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 July 8, 2025
Episode 2118 notes Employees love it: “This is the only benefit my employer really provides” and Employers think it’s great and it is the result of wanting to both solve healthcare challenges for members while giving employers lower costs, less absenteeism, healthier teams . We talk to the founder and CEO, Dr. Van Der Veer whose frustration with traditional healthcare led to creating a better way. Hy-Vee Health Exemplar Care is currently available in select cities in Iowa as well as Overland Park, Ks and Lees Summit, Mo We're going to talk about a model that is significantly different and an opportunity for primary care, direct pay, membership in a program that we think is going to make a big difference here in the Kansas City metro. Guests: Dr. Jon Van Der Veer, DO, MBA, Founder/CEO at Hy-Vee Health Exemplar Care Jacqueline “Jaci” Robson, Vice President of Member Services at Hy-Vee Health Exemplar Care To learn more: https://www.exemplar.care and @ExemplarCare on Facebook & LinkedIn This is Ep 2118 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. Even 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, the 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 July 8, 2025
Episode 2118 notes Employees love it: “This is the only benefit my employer really provides” and Employers think it’s great and it is the result of wanting to both solve healthcare challenges for members while giving employers lower costs, less absenteeism, healthier teams . We talk to the founder and CEO, Dr. Van Der Veer whose frustration with traditional healthcare led to creating a better way. Hy-Vee Health Exemplar Care is currently available in select cities in Iowa as well as Overland Park, Ks and Lees Summit, Mo We're going to talk about a model that is significantly different and an opportunity for primary care, direct pay, membership in a program that we think is going to make a big difference here in the Kansas City metro. Guests: Dr. Jon Van Der Veer, DO, MBA, Founder/CEO at Hy-Vee Health Exemplar Care Jacqueline “Jaci” Robson, Vice President of Member Services at Hy-Vee Health Exemplar Care To learn more: https://www.exemplar.care and @ExemplarCare on Facebook & LinkedIn This is Ep 2118 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. Even 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, the issues you are dealing with, or other health, healthcare, and health insurance questions and concerns. https://www.americashealthcareadvocate.com/contact-us
By David Thiessen June 27, 2025
Episode 2117 notes This week Dr Carsen , Dr Firouz Daneshgari and Dr Andersen join us on America’s Healthcare Advocate. What do these 3 Doctors have to do with the Future of your Health? We will cover everything from helping people regain the ability to walk again, stopping pain and fixing neuropathy all with noninvasive treatments to how it’s done, why it works and what is next in health. Here are some examples: Dr Andersen: “it doesn't matter whether you have heart failure like your wife Cary, or whether you have Parkinson's, or whether you have had a TBI, there is a disruption in the electromagnetic system of your body” Dr Firouz: “Neuro20, The new model of neuromodulation, that this Neuro20 is creating” Dr Carsen’s patient. He’s seen her since she was 11. She suffers from transverse myelitis and is now 23 and in a wheelchair. But then she came to Brand New Day. Plus, my wife and I recently started using the Neuro20 Suit at home… Me for conditioning and my wife for heart failure. We will tell you all about it in this episode. Learn more about Brand New Day: https://brandnewdayhealth.com or Call 833-724-6522 This is Ep 2117 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, the 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 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