2027 alertProvidence Medicare Advantage Plans, PacificSource, Regence BlueCross BlueShield of Oregon and 5 other companies end some Medicare Advantage plans in Oregon on December 31. (CMS data) 24 days left in Annual Enrollment (ends Dec. 7).Is your plan ending? →
Glossary

C-SNP — Chronic Condition Special Needs Plan

A Medicare Advantage plan only for people with certain severe or disabling chronic conditions, such as diabetes, chronic heart failure or chronic lung disease. The plan builds its doctors, drug list and care coordination around that condition.

Definition. A type of Medicare Advantage special needs plan limited to people who have one or more specific chronic conditions that CMS allows these plans to serve.

What it means

A C-SNP is one of three kinds of special needs plans (the others serve people with both Medicare and Medicaid, and people living in institutions). Conditions C-SNPs can serve include diabetes, chronic heart failure, cardiovascular disorders, chronic lung disorders, end-stage renal disease, certain chronic and disabling mental health conditions, dementia and several others on CMS's list.

To join, you need Part A and Part B, must live in the plan's service area, and the plan checks with your doctor that you have the qualifying condition. All special needs plans include Part D drug coverage. If you no longer have the condition, the plan can disenroll you after a grace period, and you get a special enrollment period to choose other coverage.

In Oregon

CMS lists 26 special needs plans in Oregon for 2027, of all three kinds, and which ones you can join depends on your county. In Curry County, the only Medicare Advantage plan open for 2027 is a special needs plan. See your county on the county pages.

Sources

Frequently asked questions

Do I have to join a C-SNP if I have diabetes?

No. A C-SNP is one option. You can also have Original Medicare, with or without a Medigap policy and a Part D plan, or a regular Medicare Advantage plan.

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Berenice Suarez

Berenice Suarez

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Independent licensed insurance agent in Oregon

Colorado Springs, CO · English, Spanish

Mike Fortunato

Mike Fortunato

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Independent licensed insurance agent in Oregon

Colorado Springs, CO · English

Mark Sims

Mark Sims

5.0 out of 5 stars (1 review on MedicareAgents.com)

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Independent licensed insurance agent in Oregon

Kent, WA · English

Austin Torres

Austin Torres

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Independent licensed insurance agent in Oregon

Burien, WA · English

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