What are Special Needs Plans?

Special Needs Plans (SNPs) are a type of Medicare Advantage Plan that provide additional coordinated, specialized care for the most vulnerable Medicare beneficiaries. There are three different types of SNPs:

  • C-SNPs – for those with chronic conditions such as dementia, diabetes or stroke
  • D-SNPs – for those who are eligible for both Medicare and Medicaid (dual eligible) and generally live in the community.
  • I-SNPs – for those who are in institutions such as nursing homes, or who are eligible for institutional care

 

PPHP: A Special Needs Plan in Maryland and Pennsylvania

Provider Partners Health Plan (PPHP) is proud to offer an Institutional Special Needs Plan (I-SNP) that meets the special needs of residents of long-term care facilities in selected Maryland and Pennsylvania counties.

PPHP provides services in the following types of facilities:

  • Long-Term Care Facilities
  • Skilled nursing facilities (SNFs)
  • Nursing facilities (NFs)
  • Intermediate care facilities (ICFs) – for those who are developmentally disabled in inpatient psychiatric facilities
  • Assisted living facilities (ALFs)

To qualify for PPHP, residents should be in one of these facilities for at least 90 days, or be expected to need at least 90 days of institutional care.

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Provider Partners Health Plan of Illinois is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Illinois Health Plan depends on contract renewal.
H8067_002_PPHPWEB CMS Pending

Provider Partners Health Plan of Maryland is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Maryland Health Plan depends on contract renewal.
H8067_001_PPHPWEB CMS Pending

Provider Partners Health Plan of Ohio is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Ohio Health Plan depends on contract renewal.
H7119_001_PPHPWEB CMS Pending

Provider Partners Health Plan of Pennsylvania is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Pennsylvania Health Plan depends on contract renewal.
H4093_001_PPHPWEB CMS Pending

Last updated 11/01/2018

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