Changes Ahead for Special Needs Basic Care in 2026
In 2026, significant alterations will be made to Special Needs Basic Care (SNBC) coverage, largely due to Medica’s purchase of UCare’s business.
Aside from the rising health insurance costs linked to the end of Affordable Care Act subsidies, another insurance plan is also preparing for major modifications next year.
Individuals depending on Minnesota’s SNBC insurance are expressing concern, as certain aspects of the plan will be phased out without any new alternatives in sight.
Rebecca Mallery, a resident of Staples, described the situation as “stressful, really stressful.”
Despite living with several severe disabilities, she maintains a part-time job and relies on costly medications. Unfortunately, these expenses are no longer covered by her special needs plan. According to reports, many rural counties also indicate that this coverage is no longer available.
Mallery’s plan is notably specific, integrating all medical aid benefits, including Medicare and Medicaid, into a single package.
“It’s tough to navigate without that integration,” Mallery noted. “Clinics, physicians, and providers face confusion over the medications that require prior approval and lengthy procedures. We’re nearing deadlines, and we’re still in the dark.”
These changes follow Medica’s acquisition of UCare, a plan mainly focused on the Midwest, which is currently experiencing financial difficulties and trimming down services.
The state is advising individuals to explore new options available through an online portal.
However, Mallery asserts she’s received no updates since the announcement a few months back. “It’s frustrating. They only tell me to check the website later. I’ve been part of this program for 20 years, and it’s always worked well. But now? No news. Nobody seems to know anything.”
KARE 11 has contacted the Department of Human Services for more details.
In the meantime, other resources are available statewide, such as Disability Hub Minnesota and Aging Pathways in Minnesota. These initiatives provide free assistance during these challenging times.

