The Big Picture: More 2022 SNP options
First, based on our analysis, the bad news is that about 15% of the 2021 Medicare Advantage Special
Needs Plans (SNPs) will be discontinued in 2022 — this is consistent with the change from 2020 to 2021.
However, the good news is a large number of new 2022 Medicare Advantage SNPs will be introduced -
and with these newly released SNPs, we will actually see a 19%
increase in the total nationwide 2022 SNP landscape, and a 34% 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 2022 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 2021/2022 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.
2022 Special Needs Medicare Advantage Plans by Type of Special Need |
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SNP Type | 2022 Plans | 2021 Plans | Net Change* | % Net Change | Dropped Plans* | % of '20 SNPs Dropped | 2020 Plans | 2019 Plans |
Chronic Illness | 272 | 203 | 69 | 34% | 34 | 17% | 165 | 127 |
Dual Eligible | 700 | 598 | 102 | 17% | 68 | 11% | 540 | 465 |
Institutional | 184 | 174 | 10 | 6% | 45 | 26% | 150 | 125 |
Total | 1156 | 975 | 181 | 19% | 147 | 15% | 855 | 580 |
Counties with the Largest Number of 2022 Special Needs Plans |
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Locations | SNPs | |||||||
Kings County, NY | 52 | |||||||
Queens County, NY | 52 | |||||||
New York County, NY | 51 | |||||||
Broward County, FL | 50 | |||||||
Hillsborough County, FL | 50 | |||||||
Bronx County, NY | 49 | |||||||
Miami-Dade County, FL | 49 | |||||||
Pinellas County, FL | 49 | |||||||
Pasco County, FL | 48 | |||||||
Orange County, FL | 46 | |||||||
Palm Beach County, FL | 46 | |||||||
Westchester County, NY | 45 |
2022 Special Needs – Chronic Illness Plans Compared to the 2021 Plan Year |
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Chronic Illness | Number of SNPs | ||||
2022 Plans | 2021 Plans | Net Change | 2020 Plans | 2019 Plans | |
Cardiovascular Disorders | 1 | 1 | 0 | 0 | 0 |
Cardiovascular Disorders and Chronic Heart Failure | 20 | 14 | 6 | 10 | 6 |
Cardiovascular Disorders and Diabetes | 4 | 6 | -2 | 2 | 4 |
Cardiovascular Disorders, Chronic Heart Failure and Diabetes | 141 | 93 | 48 | 67 | 45 |
Chronic and Disabling Mental Health Conditions | 5 | 3 | 2 | 2 | 6 |
Cardiovascular Disorders or Chronic Heart Failure or Diabetes Mellitus | 3 | 3 | 0 | 2 | 2 |
Chronic Heart Failure | 3 | 3 | 0 | 1 | 1 |
Chronic Heart Failure and Diabetes | 4 | 3 | 1 | 6 | 5 |
Chronic Lung Disorders | 29 | 23 | 6 | 16 | 12 |
Dementia | 8 | 7 | 1 | 8 | 6 |
Diabetes Mellitus | 34 | 34 | 0 | 37 | 27 |
End-stage Renal Disease Requiring Dialysis (any mode of dialysis) | 17 | 9 | 8 | 10 | 8 |
End-stage Renal Disease Requiring Dialysis or HIV/AIDS | 3 | 0 | 3 | 0 | 2 |
HIV/AIDS | 3 | 4 | -1 | 4 | 3 |
Total Chronic Illness SNPs | 275 | 203 | 72 | 165 | 127 |
2022 Special Needs Plan Reach by Type of Need |
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SNP Type | 2022 | 2021 | Change '21 to '22 | Percent Change '21 to '22 | 2020 | 2019 | 2013 |
Chronic Illness | 3,437 | 2,667 | 770 | 29% | 2,364 | 2,131 | 6,402 |
Dual Eligible | 18,831 | 15,235 | 3,596 | 24% | 11,930 | 9,393 | 5,284 |
Institutional | 3,122 | 2,441 | 681 | 28% | 1,906 | 1,503 | 537 |
Total | 25,390 | 20,343 | 5,047 | 25% | 16,200 | 13,027 | 12,223 |