Institutional Special Needs Plans (I-SNP)

Institutional Special Needs Plans (I-SNPs) are a type of Medicare Advantage Special Needs Plan designed for individuals who reside in institutional settings or who require a level of care comparable to that provided in such facilities. These plans focus on coordinated care within long-term care environments.

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Eligibility Requirements

Eligibility for an I-SNP generally requires residency in a qualifying institutional setting, such as a skilled nursing facility, or documented need for an institutional level of care. Eligibility must be verified and maintained according to Medicare guidelines.

Care Coordination Model

I-SNPs are structured to provide coordinated medical services within long-term care environments. These plans often integrate primary care, specialty care, and facility-based services to support the needs of members in institutional settings.

Enrollment Considerations

Enrollment in an I-SNP is limited to individuals who meet defined institutional eligibility criteria. If residency status changes, continued enrollment may be affected according to plan and Medicare rules.

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Disclaimer: This information is provided for educational purposes only and is based on publicly available guidance from the Centers for Medicare & Medicaid Services (CMS). It has not been reviewed or endorsed by Medicare, CMS, or any federal agency. This content does not constitute plan-specific advice. For individual coverage questions, please consult a licensed insurance professional.