Chronic Condition Special Needs Plan (C-SNP)

To qualify for an Allina Health | Aetna Medicare C-SNP, your provider will need to verify you have at least one of the following conditions:
 

• Diabetes Mellitus: High blood sugar
• Chronic Heart Failure (CHF): Heart is unable to pump blood as it should
• Cardiac arrhythmias: Irregular heartbeats
• Coronary artery disease: Blocked blood vessels in the heart
• Peripheral vascular disease: Poor circulation in the arms and legs
• Valvular heart disease: Damage to flaps in the heart that control blood flow

What if I don’t have an eligible condition and I enroll in a plan?

The Allina Health | Aetna C-SNP is available to Medicare beneficiaries who have at least one of the qualifying chronic conditions. To ensure a successful enrollment process, we’ll confirm with your healthcare provider that you have at least one of these eligible conditions. If verification of eligible condition is not received, involuntary disenrollment will occur.

If you have a qualifying chronic condition and meet all other criterium, you can use the monthly allowance on the Extra Benefits Card to help pay for additional everyday expenses including certain healthy foods, utility bills, transportation and more.

Learn more and see if you qualify

To get started, you’ll need the contact information for your primary care provider (PCP) or specialist. This should be the provider who treats you or has treated you for your chronic condition. They'll need to confirm (attest to) that condition. We’ll need this contact information to fill out the Prequalification Assessment Tool (PQAT).

Next, we’ll send a Verification of Chronic Condition (VCC) form to the provider who will confirm (attest to) your chronic condition(s). They’ll let us know if you have an eligible chronic condition and qualify for a C‑SNP. We need this form sent back to us before the end of the second month that you’re enrolled in the plan.

There are three ways you can enroll:

Online: Fill out the enrollment form

By phone: Call 1-844-622-5677 ${tty}, to talk to a licensed agent, ${hours}.

With a broker in your area: They can help you enroll.

If you have a health condition that qualifies for an Allina Health | Aetna Medicare C-SNP and haven’t enrolled in a C-SNP before, you may qualify for a Special Enrollment Period (SEP). This means you can enroll anytime during the year.

You still have options if you’re already enrolled in a C-SNP and want to switch plans:

Special Enrollment Period (SEP)

If you are newly diagnosed with a chronic condition that your C-SNP doesn’t cover, you’ll get a new SEP so you can enroll in another plan. You can get one SEP for each new condition that qualifies.

Annual Enrollment Period (AEP)

You can also enroll every year during the Medicare Annual Enrollment Period (AEP)/AEP. Medicare AEP begins on October 15 and ends on December 7.  

There are certain rules for SEPs:

• You only get one SEP for each new condition that qualifies.
• After you join a C-SNP, for your newly diagnosed condition, the SEP ends.

It’s important that your doctor lets us know about your chronic condition by the end of your second month active on the plan. If that doesn’t happen, you’ll lose your membership in the plan. But don’t worry, you will get an SEP of 60 days to enroll in a different Medicare plan, like MA, MAPD or PDP.

Speak with a licensed Medicare agent. They can help you decide when to enroll.  

An Allina Health | Aetna Medicare C-SNP pairs each member with a team of health care professionals. Your care team works with you and your providers to develop your care plan. And they connect you with programs to help beyond health care services.

Your care team understands your plan benefits and helps you access the ones you need. If you want, they can schedule medical and dental appointments for you.

They can also connect you with local and state programs and resources to help you with meals, local transportation and more.