Anthem Care More Diabetes
SNP Special Needs Plan

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

Medicare beneficiaries with diabetes enrolled in chronic condition special needs plans (C-SNPs) experience better outcomes than they would in non-specialized Medicare Advantage (MA) plans.  Using a claims-based approach to compare beneficiary 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

  •  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  

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Special Needs Plans * #11302 Outdated 11.2011  *

Special Needs Plans #11302

 

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