Clever Care Health Plan

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Chronic Special Needs Plans (C-SNPs)

Specialized Medicare for Chronic Conditions

Personalized, culturally attuned care combining Western and Eastern medicine in Southern California. See if you qualify for dedicated support and enhanced benefits.

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Understanding

What a Chronic Special Needs Plan means

A Chronic Special Needs Plan (C-SNP) is a Medicare Advantage plan built for serious health conditions. You get standard HMO core coverage, plus a dedicated care team that understands your condition and more supportive supplemental benefits.

Details

How Chronic Special Needs Plans differ from standard HMO

While standard HMO plans cover the basics well, C-SNPs go further by offering specialized care coordination, disease management programs, and enhanced benefits tailored specifically to your health needs.

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Eligibility

Conditions that qualify you

  • Cardiovascular diseases

    Diagnosed chronic heart failure, cardiac arrhythmias, coronary artery disease, chronic venous thromboembolic disorder, or peripheral vascular disease.

  • Diabetes

    Type 1 or Type 2 diabetes requiring medical management.

  • Chronic lung diseases

    Asthma, chronic bronchitis, emphysema, or COPD.

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Our approach

A plan that blends Western and Eastern medicine

Clever Care integrates Eastern medicine traditions that have long been trusted to improve health and wellness with the best in innovative Western medical care.

The result? Clever Care members have access to a network that is tailor-made for their unique health needs and culture, with a focus on longevity and living a healthy, active life.

Clever Care’s culturally attuned benefits include:

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Primary Care that is Culturally Attuned

Our network includes a broad range of health care providers that focus on longevity, prevention, and wellness, including CareMore Health and Blue Zones Health, among others.

Natural Remedies

Get herbal consultations and treatments through your insurance.

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Care in Your Language

Meet providers who speak your language and know your cultural traditions.

Holistic Wellness

Acupuncture, cupping, and therapeutic massage providers are all part of our benefits.

Benefits

What’s included in your plan

Everything you need for whole-health care

Wellness

Acupuncture and Eastern wellness

Access 800+ directly contracted licensed professionals.

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Medications

Prescription drug coverage

Covered medications with a searchable formulary. Find what you need at your pharmacy.

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Supplemental benefits

Dental, vision, and hearing

A network of benefits focused on your whole health.

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Wellness

Grocery benefit

Members with chronic conditions may be eligible to use their flex benefit card at in-network stores including Costco Wholesale, 99 Ranch Market, Northgate Market, Superior Grocers, H-Mart, Saigon City Supermarket, Seafood City, and Shun Fat Supermarket for healthy foods.

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Have questions?

Everything you need to know about Clever Care’s HMO C-SNP plans. If you need support please reach out by filling out the form:

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What makes Chronic Special Needs Plan different?

Beneficiaries diagnosed with one of the eligible chronic conditions will get standard medical and hospital benefits, dental, vision, hearing coverage and other benefits — plus specialized care coordination, disease management programs, and enhanced prescription coverage. Your care team knows your condition and works to ensure a smooth care experience.

Am I eligible for this plan?

You must have at least one qualifying condition: diabetes, chronic heart failure, cardiac arrhythmias, coronary artery disease, chronic venous thromboembolic disorder, peripheral vascular disease, asthma, chronic bronchitis, emphysema, or COPD. You must be Medicare-eligible and live in a Southern California county that is part of our service area. Our team can verify your eligibility in minutes.

Can I use acupuncture?

Yes, Clever Care C-SNP plans cover acupuncture and other integrative wellness services as part of your benefits. We believe in honoring both Western and Eastern medicine.

Can I keep my doctor?

Yes, if your doctor is already part of the Clever Care network. Otherwise, you can choose a primary care doctor in our network.

What multilingual support is available?

We provide member materials in English, Spanish, Korean, Vietnamese, and Traditional Chinese. Our Member Services teams speaks English, Spanish, Korean, Cantonese, Mandarin, Vietnamese, Tagalog, French, and Indonesian.

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