SSBCI: Members

If you have a chronic condition(s) that meet certain criteria you may be eligible for supplemental benefits for the chronically ill. You must meet all three criteria to be eligible:

1. Has one or more comorbid and medically complex chronic conditions that is life threatening or significantly limits the overall health or function of the enrollee. (Please see the list of qualifying chronic conditions below)
2. Has a high risk of hospitalization or other adverse health outcomes.
3. Requires intensive care coordination.

This is a combined allowance that can be used for groceries (healthy food and produce), and general supports of living (utility payment like your electric bill and rent or mortgage assistance). This allowance is shared with your OTC (Over-the-counter) benefit. If you are eligible for SSBCI, you will be able to use that same allowance on your SSBCI benefits. This allowance is loaded onto a benefit card provided by NationsBenefits. If you already have your Nations Benefits card, you will continue to use this card for your SSBCI benefits too!

Qualifying chronic conditions:

Chronic alcohol and other drug dependence, Autoimmune disorders, Cancer, Cardiovascular disease, Chronic heart failure, dementia, diabetes, end-stage liver disease, end-stage renal disease (ESRD), severe hematologic disorders, HIV/AIDs, chronic lung disorders, chronic and disabling mental health conditions, neurologic disorders, stroke, Overweight, obesity, and metabolic syndrome, Chronic gastrointestinal disease, Post-organ transplantation, Immunodeficiency and Immunosuppressive disorders, conditions associated with cognitive impairment, conditions with functional challenges, chronic conditions that impair vision, hearing (deafness), taste, touch, and smell, and conditions that require continued therapy services in order for individuals to maintain or retain functioning.

How to qualify:

Our plan uses medical claims and encounter data to identify members with qualifying chronic conditions. Eligible members are automatically enrolled and provided access to applicable SSBCI benefits and allowances. No action is required if eligibility can be verified through Plan records. If eligibility cannot be verified through available claims or encounter data, your provider may submit an SSBCI Attestation Form through our website, by mail, or by fax for review and eligibility determination. This can be found on our website www.healthy-ms.com located under the provider section, under “SSBCI.”

We encourage you to have a visit early in the year with your providers about your condition(s) to get a qualifying claim on file. Seeing your doctor regularly can help you manage your conditions.

Members will be sent a NationsBenefits debit card. This debit card can be used on groceries at participating retailers, or through NationsBenefits online. For general supports and living (utilities) members can use the card as a debit card payment for utility bills, rent, or mortgage.

You can call us at our Member services number, or you can call NationsBenefits at 877-740-2369 (TTY: 711) or visit HealthyMS.NationsBenefits.com for more information about these benefits