Support Beyond Care: Special Supplemental Benefits for the Chronically Ill (SSBCI)

The plan offers Special Supplemental Benefits for the Chronically Ill, also called SSBCI. These are extra benefits for members who have certain long-term health conditions and meet plan rules. These benefits can help with healthy food and living costs, such as rent and utilities.

How SSBCI can help

If you qualify, you will get $100 per month on a debit card from the plan. You can use the card to help pay for everyday living costs.

Note: Any money you do not use expires at the end of each month or when you leave the plan.

Use your plan debit card at participating retailers when you buy eligible items or services. The card is linked to your benefits and checks eligibility at checkout.

You can find the participating retailers at &more Health.

 

Questions about SSBCI?

If you have questions or want more information about SSBCI, please call Member Services


The benefits mentioned are a part of special supplemental program for the chronically ill. Not all members qualify. Only Special Supplemental Benefits for the Chronically Ill (SSBCI) eligible members may use their allowance toward rent, utilities, internet, healthy foods, pest control, and non-medical transportation.

In order to qualify for SSBCI, members must have at least one of the following chronic health conditions: cardiovascular disorders; chronic and disabling mental health conditions; chronic gastrointestinal disease (limited to end-stage liver disease); congestive heart failure; chronic lung disorders (limited to chronic obstructive pulmonary disease); connective tissue disease; dementia, diabetes mellitus; stroke; and/or overweight, obesity, and metabolic syndrome.

In addition, member must satisfy at least one of the following: had one or more inpatient admissions (inclusive of behavioral health) related to the chronic condition in the last 12 months; had one or more urgent care or emergency room visits related to the chronic condition in the last 12 months; had two or more outpatient visits related to the chronic condition (including primary care or specialty care visits) in the last 12 months; are a patient who requires home health visits related to the chronic condition; are a patient with one or more chronic conditions and a need for one or more pieces of durable medical equipment (DME) in the outpatient setting, limited to: group 3 power/manual wheelchair, noninvasive ventilation (NIV), BiPAP machines, mechanical in-exsufflation devices, or group 2 or group 3 mattresses.

You can’t use your &more card to purchase alcohol, firearms, tobacco, lottery tickets, gift cards, explosives, or cannabis. &more Benefits Prepaid Mastercard® is issued by Avidia Bank, pursuant to a license from Mastercard Incorporated. Use of this card is subject to the terms and conditions of the Cardholder Agreement.

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