Grand Forks County, North Dakota Medicare Special Needs Plans

There are 2 Special Needs Plans available in Grand Forks County for 2023.   See Plans

4 and 5-Star SNP Plans

Here are the top-rated Medicare Special Needs Plans in Grand Forks County.

3.5-Star and Below SNP Plans

These are the SNP plans in Grand Forks County rated 3.5 stars or lower by Medicare.

What You Should Know About SNP Plans in Grand Forks County

To qualify as a special needs individual you will need to demonstrate one or more of the following criteria:

• You will be institutionalized for 90 or more days,
• You are dual-eligible for both Medicare and Medicaid, or
• You have a severe or disabling chronic condition approved by Medicare.

There are three different types of SNP plans:

When You Can Join a Special Needs Plan

Even if you qualify, you are only allowed to join, drop or change plans during a Medicare Election Period. The period between 15 October and 7 December is the Annual Election Period (AEP). That's when most people in Grand Forks County make changes to their Medicare.

1. D-SNP plans are for individuals who qualify for both Medicare and Medicaid (dual-eligible).
2. I-SNP plans are for people who are institutionalized and live in long-term care or skilled nursing facility.
3. 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.

There's also an Individual Election Period (IEP) that you can use once. Your IEP is a 7-month period around your 65th birthday. It starts three months before you turn 65 and ends three months after. During this time, you can enroll in an IEP in Grand Forks County, if you qualify.

Outside of these periods, you may be able to join a Special Needs Plan with a Special Election Period. Some situations that may qualify you for a Special Election Period include:

Medicare beneficiaries not qualified to join a Medicare SNP plan may have suitable Medicare Advantage Plan options in Grand Forks County, North Dakota

• 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.

Medicare beneficiaries who don't qualify for a Special Needs Plan should consider comparing Medicare Advantage Plans available in Grand Forks County to see if a suitable option is available.

The North Dakota Special Needs Plan information for Grand Forks County information on this page originates from Medicare.gov. The All Medicare team last updated and/or refreshed the data on this page on November 8, 2022.