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Dual Care Extra Benefits: Eligible Chronic Conditions

You’re eligible to receive the food and home utilities allowance if you have one of these qualifying conditions:

  • Autoimmune disorders
  • Cancer
  • Cardiovascular disorders
  • Chronic alcohol use disorder and other substance use disorders (SUDs)
  • Chronic conditions that impair vision, hearing, taste, touch, and smell
  • Chronic gastrointestinal disease
  • Chronic heart failure
  • Chronic kidney disease
  • Chronic lung disorders
  • Chronic and disabling mental health conditions
  • Conditions associated with cognitive impairment
  • Conditions with functional challenges
  • Conditions that require continued therapy services for individuals to maintain or retain function
  • Dementia
  • Diabetes mellitus
  • HIV/AIDS
  • Hyperlipemia (high cholesterol)
  • Hypertension
  • Immunodeficiency and immunosuppressive disorders
  • Neurologic disorders
  • Overweight, obesity, and metabolic syndrome
  • Post organ transplantation
  • Severe hematologic disorders
  • Stroke

Special Supplemental Benefits for the Chronically Ill (SSBCI) Eligibility Determination [PDF]

The Food and Home Utilities allowance is a special supplemental benefit available only to chronically ill members with eligible chronic conditions, including diabetes, high blood pressure (hypertension), high cholesterol (hyperlipidemia), cardiovascular disorders and other heart problems, and stroke. Other conditions may be eligible. For the full list of eligible chronic conditions, see hmsa.com/health-plans/medicare/extra-benefits-dual-care. All applicable eligibility requirements must be met before the benefit is provided. Not all members qualify. This benefit is only available on HMSA Akamai Advantage Dual Care (PPO D-SNP).