What is a primary enrollment requirement for Mr. Dalton regarding the Medicare Advantage SNP?

For Mr. Dalton to enroll in a Medicare Advantage Special Needs Plan (SNP), a primary requirement is that he needs to live in a specific service area. SNPs are tailored to serve specific populations, such as individuals with chronic conditions, those eligible for both Medicare and Medicaid, or institutionalized individuals. Because SNPs have limited geographic coverage, enrollees must reside within the designated service area of the plan to obtain its benefits. This requirement ensures that enrollees can access local healthcare providers and facilities that participate in the SNP network, which is crucial for receiving appropriate care.

Living in the specified service area is essential for enrollment, as it aligns with the defined structure of SNPs intended to provide focused healthcare services to patients who meet specific needs based on their location.