Who is eligible for enrollment in Institutional Special Needs Plans (ISNPs)?

An individual eligible for enrollment in Institutional Special Needs Plans (ISNPs) is someone who requires institutional care for 90 days or longer. ISNPs are specifically designed to meet the unique needs of individuals residing in institutions, such as nursing facilities. The plans provide tailored benefits and services that cater to the health needs of this population, including access to specialized care, rehabilitation services, and support for chronic conditions that are common among individuals in long-term care.

The requirement of 90 days or more in an institution ensures that the care provided aligns with the ongoing needs of those who are not merely temporarily in a facility but who require extended care due to their health conditions. This focus allows the plan to address the specific healthcare challenges faced by individuals with prolonged institutional stays, enhancing their quality of care and overall wellbeing.