Special Needs Plans (SNPs) are a type of Medicare Advantage plan with plan benefits, healthcare provider choices, and drug formularies (list of covered drugs) designed to accommodate the needs of a particular group of people meeting certain requirements – such as people suffering from a chronic condition or illness (for example, diabetes or a chronic cardiac conditions) – or nursing home residents – or people who have limited financial resources (for example, people eligible for both Medicare and Medicaid).

The Big Picture:   Changes in the national SNP landscape result in slightly more 2025 SNP options.

First, based on our analysis, the bad news is that about 29% of the 2024 Medicare Advantage Special Needs Plans (SNPs) will be discontinued in 2025 – this is compared to 21% in 2024.

However, the good news is there are 553 new 2025 Medicare Advantage SNPs that will be introduced – and with these new SNPs, we will actually see a net 8% increase in the total nationwide 2025 SNP offerings (see section 1 below).  The vast majority of SNPs remains Dual-Eligible – D-SNPs (63%).  More good news, when analyzing the service area size for each 2025 SNP, a net 18% increase in plan accessibility is noted (see section 2 below).

Across the country, we will see an increase in the total number of 2025 Medicare Advantage Special Needs Plans (SNPs); and SNP gains in some counties will more than offset SNP losses in other areas (or even the same counties).  You can see plan year 2024 to 2025 SNP gains and losses with our Medicare Advantage plan comparison tool MA-Compare found at MA-Compare.com.


(1) The types of 2025 Special Needs Plans

SNPs are divided into three major types of special need:

• Chronic Care SNPs or C-SNPs (like diabetes, heart disease, or ESRD) (more details in section 3 below),
  
  
• Dual-Eligible Medicare/Medicaid SNPs or D-SNPs (for Medicare and Medicaid beneficiaries), and
  
  
• Institutional SNPs or I-SNPs (for Nursing and Long-Term Care (LTC) residents).

From the 2025 Medicare Advantage plan information, there are a total of 1,442 Special Needs Plans available across the country in 2025.  And as can be seen below, the vast majority of SNPs are D-SNPs designed for people eligible for both Medicare and Medicaid.

The chart below summarizes the 2025 Special Needs Plan landscape and how the SNP landscape has changed over the past few years.


You can learn more about the 2025 SNPs available in your area by using our Medicare Advantage plan finder (MA-Finder.com/2025) or add your ZIP code to the MA-Finder.com link to see plans in your area (MA-Finder.com/2025/90001).

To get you started, here is an example of all 2025 Special Needs Plans available in Allegheny County, PA.

Please note, if you are using our MA-Finder and looking for a Dual-Eligible Medicare/Medicaid SNP (D-SNP), be sure to select  "Yes" for the "Show Premium with LIS Subsidy?" to see the actual D-SNP monthly premiums for dual-eligible Medicare/Medicaid beneficiaries.

Designation of 2025 D-SNP Medicare/Medicaid integration

Now included within our Medicare Advantage plan finder are the details about whether a Dual-Eligible Medicare Advantage Special Needs Plan (D-SNP) is a Fully-Integrated Dual-Eligible (FIDE) SNP, Highly-Integrated Dual-Eligible (HIDE) SNP, or Coordination-only D-SNPs – and whether the D-SNP is also designated as an Applicable Integrated Plan (AIP).

(2) Changes within the SNP county-specific landscape

When comparing SNP reach (SNP plan multiplied by counties in the plan’s service area) we see an overall increase in plan reach.  There is a notable increase in the availability of chronic care SNPs.



As noted, the vast majority (63%) of SNPs remain dual-eligible Medicare/Medicaid plans (D-SNPs).  However, the number of counties across the country offering a Medicare Advantage Chronic Care C-SNP will increase by 40% and the number of counties offering an Institutional I-SNP will increase almost 25%.


In 2025, 3,018 counties will offer one or more SNP of any type as compared to 3,018 counties in 2024 – an increase of 65 counties.


Question:  In which counties can we find the most SNPs?

As in past years, the most Special Needs Plans are available within densely populated counties located in New York, Florida, and California with the highest 2025 SNP plan counts concentrated in Florida.



(3) A closer look at the types of 2025 Chronic Care SNPs (C-SNPs)

Medicare Advantage Chronic Care Special Needs Plans can be further divided into the type of chronic care that the plan is designed to address – and the specific types of chronic conditions addressed by the SNPs varies slightly year-to-year, with a notable increase in "Cardiovascular Disorders, Chronic Heart Failure and Diabetes" SNPs.



Important Reminder:  A Medicare Advantage Special Needs Plan (SNP) is not for everyone.

Often you will find a Medicare Advantage SNP in your area that is very well-priced with feature-rich benefits and an extensive drug formulary – making the plan a very appealing coverage option.

But, please remember that you cannot join (or remain in) a Medicare Advantage SNP unless you qualify for the plan’s “Special Need” – that is, SNPs are designed for people with specific conditions, diseases, or characteristics – and you must meet (and continue to meet) the plan's "Special Need" to be eligible for enrollment.

For example, if you do not qualify for your state's Medicaid program, you will not be eligible to join a Dual-Eligible (Medicare/Medicaid) SNP.   For more information about qualifying for a SNP, please contact a local SHIP volunteer or telephone a Medicare representative at 1-800-Medicare.