For members enrolling in a C-SNP, which of the following statements is true about accessing providers?

The statement regarding C-SNPs allowing out-of-network providers with additional cost sharing is accurate because many C-SNPs (Chronic Special Needs Plans) are designed to cater to individuals with specific chronic conditions, offering flexibility in network access for their members. While C-SNPs often encourage the use of in-network providers to promote coordinated care and possibly lower out-of-pocket expenses, they can also permit access to out-of-network providers at a higher cost to the member. This feature allows enrollees to seek specialized services that may not be available within the network, addressing particular healthcare needs that arise from their chronic conditions, thus providing an essential safety net for those who may require additional care options.

Access restrictions and cost-sharing details can vary between plans, emphasizing the importance of reviewing specific plan documentation for members considering their healthcare options. This flexibility illustrates the focus of C-SNPs on meeting the unique needs of their enrollees while balancing cost considerations.