Special Supplemental Benefits for the Chronically Ill (SSBCI) may be available to members on select Dual Eligible Special Needs Plans (D-SNPs) who have:

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Special Supplemental Benefits for the Chronically Ill (SSBCI) are designed to address the specific needs of members with chronic health conditions. These benefits are especially relevant for those enrolled in Dual Eligible Special Needs Plans (D-SNPs), which cater to individuals who are eligible for both Medicare and Medicaid.

The reasoning for the choice that includes all options lies in the comprehensive approach to providing care for members with chronic illnesses. SSBCI is aimed at members who not only have certain chronic conditions but also require intensive care management and are at high risk for hospitalization. By combining these criteria, SSBCI ensures that the support and services provided are holistic and tailored to the multifaceted challenges that such individuals face.

The inclusion of all these aspects reflects an understanding that chronic illness management involves more than just addressing the medical condition; it also requires ongoing support, coordination, and intervention to manage care effectively, prevent complications, and minimize hospital visits. Thus, recognizing the interconnectedness of these factors justifies the provision of special supplemental benefits, as they cater to the complex needs of this vulnerable population.

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