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Mr. Sinclair has diabetes

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Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNPs). What could you tell him? Question 13Select one: a. SNPs offer care from any doctor or hospital Mr. Sinclair would like to use and his costs will always be lower than in Original Medicare. b. Since SNPs don’t cover prescription drugs Mr. Sinclair should consider a different option. c. SNPs are essentially the same as Original Medicare and are not likely to have a noticeable impact on how Mr. Sinclair receives his care. d. SNPs have special programs for enrollees with chronic conditions, like Mr. Sinclair, and they provide prescription drug coverage that could be very helpful as well.

d. SNPs have special programs for enrollees with chronic conditions, like Mr. Sinclair, and they provide prescription drug coverage that could be very helpful as well.

Medicare Advantage Special Needs Plans (SNPs) are specifically designed to cater to individuals with certain chronic or disabling conditions, like diabetes and heart trouble, as in Mr. Sinclair’s case. SNPs offer tailored programs and services that focus on managing and addressing the specific healthcare needs of these individuals.

Unlike the statement in option b, many SNPs do provide prescription drug coverage, along with the other benefits of Original Medicare (Part A and Part B). This can be particularly beneficial for Mr. Sinclair as he may require prescription medications for his conditions.

Option c is incorrect because SNPs are not the same as Original Medicare; they are Medicare Advantage plans offered by private insurance companies with additional benefits and targeted care for specific groups of beneficiaries.

Overall, SNPs could be a good option for Mr. Sinclair as they provide specialized care, including disease management programs, and often include prescription drug coverage that can be advantageous for individuals with chronic conditions.