Members who meet the following criteria qualify for SSBCI benefits:
- 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
- has a high risk of hospitalization or other adverse health outcomes
- requires intensive care coordination
Members will need to do the following to determine if they qualify:
- Schedule an appointment with your provider (copay or coinsurance may apply)
- Ask your provider to review the eligibility criteria and submit an attestation if you qualify