Supplemental Benefits

Supplemental Benefits helps health plans with the approval and delivery of social or environmental benefits e.g., adult day care, home meal delivery, utilities or dietician services, which are beyond the typical Part C or Part D Medicare benefits.  This product is ideal for Medicare or MAPD plans.

Functionality:

• Case Types – Supplemental Benefit, Community Outreach or Dietician Service
• Case Categories – Vary depending on Category Type but launch workflow or tracking of benefits.
• Workflow and Tasks –
  • Initiate referral or intake of request for supplemental benefit
  • Verify benefit coverage for service based on plan criteria
  • Finalize request (approve or deny)
  • Track benefit and outreach efforts

Benefit Workflows Available:

• Personal Care Visits – Help with daily living activities such as bathing and light housekeeping
• Healthy Nutrition/Meals – Prepared meals or supplemental nutrition are delivered to your home
• Adult Daycare – Relieves a caregiver of his/her duties for the day to manage the care of a member with special needs
• Pest Control – Services to provide in home pest control
• Service Animal – Support provided to help care for service dog
• Other – such as Community Outreach & support, dietician visits and electricity