Special Supplemental Benefits for the Chronically Ill

Some Select Health Medicare plans include SSBCI that require members to have a qualifying chronic condition.

Special Supplemental Benefits for the Chronically Ill

Members must complete the Member Form to attest they have at least one of the listed health conditions. Select Health will verify chronic conditions before access is given to the SSBCI benefits.
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Qualified chronic conditions may include: 

Autoimmune disorders

  • Rheumatoid arthritis (RA)
  • Psoriasis/psoriatic arthritis
  • Multiple sclerosis
  • Systemic lupus erythematosus (SLE)
  • Inflammatory bowel disease
  • Addison’s disease
  • Graves’ disease
  • Sjögren’s disease
  • Hashimoto’s thyroiditis
  • Myasthenia gravis
  • Celiac disease
  • Lupus
  • Autoimmune vasculitis
  • Pernicious anemia
  • Dermatomyositis

Cardiovascular disorders

  • Abnormal heart rhythms, or arrhythmias
  • Aorta disease and Marfan syndrome
  • Cardiomyopathy
  • Congenital heart disease
  • Coronary artery disease (narrowing of the arteries)
  • Deep vein thrombosis and pulmonary embolism
  • Heart attack
  • Heart failure
  • Heart muscle disease (cardiomyopathy)
  • Heart valve disease
  • Hypertensive heart disease
  • Pericardial disease
  • Peripheral vascular disease
  • Rheumatic heart disease
  • Stroke
  • Vascular disease (blood vessel disease)

Chronic and disabling mental health conditions

  • Alzheimer's
  • Anorexia – eating disorders
  • Bipolar disorders
  • Borderline personality disorder
  • Dementia
  • Major depressive disorders
  • Paranoid disorder
  • Schizophrenia
  • Schizoaffective disorder
  • Severe mood disorders

Kidney Disease including transplant

  • Chronic Kidney disease
  • Cystic Kidney disease
  • Hypertensive heart and chronic kidney disease
  • Kidney Transplant
  • Kidney Transplant Complications

Chronic Liver Disease including transplant

Fatty liver, chronic hepatitis

Chronic lung disorders

  • Emphysema
  • Pulmonary fibrosis
  • Pneumothorax or atelectasis
  • Sarcoidosis
  • Tuberculosis (TB)
  • Pneumonia
  • Asthma
  • Cystic fibrosis
  • Bronchitis
  • Pulmonary hypertension
  • Pulmonary edema
  • Bronchiectasis
  • Chronic cough
  • Asbestosis
  • Occupational asthma
  • Restrictive lung disease
  • COPD

Diabetes

  • Diabetes mellitus due to underlying condition
  • Drug or chemical induced diabetes mellitus
  • Gestational diabetes
  • Other specified diabetes mellitus
  • Prediabetes
  • Pre-existing diabetes in pregnancy, childbirth, and the puerperium
  • Type 1 diabetes mellitus
  • Type 2 diabetes mellitus

Hypertension

  • Essential (primary) hypertension
  • Gestational hypertension
  • Portal hypertension
  • Pre-existing hypertension in pregnancy
  • Primary pulmonary hypertension
  • Secondary hypertension
  • Secondary pulmonary hypertension
  • Severe Pre-eclampsia, Eclampsia, Unspecified maternal hypertension, HELLP syndrome

Musculoskeletal Disorders

  • Osteoarthritis
  • Gout
  • Rheumatoid arthritis
  • Juvenile arthritis
  • Osteoporosis
  • Osteomalacia
  • Back pain
  • Scoliosis
  • Lupus
  • Fibromyalgia

Cancer

Any type of cancer or precancer diagnosis, includes cancer diagnoses you are currently being treated for or have been treated for within the past year

Chronic alcohol and other drug dependence

  • Alcohol abuse and dependence
  • Opioid abuse and dependence
  • Cannabis abuse and dependence
  • Sedative, hypnotic or anxiolytic abuse and dependence
  • Cocaine abuse and dependence
  • Other stimulant abuse and dependence
  • Hallucinogen abuse and dependence
  • Nicotine dependence
  • Inhalant abuse and dependence
  • Other psychoactive Substance Use Disorder and dependence

Chronic heart failure

  • Heart failure
  • Hypertensive heart and chronic kidney disease

End-Stage Renal Disease (ESRD)

Dialysis or transplant

 

End-stage liver disease

 

Dementia

  • Unspecified dementia (mild, moderate, severe)
  • Vascular dementia, dementia in other diseases classified elsewhere

 

HIV/AIDS

 

Malnutrition

  • Protein Energy Malnutrition
  • Scurvy
  • Rickets
  • Beriberi
  • Hypocalcemia
  • Osteomalacia
  • Kwashiorkor
  • Marasmus
  • Anemia
  • Vitamin K Deficiency
  • Pellagra
  • Xerophthalmia
  • Iron Deficiency

Neurologic Disorders

  • Acute Spinal Cord Injury
  • Alzheimer's Disease
  • Amyotrophic Lateral Sclerosis (ALS)
  • Ataxia
  • Bell's Palsy
  • Brain Tumors
  • Cerebral Aneurysm
  • Epilepsy and Seizures
  • Guillain-Barré Syndrome
  • Headache
  • Head Injury
  • Hydrocephalus
  • Lumbar Disk Disease (Herniated Disk)
  • Meningitis
  • Multiple Sclerosis
  • Muscular Dystrophy
  • Neurocutaneous Syndromes
  • Parkinson's Disease
  • Peripheral Neuropathy
  • Stroke (Brain Attack)
  • Cluster Headaches
  • Tension Headaches
  • Migraine Headaches
  • Encephalitis
  • Septicemia

Severe hematologic disorders

  • Anemia
  • Aplastic Anemia
  • Hemolytic Anemia
  • Iron Deficiency Anemia
  • Megaloblastic (Pernicious) Anemia
  • Sickle Cell Disease
  • Thalassemia. Alpha Thalassemia. Beta Thalassemia (Cooley's Anemia)

Obesity

BMI higher than recommended for your age/gender/ethnicity

 

Stroke