Medicare Advantage Health Insurance, Special Needs Programs, The three types available: C-SNP, D-SNP I-SNP and from who

America's Healthcare Advocate • January 31, 2023

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Cary Hall, America’s Healthcare Advocate

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By David Thiessen June 14, 2025
Episode 2114 notes New options, Spira Care and Care Guides from BlueKC and we dive deep into Employer options for Employee Benefits available right now and what's coming up. This is a Broker show for sure, and if you are a business owner in the Kansas City Metro, you'll want to hear this too! Director of Large Group, Maggie Parker and Vice President of Spira Care Anna Finnegan are on this show with details, tips and their vast knowledge. We will discuss BlueKC’s Preferred Care Blue Network: PCB, plus ASO (administrative services only) Products, Pharmacy Benefits Manager (PBM) as well as self-funded health plans. Join us on this journey through employer sponsored benefits. Jump to: “What makes Blue KC’s Spira Care so different? Why is it better?” @ 21:59 Jump to: “Explain about the BlueKC/Spira Care “Care Guides”” @ 24:59 This is Ep 2114 of America’s Healthcare Advocate podcast Learn more about me, Cary Hall: America’s Healthcare Advocate : I have a strong desire to empower my fellow Americans and cancel the noise and confusion surrounding the US healthcare system. My goal is to enable you to become the expert for your own healthcare management, saving you time, money, and effort. Learn more: https://www.americashealthcareadvocate.com As always, if you need help or have something to share? Contact me with this form on my website and let me know what's on your mind, issues you are dealing with, or other health, healthcare, and health insurance questions and concerns. https://www.americashealthcareadvocate.com/contact-us
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S19 E05 - Medicare Advantage Health Insurance, Special Needs Programs, The three types available: C-SNP, D-SNP I-SNP and from who

I'll explain in clear and in easy to understand language the programs, details... which you may find are complicated and convoluted on the government website, and key values offered. For example, Dental benefits up to $4,000 on a United Healthcare plan! That's remarkable because while the Medicare Advantage plans typically have maybe $1000 or $1500 dollars, they don't have $4,000 in dental benefits.



C-SNP is a chronic condition program, D—SNP if you have a chronic condition, qualify for Medicaid so dual eligible. And then there's the institutional snip or I-SNP if you're in a nursing home or facility or incapacitated in some way. You may also qualify for a dual eligible plan one of these plans.


There are only a handful of carriers that do these. United Healthcare is probably the biggest in the marketplace that does, and they have multiple plans that they do this depending on the state that you're in.


There are many questions and scenarios, like: "I need to know if I qualify for a special needs program. It's my mother, my uncle, my grandmother, my father. Maybe it's my sister. If you don't have to be 65", if you're disabled, you may well qualify for one of these plans if you're on Medicaid.... that's also important to understand. That's called the dual-eligible plan. That's the one where you've got Medicaid, and people are afraid "to lose my Medicaid if I go to Medicare". No, there's a dual-eligible plan that helps you get Medicare, keep your Medicaid, and enhance your benefits greatly. I urge you, and if you or if it's that you are a caregiver or a family member or the one who needs this care, or maybe someone in your church...whatever the case may be, reach out to them and tell them to get this information.


Details can be discussed are at RPSBenefitsByDesignInc.com or call 877-385.-2224. Ask for either Joyce or Carolee.

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By David Thiessen June 14, 2025
Episode 2114 notes New options, Spira Care and Care Guides from BlueKC and we dive deep into Employer options for Employee Benefits available right now and what's coming up. This is a Broker show for sure, and if you are a business owner in the Kansas City Metro, you'll want to hear this too! Director of Large Group, Maggie Parker and Vice President of Spira Care Anna Finnegan are on this show with details, tips and their vast knowledge. We will discuss BlueKC’s Preferred Care Blue Network: PCB, plus ASO (administrative services only) Products, Pharmacy Benefits Manager (PBM) as well as self-funded health plans. Join us on this journey through employer sponsored benefits. Jump to: “What makes Blue KC’s Spira Care so different? Why is it better?” @ 21:59 Jump to: “Explain about the BlueKC/Spira Care “Care Guides”” @ 24:59 This is Ep 2114 of America’s Healthcare Advocate podcast Learn more about me, Cary Hall: America’s Healthcare Advocate : I have a strong desire to empower my fellow Americans and cancel the noise and confusion surrounding the US healthcare system. My goal is to enable you to become the expert for your own healthcare management, saving you time, money, and effort. Learn more: https://www.americashealthcareadvocate.com As always, if you need help or have something to share? Contact me with this form on my website and let me know what's on your mind, issues you are dealing with, or other health, healthcare, and health insurance questions and concerns. https://www.americashealthcareadvocate.com/contact-us
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Episode 2110 notes Today, we're going to explore the parallels between two core human pursuits, prosperity and longevity. These have long been the goals of individual societies and political systems. Since the dawn of humanity, we have sought systems that offer comfort and freedom to pursue our desires. We now define that broadly as prosperity Today, Dr. Firouz Daneshgari (Dr Bowtie) and I are going to explore the parallels between two core human pursuits: Prosperity and Longevity, as these have long been the goals of individual societies and political systems. Since the dawn of humanity, we have sought systems that offer comfort and freedom to pursue our desires. We now define that broadly as prosperity. Dr. Firouz Daneshgari: "D.O.G.E., (Department Of Government Efficiencies) is doing some the stuff that a lot of people admire. They say this is the way it has to be. Some people are scared. What are they doing? So I thought this is the time for us to kind of step back and basically ask some fundamental big questions: Why American society - 5% of world's population - generates a good, one third of the world GDP. And what is the engine? What is it? You know, are we different kind of human beings or. And the answer is no. “Don't focus on your goals, focus on your systems”. Because everyone has goals. Both the winners and losers have the same goal. They want to, you know, win something. It is the difference in the systems, that basically determines who wins and who loses." Join us on this journey through the viewpoint of the revolutionary Bowtie Medical This is Ep 2110 of America’s Healthcare Advocate podcast Learn more at: https://bowtiemedical.com Learn more about me, Cary Hall: America’s Healthcare Advocate : I have a strong desire to empower my fellow Americans and cancel the noise and confusion surrounding the US healthcare system. My goal is to enable you to become the expert for your own healthcare management, saving you time, money, and effort. Learn more: https://www.americashealthcareadvocate.com As always, if you need help or have something to share? Contact me with this form on my website and let me know what's on your mind, issues you are dealing with, or other health, healthcare, and health insurance questions and concerns. https://www.americashealthcareadvocate.com/contact-us