When and How to Use Medicare SNP Disclaimers


Finding and helping people who are eligible for Medicare Special Needs Plans can be rewarding. But when creating material to recruit prospective clients, you need to include a disclaimer that makes it clear that these plans are created for people with specific conditions or circumstances.

Where Does an SNP Disclaimer Need to Appear?

Include a disclaimer on any material that targets potential SNP enrollees.

What Does the SNP Disclaimer Need to Say?

According to CMS rules (MMG Appendix 5 – Disclaimers), here are some examples of disclaimers to use when targeting a specific type of enrollee:

  • This plan is available to anyone with Medicare who meets the skilled nursing facility (SNF) level of care and resides in a nursing home.
  • This plan is available to anyone with Medicare who has been diagnosed with HIV/AIDS.
  • This plan is available to anyone who has both medical assistance from the state and Medicare.

As you can see from the examples above, the disclaimer applies to Special Needs Plans (SNPs), Institutional Special Needs Plans (I-SNPs), and Dual Eligible Special Needs Plans (D-SNPs).

Make sure that your disclaimer matches the plan you’re selling and the demographic you’re targeting.

Where Can I Get More Medicare Marketing Guidance?

Our Resource Center is available 24/7 to give you the help you need with Medicare guidelines, sales advice and more to keep your business on track. To learn more about the Excelsior team and how we can help you, contact us.

 

Sources: https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/Downloads/CY-2018-Medicare-Marketing-Guidelines_Final072017.pdf | https://www.medicare.gov/Pubs/pdf/11302.pdf

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