Which statement best describes access to providers for some C-SNPs?

• A. All C-SNPs are in-network only
• B. Some C-SNPs are PPO or POS plans that allow out-of-network providers for covered services, generally with higher cost-sharing
• C. C-SNPs do not allow any out-of-network care
• D. C-SNPs cannot be combined with Part D

Answer: (B)

Some C-SNPs operate like PPOs or POS plans, offering broader access to providers by allowing out-of-network visits for covered services, typically with higher cost-sharing than in-network care. This reflects a trade-off: you gain flexibility to see non-network providers, but you pay more when you do. Not all C-SNPs are strictly in-network only, and it’s not accurate to say out-of-network care is never allowed or that these plans can’t include Part D; many C-SNPs coordinate Part D drugs and may include out-of-network options in certain circumstances, depending on the plan.