Clark County, Nevada Medicare Special Needs Plans
There are 22 Special Needs Plans available in Clark County for 2023. See Plans
Clark County SNPs By The Numbers
- Plans rated 4-stars or better: 20%.
- Average SNP premium: $9.35 per month.
- Average Part D deductible: $202.00 per year.
- Plans with Prescription Coverage: 22.
4 and 5-Star SNP Plans
Here are the top-rated Medicare Special Needs Plans in Clark County.
| Rating | Plan Name | Plan Type | Network Type | Monthly Premium |
Part D Deductible |
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | C-SNP | HMO | $0 | $0 | |
| Humana Gold Plus Lung | C-SNP | HMO | $0 | $0 | |
| Humana Gold Plus SNP-DE H6622-079 | D-SNP | HMO | $30 | $505 | |
| HumanaChoice SNP-DE H5216-302 | D-SNP | PPO | $33 | $505 |
3.5-Star and Below SNP Plans
These are the SNP plans in Clark County rated 3.5 stars or lower by Medicare.
| Rating | Plan Name | Plan Type | Network Type | Monthly Premium |
Part D Deductible |
|---|---|---|---|---|---|
| Alignment Health Heart & Diabetes | C-SNP | HMO | $0 | $0 | |
| Alignment Health the ONE | D-SNP | HMO | $14 | $505 | |
| UnitedHealthcare Medicare Advantage Assist | C-SNP | HMO-POS | $0 | $0 | |
| Aetna Medicare Dual Prime Plan | D-SNP | HMO | $22 | $505 | |
| UnitedHealthcare Dual Complete | D-SNP | HMO-POS | $31 | $505 | |
| Anthem MediBlue Care On Site | I-SNP | HMO | $0 | $0 | |
| Anthem MediBlue Connect | D-SNP | HMO | $25 | $505 | |
| Anthem MediBlue Diabetes Care | C-SNP | HMO | $0 | $0 | |
| Anthem MediBlue Dual Advantage | D-SNP | HMO | $14 | $505 | |
| Anthem MediBlue Heart Care | C-SNP | HMO | $0 | $0 | |
| Anthem MediBlue Lung Care | C-SNP | HMO | $0 | $0 | |
| Imperial Insurance Value | C-SNP | HMO | $0 | $0 | |
| Wellcare Dual Access | D-SNP | HMO | $19 | $505 | |
| Wellcare Specialty No Premium | C-SNP | HMO | $0 | $0 | |
| SCAN Balance | C-SNP | HMO | $0 | $0 | |
| SCAN Heart First | C-SNP | HMO | $0 | $0 |
What You Should Know About SNP Plans in Clark County
SNP plan enrollment is strictly limited. Enrollees must demonstrate qualification through one or more of three criteria:
- An institutionalized individual,
- A dual-eligible (Medicare and Medicaid) person, or
- An individual with a severe or disabling chronic condition approved by Medicare.
Not all Medicare Special Needs Plans are the same. There are three different types:
When to Enroll in a Special Needs Plan
If you qualify, you can join or switch plans during a Medicare Election Period. For most people living in Clark County, the Annual Election Period (AEP), which starts on October 15th and ends on December 7th, is the time they update their enrollment.
- D-SNP plans are for individuals who qualify for both Medicare and Medicaid (dual-eligible).
- I-SNP plans are for people who are institutionalized and live in long-term care or skilled nursing facility.
- C-SNP plans are for people with one or more chronic conditions, including diabetes, end-stage renal disease (ESRD), lung conditions, or heart disease.
All plans are not available in all areas.
Most of us also get an Individual Election Period (IEP), but it only comes around once. Your IEP is based on your 65th birthday. It starts three months before your birth month and ends three months after, so you have plenty of time. Qualifying beneficiaries can enroll in an SNP during their IEP.
In addition to the periods outlined above, you may be able to join a SNP with a Special Election Period in certain situations. Situations that may qualify you for a Special Election Period include:
If you do not qualify for a Special Needs Plan, one of the 2023 Medicare Advantage Plans in Clark County, Nevada may be a viable option.
- You are diagnosed with a severe or disabling condition: You can enroll in a Chronic-Condition Special Needs Plan (C-SNP) for beneficiaries with your illness at any time.
- You move into a nursing home or require skilled nursing care at home: You can enroll in an Institution Special Needs Plan (I-SNP) or switch plans at any time.
- You qualify for Medicaid: If you have Medicaid or are newly eligible for Medicaid, you can enroll in a Dual-Eligible Medicare Special Needs Plan (D-SNP) at any time.
- You move outside of your existing Special Needs Plan’s service area: You'll qualify for a Special Election Period to switch to a new plan.
- Your Special Needs Plan leaves the Medicare program: You'll qualify for a Special Election Period to switch plans.
We encourage people with Medicare that do not qualify for a Medicare Special Needs Plan to compare Clark County Medicare Advantage Plans.
The Nevada Medicare SNP information for Clark County originates from Medicare.gov. It was last updated on .