SNBC Basics & Eligibility
What Special Needs Basic Care is, the difference between integrated (I-SNBC) and non-integrated plans, and who qualifies.
SNBC Basics & Eligibility
What is Special Needs Basic Care (SNBC) and do I qualify?
Purpose
Use when a caller asks what SNBC is, the difference between integrated and non-integrated plans, or whether they may be eligible.
Q & A
Q: What is Special Needs Basic Care (SNBC)?
A:
Special Needs Basic Care (SNBC) is a voluntary managed care program for people with disabilities ages 18–64 who have Medical Assistance (MA), with or without Medicare.
It provides managed care plan options instead of Fee for Service (FFS).
Q: What’s the difference between integrated and non-integrated SNBC plans?
A:
- Integrated SNBC (I-SNBC):
Combines MA and Medicare (including Part D prescription coverage) into one health plan. - Non-Integrated SNBC (SNBC NI):
Covers MA services only. Medicare stays separate if the person has it.
Q: Who is eligible for SNBC?
A: A person may be eligible if they:
- Are 18–64
- Are certified blind or disabled by SSA or SMRT
- Have MA
If they also have Medicare, they must have Parts A and B to choose an integrated plan.
Q: Can someone with a spenddown enroll in SNBC?
A:
- New enrollment: No. People with a spenddown cannot newly enroll in SNBC.
- Already enrolled: They may stay enrolled if the spenddown is met and paid every month.
If someone has questions about payments or lost coverage, see
“What happens to my SNBC if I have a spenddown or miss payments?”
Q: Can someone enroll if they have employer insurance or another HMO?
A:
No. SNBC enrollment is restricted if the person has cost-effective third-party insurance or another HMO. This is determined by the financial worker.
Referrals & Resources
- DHS SNBC Webpage
- SNBC Health Plan Directory (DHS) – Shows available plans and coverage
- Guide to SNBC Enrollment
- Managed Care Summary of Coverage
See also:
- How do I choose an SNBC plan?
- How do I enroll in, change, or leave an SNBC plan?
- I missed spenddown payments and my SNBC ended — how do I get back in?
Tags & Metadata (Genesys Only)
Parent Category: Health Care
Subcategory: Managed Care
Labels: SNBC, eligibility, managed care, MA
Alternate Search Phrases: what is SNBC, SNBC eligibility, special needs basic care
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