Washington County, Rhode Island Medicare Special Needs Plans

There are 11 Special Needs Plans available in Washington County for 2023.   See Plans

4 and 5-Star SNP Plans

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

3.5-Star and Below SNP Plans

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

What You Should Know About SNP Plans in Washington 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.

Medicare allows private carriers to create different types of SNPs to meet three distinct needs:

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 Washington 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.

You also have an Individual Election Period (IEP). Your IEP begins three months before your 65th birthday, includes your birth month, and continues for three months after your birth month. If you qualify, you can join an SNP during your IEP.

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 Washington County, Rhode Island

• 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.

Individuals with Medicare that do not qualify for a Medicare SNP are encouraged to compare 2023 Medicare Advantage Plan options in Washington County, Rhode Island

The Rhode Island Special Needs Plan information for Washington 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.