SSBCI Special Supplemental Benefits for Chronically Ill

The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify.

Members who meet the following criteria qualify for SSBCI benefits:

  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
  2. has a high risk of hospitalization or other adverse health outcomes
  3. requires intensive care coordination

Members will need to do the following to determine if they qualify:

  1. Schedule an appointment with your provider (copay or coinsurance may apply)
  2. Ask your provider to review the eligibility criteria and submit an attestation if you qualify