Understanding Medicare Special Needs Plans in Woodford County, Illinois
Explore 2 Medicare Special Needs Plans (SNPs) available in Woodford County for 2025. These plans are designed for individuals with specific healthcare needs, including chronic conditions, long-term care, or dual eligibility for Medicare and Medicaid.
Ready to explore your Special Needs Plan options further? Speak with a licensed HealthCompare agent today at 1-833-748-3201 (TTY 711).
Compare the available plans below, or call 1-833-748-3201 (TTY 711) to speak with a licensed HealthCompare agent for personalized help.
Types of Medicare Special Needs Plans in Woodford County
Medicare Special Needs Plans (SNPs) cater to specific health needs and are not available everywhere in Illinois. Each type of SNP provides tailored benefits to a unique group of individuals.
- Chronic Condition SNP Plans (C-SNP): There are 1 C-SNP plans in Woodford County. The average premium for these plans is $12.90. C-SNPs provide specialized care for individuals with chronic health conditions.
- Medicare Advantage Plans: If you don't qualify for a SNP Plan or you can't find one that meets your needs, a traditional Medicare Advantage plan is another option. We organize these plans here: Medicare Advantage Plans in Woodford County, IL.
Chronic Condition Special Needs Plans (C-SNPs)
These plans are tailored for individuals with significant or disabling chronic conditions. C-SNPs are focused on coordinating care across multiple medical providers and often offer additional benefits, such as prescription drug coverage.
Woodford County, Illinois C-SNP Options
| Plan Name | Rating* | Premium/Mo | Network | |
|---|---|---|---|---|
| HumanaChoice - Diabetes and Heart | $13 | PPO C-SNP | ||
| * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. | ||||
- Chronic Condition Management: C-SNPs are designed for individuals with specific chronic conditions. Make sure the plan covers your condition and offers specialized care that meets your needs.
- Question to ask: Does this plan provide specialized care for my chronic condition?
- Care Coordination: C-SNPs often provide coordinated care among different healthcare providers. Verify that the plan includes access to specialists who treat your condition.
- Question to ask: Does this plan offer coordinated care with specialists I need?
- Extra Benefits: C-SNPs may offer additional benefits such as wellness programs or disease management services.
- Question to ask: What extra benefits does this C-SNP plan offer for managing my condition?
- Prescription Drug Coverage: C-SNPs generally include prescription drug coverage. Review the formulary to ensure your medications are covered and affordable.
- Question to ask: Are my medications covered, and what are the associated costs?
How and When to Enroll in a Woodford County SNP Plan
If you’re considering enrolling in a Medicare Special Needs Plan (SNP) in Woodford County, it's important to be aware of the available enrollment periods. These windows allow you to choose or change your plan to fit your healthcare requirements.
When to Enroll
- Initial Enrollment Period (IEP): Your first opportunity to enroll in Medicare starts three months before your 65th birthday and ends three months after. Learn more: Medicare Initial Enrollment Guide.
- Medicare Advantage Open Enrollment Period (MA OEP): From January 1 to March 31 each year, this period allows you to switch Medicare Advantage Plans, including SNPs, so long as you are currently enrolled in a Medicare Advantage plan. Learn more: Medicare Advantage OEP Guide.
- Annual Enrollment Period (AEP): Occurring from October 15 to December 7, this period is when most people make changes to their Medicare coverage. Learn more: Medicare AEP Guide.
- Special Enrollment Periods (SEPs): If you've experienced a qualifying life event, such as moving or losing coverage, you may be eligible for a Special Enrollment Period. Learn more: Medicare SEP Guide.
How to Enroll
Ready to enroll in a Medicare Special Needs Plan? Here’s how to get started:
- Consult a Licensed Agent: Call 1-833-748-3201 (TTY 711) to speak with a licensed HealthCompare agent who can guide you through the process.
- Contact the Plan Provider Directly: Reach out to the plan provider via their website or customer service to begin enrollment.
- Use Medicare.gov: Visit Medicare.gov to compare plan options and enroll online.
Special Needs Plans Frequently Asked Questions
What is a Medicare Special Needs Plan (SNP)?
SNPs are Medicare Advantage Plans offered to individuals in Woodford County who need specialized care, such as those with chronic conditions, people living in long-term care facilities, or those eligible for both Medicare and Medicaid.
How do SNPs differ from regular Medicare Advantage plans?
SNPs are designed to provide more targeted benefits and care coordination for individuals with specific healthcare needs, unlike regular Medicare Advantage Plans that cater to a broader audience.
Can I switch to an SNP if I’m already enrolled in a different Medicare plan?
Yes, you can switch to an SNP during enrollment periods like the Annual Enrollment Period (AEP) or a Special Enrollment Period (SEP) if you qualify due to changes in your situation.
What types of chronic conditions qualify for a Chronic Condition SNP (C-SNP)?
Chronic Condition SNPs (C-SNPs) in Woodford County are designed for individuals with chronic health issues such as diabetes, heart disease, or lung conditions. Be sure to check each plan's eligibility criteria to confirm if your condition is covered.
How do I find out if my doctors and medications are covered by an SNP?
To see if your preferred doctors and medications are covered, review the plan's provider network and drug formulary, which are usually available on the plan’s website or through their customer service.
Can I enroll in an SNP at any time, or do I have to wait for an enrollment period?
Typically, you can only enroll in an SNP during designated enrollment periods, such as the Initial Enrollment Period (IEP), Annual Enrollment Period (AEP), or Medicare Advantage Open Enrollment Period (MA OEP) or Medicare Advantage Open Enrollment Period (MA OEP) for Medicare beneficiaries currently enrolled in a Medicare Advantage plan. Special Enrollment Periods (SEPs) are also available if you qualify due to certain life events.
The D-SNP, C-SNP, and I-SNP plans listed on this page are available to qualifying individuals enrolled in Medicare Part A and Part B living in Eureka, Metamora, Roanoke, Congerville, El Paso, Goodfield, Minonk, and all other areas of Woodford County, Illinois.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.