Which statement best describes Special Needs Plans regarding Part D?

Which statement best describes Special Needs Plans regarding Part D?

• A. SNPs may include Part D
• B. SNPs must exclude Part D
• C. SNPs always exclude Part D
• D. Part D is required for all SNPs

Answer: (A)

Special Needs Plans can come as Medicare Advantage plans with or without prescription drug coverage. If an SNP is an MA-PD plan, Part D is included as part of the plan. If an SNP is MA-only, Part D isn’t included and a separate Part D plan would be needed for drug coverage. Because SNPs can be designed with or without the drug benefit, the statement that SNPs may include Part D is the best description. The other choices are too absolute—SNPs do not all exclude Part D, and Part D is not required for every SNP.

Special Needs Plans can come as Medicare Advantage plans with or without prescription drug coverage. If an SNP is an MA-PD plan, Part D is included as part of the plan. If an SNP is MA-only, Part D isn’t included and a separate Part D plan would be needed for drug coverage. Because SNPs can be designed with or without the drug benefit, the statement that SNPs may include Part D is the best description. The other choices are too absolute—SNPs do not all exclude Part D, and Part D is not required for every SNP.