How can Medicare Advantage plans help me better manage my chronic conditions?

If you qualify for SSBCI, you’re required to participate in a plan’s care management program. Members who meet the SSBCI eligibility requirements can self-refer or be identified through medical management interventions. From there, the care management team will make sure the member meets criteria for participation in SSBCI.

Aspire Health Plan members may qualify for SSBCI benefits including:

• Transportation to in-network medically necessary appointments and to obtain non-medical items related to your chronic condition
• Meals in partnership with Mom’s Meals NourishCare
• Food and produce to help members meet nutritional needs
• Indoor air quality equipment and services including temporary or portable air conditioning units, humidifiers, dehumidifiers, high-efficiency particulate air filters, or carpet cleaning to improve indoor air quality
• Social needs benefits such as access to community-based or plan-sponsored programs to address social needs
• General supports for living such as housing for chronically ill enrollees

Items and services listed above are expected to improve or maintain the overall health of the member. For more information, check out the Evidence of Coverage documents for our 2022 MA plan offerings.

Under current rules, there is no Medicare out-of-pocket maximum for Original Medicare. This means if you have a chronic health condition or an unexpected health crisis, you could pay thousands in medical costs. All MA plans have limits on your out-of-pocket costs. This means that once you reach the out-of-pocket limit, your plan pays 100 percent of your healthcare expenses for covered medical services for the remainder of the year. CMS sets an out-of-pocket maximum standard for Medicare Advantage plans for combined in and out of network expenses each year; however, some plans may set lower limits.