Special Needs Plans (SNPs) from Simply in Florida
SNPs are for people with certain conditions or limited incomes. All our SNPs have $0 premiums and coverage for prescription drugs and routine dental, vision, and hearing.
Need help finding the right plan? Talk to a licensed agent: 855-216-6134 (TTY 711)
Extra care and support
It can be hard living with conditions that require extra care or covering health costs on a limited income. Our Medicare Advantage SNP might be a good fit for your healthcare needs and budget. They all cover prescription drugs and routine dental, vision, and hearing. Plus, you’ll get $0 monthly premiums, care managers to coordinate care, and help with transportation,1 utilities,2,3 groceries,2,3 and over-the-counter items.
Simply offers three Medicare Special Needs Plans:
Chronic Condition Special Needs Plans (C-SNPs)
For people with cardiovascular disorders, chronic heart failure, and/or diabetes
Dual Eligible Special Needs Plans (D-SNPs)
For people with both Medicare and Medicaid
Institutional Special Needs Plans (I-SNPs)
For people living in long-term care or a nursing home, or those who need mid-level care lasting 90 or more days
What our Medicare Special Needs Plans cover
All our Medicare Advantage SNPs include Medicare Part A and Part B, but they also cover what Original Medicare does not. In fact, you can get a lot more from a SNP plan than you may realize.
All Simply SNPs include:
Prescription drug (Part D) coverage
$0 monthly plan premiums
$0 copays for in-network primary care doctor visits
$0 copays for tier 1 covered prescription drugs
$0 in-network medical deductibles
A dedicated support team to help you know your benefits and get the most out of your plan
A care manager to coordinate your care, medicine, and benefits
Routine dental, vision, and hearing coverage, including an allowance for eyewear and hearing aids
A monthly allowance for approved, over-the-counter (OTC) non-prescription drugs and health-related items
Transportation1 to health-related appointments
A monthly allowance for groceries,2,3 utilities,2,3 and assistive devices
Access to a wide network of doctors, facilities, and pharmacies
All our SNPs are health maintenance organization (HMO) Medicare Advantage plans, which means you have to stay in our network of care providers, facilities, and pharmacies for your care and prescriptions.4
You must be signed up for Original Medicare Part A and Part B to enroll in a SNP plan. You will need to continue paying your monthly premiums for Part A ($0 for most people) and Part B.
Dual Eligible Special Needs Plans (D-SNPs)
Our D-SNPs include all the benefits of SNPs, as well as:
- $0 copays for all tiers of covered prescription drugs
- $0 copays for all in-network care: doctors, specialists, lab work, and diagnostics
- $0 copays for in-patient hospital visits (90 days) and skilled nursing facilities (100 days per benefit period)
- $500 annual out-of-pocket maximum
- No-cost access to SilverSneakers® fitness programs
To enroll in a D-SNP plan, you must have both Medicare and Medicaid. Depending on the level of assistance you receive from Medicaid, most or all of your Medicare costs, including your Part B premium, might be covered by Florida’s Medicaid program.
When can I enroll in a D-SNP?
If you have Original Medicare Part A and Part B, you can enroll in a Dual Eligible Special Needs Plan the month you become eligible for Medicaid.
If you only have Medicaid, you can enroll in a D-SNP the month you become eligible for Medicare and sign up for both Part A and Part B.
If you are already enrolled in a D-SNP, you may be able to change plans monthly depending on your current plan and/or the plan you want to enroll in. If you've had a qualifying life event, such as moving, losing coverage, or becoming eligible for Medicare, you may be eligible for a Special Enrollment Period. You can always change plans during the Annual Enrollment Period from October 15 to December 7 every year.
Chronic Condition Special Needs Plans (C-SNPs)
Simply has C-SNPs for Florida residents who have diabetes, a cardiovascular disorder, or chronic heart failure. If you have one of these conditions and live in the following counties, you can enroll in a C-SNP for coverage specific to your needs.
- Broward
- Hernando
- Hillsborough
- Miami-Dade
- Orange
- Osceola
- Palm Beach
- Pasco
- Pinellas
- Polk
- Seminole
If you join our Simply Level Platinum (HMO C-SNP), you are eligible for a reduction in your Medicare Part B premium up to $164.90 per month.
Our C-SNPs also include no-cost access to SilverSneakers® fitness programs.
When can I enroll in a C-SNP plan?
If you have diabetes, a cardiovascular disorder, or chronic heart failure as diagnosed and confirmed by your doctor, you can enroll in one of our C-SNPs during your Initial Enrollment Period when you are first eligible to enroll in Medicare, during the Annual Enrollment Period from October 15–December 7, or during a Special Enrollment Period if you were recently diagnosed with a qualifying condition. Essentially, you can enroll as soon as you sign up for Original Medicare Part A and Part B and have a qualifying condition.
Institutional Special Needs Plans (I-SNPs)
You can enroll in an I-SNP if you have Medicare Part A and Part B and live in one of our in-network nursing homes or assisted living communities, or other plan-approved locations in Florida
What if I don’t qualify for a Special Needs Plan?
If you don’t qualify for a SNP, Simply’s Medicare Advantage plans still offer many similar benefits. You just need to have Original Medicare and be within an enrollment period to apply. Check out our shopping tool to find and compare Medicare Advantage plans available in your area.
1 Transportation services are issued as one-way trips and provided on an annual basis. Benefits vary by plan.
2 Members may receive a monthly or quarterly allowance in the form of a benefits prepaid card to pay for a wide range of approved groceries and utilities. Unused amounts will expire at the end of the month or quarter. Benefits vary by plan.
3 Depending on your plan, the benefits listed may be available through the Medicare Advantage Value-Based Insurance Design Model or to eligible members as Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as chronic kidney diseases, chronic lung disorders, cardiovascular disorders, chronic heart failure, or diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan's Evidence of Coverage.
The SilverSneakers fitness program is provided by Tivity Health, an independent company. Please talk to your doctor before starting an exercise program. SilverSneakers, the SilverSneakers shoe logo type and SilverSneakers Flex are registered trademarks of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.
Y0114_25_3015400_0000_U_M CMS Accepted 4/7/2025