What limits enrollment in a Medicare Advantage Special Needs Plan (SNP)?

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Enrollment in a Medicare Advantage Special Needs Plan (SNP) is indeed limited to specific subpopulations of beneficiaries. This structure is designed to cater to the unique healthcare needs of certain groups, including those with specific chronic conditions, individuals living in institutions, or those who are dually eligible for Medicare and Medicaid. The targeted approach allows SNPs to provide tailored coverage and services that address the health complexities of these populations, enhancing their overall care and management.

The other options do not accurately reflect the enrollment criteria for SNPs. While some plans may have open enrollment periods, SNPs specifically cater to defined groups rather than the general Medicare population or individuals based on income criteria. Additionally, there are SNPs available for individuals 65 and over, as well as for those under 65, particularly those who have qualifying disabilities or chronic illnesses. This specificity in eligibility is a fundamental aspect of SNPs, ensuring they can offer focused, effective healthcare solutions.

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