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Enhanced Benefit Plan

Our plan offers you the additional Long Term Support Services (LTSS) you need and deserve.

Your Long Term Support Enhanced benefits will be coordinated so you get the most out of your plan!

Eligibility
The Idaho Department of Health and Welfare determines eligibility for the services under the Enhanced Benefit Plan

Covered Services
The following is a listing and description of the covered services that you may get under the Long Term Support Enhanced Plan:

Developmental Disabilities Targeted Service Coordination (TSC) Services
This benefit is to help adults with a diagnosis of developmental disabilities age 21 and older gain access to needed medical, social, educational and other services in order to remain in your home.

Personal Care Services (PCS)
We offer services in your home to assist you with such things as bathing and dressing.

Intermediate Care Facility
Your needs may be best met in an Intermediate Care Facility if you are unable to live in your home. Your Care Coordinator will work with you and your family if this service is necessary for your quality of life. You may be required to pay some of the cost of your care in the Intermediate Care Facility.

Nursing Facility
If you have services provided in a Nursing Facility, this may be covered under your Medicare benefits for a short time. If it is necessary to remain in the Nursing Facility after your Medicare stay, you will be covered under your Enhanced Benefit Plan. You may be required to pay some of the cost of your care in the Nursing Facility

Who do I contact for more information?
For more information please contact Member Services.

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This information is for Doctors and
Health Care Professionals only.

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