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Prospective Members, Enrolled Members

and Provider Inquiries: 800-405-9681 (TTY 711)

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
    • Institutional Equivalent (IE) SNP – you live at home and the state you reside in has certified that you need the type of care that is usually provided in a nursing home

 

PPHP: A Special Needs Plan

PPHP is proud to offer both Institutional Special Plans and Institutional Equivalent (IE) Special Needs Plans for residents in long term care facilities or those that live at home and the state you reside in has certified that you need the type of care that is usually provided in a nursing home.

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)
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Page Last Updated:  10/1/2020

Provider Partner Health Plans are HMO-SNPs with Medicare contracts. Enrollment in Provider Partner Health Plans depends on contract renewal. Y0135_PPHPWEB_2021