save money and help you better manage your care.
Works with your provider to develop your care plan and connects you with programs to help beyond health care services.
Low and $0 copays at in-network pharmacies for covered Part D drugs to help your condition.
Coverage that includes preventive and comprehensive dental services, prescription eyeglasses and hearing aids.
Monthly Extra Supports benefit* amount (allowance) on an Extra Benefits Card to help pay for certain everyday expenses.
To qualify for an Aetna C-SNP, you‘ll need your provider to verify your condition. They will need to verify that you have at least one of these conditions:
An Aetna C-SNP is only for Medicare members with at least one of these eligible conditions. We have to check and make sure that all new members have at least one of these conditions. If we find that a member has enrolled in a C-SNP but does not have one of these conditions, we must disenroll that member.
You can speak with a licensed Medicare agent. They can walk you through the steps to enroll.
As part of the enrollment application, you’ll need to complete a form that covers the details of your condition. This form is called the Prequalification Assessment Tool (PQAT).
Then, we’ll send a form to your provider. Your provider will verify that you have that eligible condition and that you qualify for a C-SNP plan. Your health care provider must respond by the end of your first month enrolled in the Aetna C-SNP plan.
An Aetna C-SNP pairs each member with a team of health care professionals. Your care team works with you and your providers to develop your care plan. And they connect you with programs to help beyond health care services.
Your care team understands your C-SNP benefits and helps you access the ones you need. If you want, they can schedule medical and dental appointments for you.
They can also connect you with local and state programs and resources to help you with meals, local transportation and more.
Talk to a licensed agent at ${dynamicPhone} ${tty}, ${hours}.
The benefit(s) mentioned are part of special supplemental program for the chronically ill. Eligibility is determined by whether you have a chronic condition associated with this benefit. Standards may vary for each benefit.
Conditions include Hypertension, Hyperlipidemia, Diabetes, Cardiovascular Disorders, Cancer. Other eligible conditions may apply. Contact us to confirm your eligibility for these benefits.
Specialist visits include:
Talk to a licensed agent at ${dynamicPhone} ${tty} ${hours}.
Also of interest:
Aetna handles premium payments through InstaMed, a trusted payment service.
Aetna handles premium payments through InstaMed, a trusted payment service.
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Aetna handles premium payments through Payer Express, a trusted payment service. Your Payer Express log in may be different from your Aetna secure member site log in.
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Resources For Living is not available for members with Aetna Part D (prescription only) plans, Dual Eligible Special Needs Plans (D-SNPs), Chronic Condition Special Needs Plans (C-SNP), Institutional Special Needs Plans (I-SNPs) or Medicare Supplement plans.
These examples are based on the actual experiences of members who have used Resources For Living. We’ve changed their names and some details to help protect their identities.
These examples are based on the actual experiences of members who have used Resources For Living. We’ve changed their names and some details to help protect their identities.
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