Skip to main content
English Spanish

Member and Provider Inquiries: 800-405-9681 (TTY 711)

What are Special Needs Plans?

Special Needs Plans (SNPs) are a type of Medicare Advantage Plan that provide additional coordinated, specialized care for the most vulnerable Medicare beneficiaries. There are three different types of SNPs:

  • C-SNPs – for those with chronic conditions such as dementia, diabetes or stroke
  • D-SNPs – for those who are eligible for both Medicare and Medicaid (dual eligible) and generally live in the community.
  • I-SNPs – for those who are in institutions such as nursing homes, or who are eligible for institutional care

 

PPHP: A Special Needs Plan

Provider Partners Health Plans (PPHP) is proud to offer an Institutional Special Needs Plan (I-SNP) that meets the special needs of residents of long-term care facilities in selected Illinois, Maryland, Ohio, and Pennsylvania counties.

PPHP provides services in the following types of facilities:

  • Long-Term Care Facilities
  • Skilled nursing facilities (SNFs)
  • Nursing facilities (NFs)
  • Intermediate care facilities (ICFs) – for those who are developmentally disabled in inpatient psychiatric facilities
  • Assisted living facilities (ALFs)

To qualify for PPHP, residents should be in one of these facilities for at least 90 days, or be expected to need at least 90 days of institutional care.

Lady in wheelchair smiling at nurse
Page Last Updated:  2/1/2019

Provider Partners Illinois Advantage is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Illinois Advantage depends on contract renewal. H3800_PPHPWEB_2020

Provider Partners Maryland Advantage is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Maryland Advantage depends on contract renewal. H8067_PPHPWEB_2020

Provider Partners Health Plans of Ohio is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Health Plans of Ohio depends on contract renewal. H7119_PPHPWEB_2020

Provider Partners Pennsylvania Advantage is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Pennsylvania Advantage depends on contract renewal. H4093_PPHPWEB_2020