Anthem Care More Diabetes


SNP Special Needs Plan

If you have Medicare and diabetes you can enroll in chronic condition special needs plans (C-SNPs).   Surveys show members experience better outcomes than you would in regular Medicare Advantage (MA) plan.  The survey used a claims-based approach to compare member outcomes on five clinical and utilization  measures, Avalere found that enrollees in a diabetes-focused C-SNP were:

• 22 percent more likely to have a primary care visit,
• 10 percent more likely to receive appropriate diabetes testing,
38 percent less likely to have an inpatient hospital admission,
• 32 percent less likely to have a readmission, and
• 6 percent more likely to fill (and refill) a prescription for an antidiabetic medication.

These findings held true when controlling for expected differences in enrollees’ demographics and health status. The analysis suggests that C-SNPs can improve outcomes for beneficiaries with diabetes compared to non-SNPs.   AnthemInc.com * Avalere.com

Los Angeles & Orange  County

Email us [email protected]  for the most current documents or visit Blue Cross’s affiliate website.

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  •  Summary of Benefits – includes the 2018 Medicare Star Ratings
  •  Evidence of Coverage 
    • See page 7 of the EOC Special eligibility requirements for our plan Our plan is designed to meet the specialized needs of people who have certain medical conditions. To be eligible for our plan, you must have diabetes mellitus.   NIH.Gov *
      • To determine eligibility for a special needs individual to enroll in a C-SNP, CMS requires that the C-SNP contact the applicant’s existing provider – doctor to verify that the enrollee has the qualifying conditions. C-SNPs must reconfirm a beneficiary’s eligibility at least annually.  CMS.gov
    • The Coverage chart is on page 50 of the EOC.  If it changes with annual revisions, just use the table of contents or search feature.
    • SNP FAQ’s from CMS Site  

 

Please visit our main page on Special Needs Plans for an introduction to this kind of coverage.

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SNP Benefits
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Chronic Condition Special Needs Plans  C SNP

Scan Foundation Summary on Chronic Care Act 

Forbes  * Commonwealth Fund - Social Services

home-delivered meals, transportation for nonmedical needs, pest control, indoor air quality equipment (e.g., air conditioner for someone with asthma), and minor home modifications (e.g., permanent ramps, widening of hallways or doorways to accommodate wheelchairs).    Listening

telehealth is  the use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. Technologies include videoconferencing, the internet, store-and-forward imaging, streaming media, and terrestrial and wireless communications.

Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine. While telemedicine refers specifically to remote clinical services, telehealth can refer to remote non-clinical services, such as provider training, administrative meetings, and continuing medical education, in addition to clinical services.  Learn More Health IT.gov  *  Telehealth  *  Modern Health Care  *

Special Needs Plans * #11302 Outdated 11.2011  *

Special Needs Plans #11302

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Instant Enrollment & Full Information

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Posted by Anthem Blue Cross on Tuesday, September 4, 2018

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