Special Supplemental Benefits for the Chronically Ill (SSBCI)

Page last updated on: 8/17/25

Available for members on PriorityMedicare® D-SNP, PriorityMedicare® Dual Premier and PriorityMedicare® Vintage

Member must have one of the following chronic conditions, a high risk of hospitalization and a need for care management.

  • Autoimmune disorders
  • Cancer
  • Cardiovascular disorders
  • Chronic alcohol use disorder and substance abuse disorder
  • Chronic and disabling mental health conditions
  • Chronic back pain
  • Chronic conditions that impair vision, hearing (deafness), taste, touch and smell
  • Chronic gastrointestinal disease
  • Chronic heart failure
  • Chronic kidney disease
  • Chronic lung disorders
  • Conditions that may cause cognitive impairment
  • Conditions that may cause functional challenges
  • Conditions that require continued therapy services in order for individuals to maintain or retain function
  • Dementia
  • Diabetes mellitus (includes pre-diabetes)
  • HIV/Aids
  • Hypertension
  • Immunodeficiency and immunosuppressive disorders
  • Neurologic disorders
  • Osteoporosis
  • Overweight, obesity, and metabolic syndrome
  • Post-organ transplantation care
  • Severe hematologic disorders
  • Stroke