Medicare Advantage Additional Benefits

• Behavioral Health (including depression, mental health, substance use disorder and social case management)
• Complex Care Management
• Care Coordination
• Disease Management (including asthma, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease, diabetes and hypertension)

Health New England's Care Management team provides equitable, quality care and services to its culturally and linguistically diverse population, no matter the individual’s personal characteristics. Care Management's intent is to reduce health care inequities and disparities by implementing interventions for identified individuals who are likely to experience or are experiencing obstacles to health care services due to their race/ethnicity, language preference, gender identity, and/or sexual orientation. All of our Care Management Programs are offered to our members at no additional cost.

This program is available to help Medicare Advantage members plan a smooth transition after a hospital stay. We offer one-on-one support from a certified nurse at no additional cost. The nurse offers coaching that will help guide you before and during your transition to home or a rehabilitation facility.

Health New England offers eligible Medicare Advantage members a comprehensive in-home health visit with a medical professional at no additional cost. If you meet the criteria for eligibility, you will be contacted by our in-home health vendor to schedule a visit at your convenience in your home. The visit is nearly an hour of uninterrupted time with a licensed, board-certified medical provider who reviews your medical history and medications, and can answer your health questions.

We partner with Healthmap Solutions to deliver comprehensive care for members with chronic kidney disease (CKD) and end-stage renal disease (ESRD). Healthmap’s Kidney Health Management (KHM) program works with your doctor to identify and support your health needs, while helping you manage your chronic condition.

Members with opioid use disorder (OUD) can receive coverage of services to treat OUD through an Opioid Treatment Program. 

The Nutritional Grocery Store Program** is designed to engage and empower members who have at least two chronic conditions (diabetes, cardiovascular disease or congestive heart failure) to improve their health by focusing on nutrition. Health New England is partnering with Big Y® Supermarkets and their consulting registered dietitians to offer eligible members a grocery store tour (in-person or virtual) to help you develop a better understanding of healthy shopping and healthy eating. 

**The Nutritional Grocery Store Program benefit is part of a special supplemental program for individuals with chronic conditions. Eligibility is determined based on specific criteria, including the presence of at least two of the following chronic conditions: diabetes, cardiovascular disease or congestive heart failure. Not all members with these chronic conditions qualify. This benefit does not apply to Compass PPO plan members.

For eligible Medicare Advantage members with certain health conditions, we are collaborating with Wellth, an app-based digital program, to help you manage your condition(s). Through digital tracking of daily activities, such as taking your medications as prescribed and checking blood pressure and/or glucose, etc., Wellth gives you the support and motivation you need to stay on track with your care plan in order to achieve better health. 

For members who qualify, Wellth, on behalf of Health New England, will provide you additional program information. Participation is optional.