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Q1Group 2017 MA/MAPD Analysis: Changes in the 2017 Medicare Advantage Special Needs Plan (SNP) landscape still result in a net gain of 2017 SNPs

Category: Annual Medicare plan changes
Published: Sep, 29 2016 03:09:55


More discontinued Special Needs Plans (SNPs) in 2017
Over 22% of the 2016 Medicare Advantage Special Needs Plans (SNPs) will be discontinued in 2017 as compared to 24% of the 2015 Special Needs Plans that were discontinued in 2016.

And on the positive side ...
The good news is that there is a large number of new SNPs being introduced in 2017. Overall, there is a net increase of 30 SNPs for 2017. There will be a net loss of Chronic Illness SNPs, but an increase in the number Dual Eligible and Institutional SNPs.

As background, Special Needs Plans are a type of Medicare Advantage plan with benefits, provider choices, and drug formularies (list of covered drugs) designed to best meet the specific needs of a particular group of people who meet certain requirements such as people suffering from a chronic condition or have limited income and assets.  You cannot join a Medicare Advantage SNP unless you qualify for the plan’s “Special Need”.

SNPs are divided into three major types of special needs:
  • Chronic Illness SNPs (like diabetes),
  • Dual Eligible D-SNPs (for Medicare and Medicaid beneficiaries), and
  • Institutional SNPs (for Nursing and Long Term Care (LTC) residents).
From the Medicare Advantage plan information, there are a total of 580 Special Needs Plans available in 2017, the vast majority of SNPs are designed for people eligible for both Medicare and Medicaid.

2017 Special Needs Plans
by Type of Special Need
SNP Type 2017 Plans 2016 Plans Net Change % Net Change Dropped Plans % of '16 SNPs Dropped 2015 Plans 2014 Plans
Chronic Illness 122 139 -17 -12% 39 28% 152 152
Dual Eligible 371 342 29 8% 66 19% 340 347
Institutional 87 69 18 26% 17 25% 57 61
Total 580 550 30 5% 122 22% 549 560

The chart below summarizes the 2017 Special Needs Plan landscape in comparison to 2016.

161014b1_SNP_Type_total.jpg

You can learn more about the 2017 SNPs that are available in your area by using our Medicare Advantage plan finder (MA-Finder.com/2017 or add your ZIP code MA-Finder.com/2017/90001).

Here is an example of all 2017 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 indicate 100% for the "LIS Subsidy Amount" to see the actual D-SNP monthly premiums for full-dual eligible Medicare/Medicaid beneficiaries.

The counties with the most Special Needs Plans available are in the State of New York.


Medicare Advantage Chronic Illness Special Needs Plans can be further divided into the type of chronic illness that the plan is designed to address. 

2017 Special Needs – Chronic Illness Plans
Compared to the 2016 Plan Year
Chronic Illness Number of SNPs
2017 Plans 2016 Plans Change 2015 Plans 2014 Plans
Cardiovascular Disorders 3 3 0 51 3
Cardiovascular Disorders & Chronic Heart Failure 14 14 0 18 17
Cardiovascular Disorders, Chronic Heart Failure & Diabetes 49 49 0    
Chronic and Disabling Mental Health Conditions 2 2 0 3 2
Chronic Heart Failure 4 4 0 4 2
Chronic Heart Failure & Diabetes 7 7 0 58 41
Chronic Lung Disorders 13 13 0 13 15
Dementia 2 2 0 2 2
Diabetes Mellitus 29 36 -7 46 55
End-stage Renal Disease Requiring Dialysis (any mode of dialysis) 10 10 0 5 5
HIV/AIDS 3 3 0 4 6
Total Chronic Illness SNPs 136 143 -7 204 148

When comparing SNP reach (SNP plan multiplied by counties in the plan’s service area) we see a small over all increase in reach, although availability is not as widespread as it was in 2013. There is a notable increase in both dual eligible and institutional SNPs and continuation in the decline in the number of chronic illness SNPs.

2017 Special Needs Plan Reach
by Type of Need
SNP Type 2017 2016 Change
'16 to '17
Percent Change
'16 to '17
2015 2014 2013
Chronic Illness 2,108 2,551 -443 -17% 2,978 2,611 6,402
Dual Eligible 6,364 5,594 770 14% 5,342 4,973 5,284
Institutional 732 556 176 32% 450 439 537
Total 9,204 8,701 503 6% 8,770 8,023 12,223

You can use our MA-Finder to review all 2017 Medicare Advantage Special Needs Plans available in your area (just enter your ZIP code after clicking on the link or go to MA-Finder.com to start.)

Reminder:  SNPs tailor their benefits, provider choices, and drug formularies (list of covered drugs) to best meet the specific needs of the groups they serve.  Medicare SNPs limit plan membership to people with specific diseases or characteristics -- you must meet (and continue to meet) the plan's "Special Need" to be eligible for enrollment.







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