Special Needs Plans ยท I-SNP

Institutional Special Needs Plans (I-SNP)

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An Institutional Special Needs Plan (I-SNP) is a Medicare Advantage plan for people who live in — or are expected to need the level of care provided by — an institution such as a nursing facility, or who need that level of care while living at home.

Who an I-SNP is for

  • People who have lived, or are expected to live, in a qualifying facility (such as a skilled nursing or long-term care facility) for 90 days or more.
  • People who require an institutional level of care, sometimes provided at home, as confirmed by a state-approved assessment.

How it works

  • On-site care coordination. I-SNPs typically bring care management to where the member lives, often with nurse practitioners or care teams who work directly with facility staff.
  • Included Part D coverage and benefits designed around higher-needs care.
  • Coordination with families on care decisions and transitions.

Helping a parent or loved one? Choosing or changing a plan for someone in a facility can feel overwhelming. We'll walk through eligibility, what an I-SNP covers, and how it compares with other options — patiently, and at no cost.

Related: Chronic SNPs (C-SNPs) and Dual SNPs (D-SNPs) for people with both Medicare and Medicaid.

Good to know

Frequently asked questions

Who qualifies for an Institutional SNP?

Generally, people with Medicare who live in (or are expected to need, for 90+ days) a qualifying institutional setting such as a nursing facility, or who need an institutional level of care at home, as determined by an approved assessment.

Can someone living at home join an I-SNP?

Sometimes. Certain I-SNPs (called I-SNP-equivalent or institutional-equivalent) serve people who need a facility level of care but live at home. Availability depends on the plans offered in your area.

Can you help a family member enroll?

Yes. We regularly help adult children and caregivers understand the options for a parent or loved one, including how an I-SNP coordinates with a facility.

Ready when you are

Let's talk through care options for a facility setting.

A short, friendly conversation — no pressure, no cost.