Anthem Medicare Advantage Certification Practice Exam

The defining feature of Special Needs Plans (SNPs) is that they are designed to provide tailored healthcare services to specific populations, which can include individuals with chronic conditions, those who are institutionalized, or those who are dual-eligible for Medicare and Medicaid. One of the key aspects of SNPs is their use of a contracted network of providers. This network is established to ensure that enrollees receive appropriate and coordinated care aligned with their unique health needs.

SNPs work closely with a network of healthcare providers who are familiar with the specific requirements of their members, allowing for better management of care and potentially improved health outcomes. This contracted network allows SNPs to coordinate services effectively, making it easier for members to access necessary healthcare and support services, which may be more complex given their specific circumstances.

While some plans may offer out-of-network services, the primary structure of SNPs revolves around a defined network of providers, enhancing continuity of care and specialization that these beneficiaries often require. This focus on collaboration with a contracted provider network is what distinguishes SNPs from other plan types that may have different structures in place.