The Big Picture: More 2021 SNP options
First, based on our analysis, the bad news is that about 15% of the 2020 Medicare Advantage Special Needs Plans (SNPs) will be discontinued in 2021 — as compared to around 13% of the 2019 Special Needs Plans that were discontinued in 2020.
However, the good news is a large number of new 2021 Medicare Advantage SNPs will be introduced - and with these newly released SNPs, we will actually see an 14% increase in the total nationwide 2021 SNP landscape, with a 23% increase in chronic illness SNPs (c-SNPs). The vast majority of SNPs remains Dual-Eligible (D-SNPs) (61%).
Across the country, we will see an increase in the total number of 2021 Medicare Advantage Special Needs Plans (SNPs) and SNP losses in some counties will be more than offset by SNP gains in other areas (or even the same counties).
You can see 2020/2021 SNP gains and losses with our Medicare Advantage plan comparison tool MA-Compare found at https://MA-Compare.com.
Reminder: A Medicare Advantage SNP is not designed 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.
|2021 Special Needs Medicare Advantage Plans
by Type of Special Need
|SNP Type||2021 Plans
||2020 Plans||Net Change*||% Net Change||Dropped Plans*||% of '20 SNPs Dropped||2019 Plans||2018 Plans|
|Counties with the Largest Number of
2021 Special Needs Plans
|Kings County, NY||53|
|Queens County, NY||53|
|New York County, NY||52|
|Bronx County, NY||49|
|Hillsborough County, FL||44|
|Pinellas County, FL||43|
|Nassau County, NY||42|
|Pasco County, FL||41|
|Miami-Dade County, FL||40|
|Orange County, FL||40|
|Broward County, FL||39|
|Polk County, FL||39|
|2021 Special Needs – Chronic Illness Plans
Compared to the 2020 Plan Year
|Chronic Illness||Number of SNPs|
|2021 Plans||2020 Plans||Net Change||2019 Plans||2018 Plans|
|Cardiovascular Disorders & Chronic Heart Failure||14||10||4||6||10|
|Cardiovascular Disorders and Diabetes||6||2||4||4||0|
|Cardiovascular Disorders, Chronic Heart Failure & Diabetes||3||67||-64||45||45|
|Chronic and Disabling Mental Health Conditions||93||2||91||6||2|
|Cardiovascular Disorders, Chronic Heart Failure, Diabetes Mellitus||3||2||1||2||2|
|Chronic Heart Failure||3||1||2||1||0|
|Chronic Heart Failure & Diabetes||3||6||-3||5||6|
|Chronic Lung Disorders||23||16||7||12||14|
|End-stage Renal Disease Requiring Dialysis (any mode of dialysis)||9||10||-1||8||15|
|End-stage Renal Disease Requiring Dialysis or HIV/AIDS||4||0||4||2||0|
|Total Chronic Illness SNPs||203||165||38||127||132|
|2021 Special Needs Plan Reach
by Type of Need
|SNP Type||2021||2020||Change '20 to '21||Percent Change '20 to '21||2019||2018||2013|