Special Needs BasicCare (SNBC)
Special Needs BasicCare (SNBC) is a program for people with disabilities, ages 18 – 64, who are on Medical Assistance (MA). While you are in PrimeWest Health's SNBC program, you will get great customer service and easy access to health care services. You may also work with a county case manager or a PrimeWest Health care coordinator. They can help you arrange health care and support services. County case managers and PrimeWest Health care coordinators work together with you to help you maintain your health whether you live in your own home or in a care facility.
To qualify for SNBC , you must meet the following criteria:
- You are at least 18 years of age and under age 65
- You qualify for Medical Assistance (MA).To learn more about Medical Assistance and how you qualify, visit the Minnesota Department of Human Services (DHS) website
- You have a certified disability through the Social Security Administration or the State Medical Review Team; or you have been determined by the county to have a developmental disability (DD) for purposes of the DD waiver
Note: If you meet these eligibility criteria and also have Medicare, read about our Prime Health Complete (HMO SNP) program for members with Medicare.
To get the most up-to-date information about the SNBC program, go to the Minnesota Department of Human Services (DHS) website.
Frequently Asked Questions (click to expand/collapse)
- Call The Disability Linkage Line (DLL) at 1-866-333-2466. TTY users can call 1-800-627-3529 or 711. Calls to this number are free. Hours are Monday – Friday, 8 a.m. – 4:30 p.m.
Read your Evidence of Coverage. It gives details about the health care services we will cover. It tells how to get your health care as aPrimeWest Health SNBC member. It also explains the rights, benefits, and responsibilities of members. Individual chapters below tell more about specific subjects.
Welcome to PrimeWest Health
Section 1. Telephone Numbers and Other Contact Information
Section 2. Important Information on Getting the Care You Need
Section 3. Member Bill of Rights
Section 4. Member Responsibilities
Section 5. Your PrimeWest Health Membership Card
Section 6. Copays
Section 7. Covered Services
Section 8. Services We Do Not Cover
Section 9. Services That Are Not Covered under the Plan but May Be Covered through Another Source
Section 10. When to Call Your County Worker
Section 11. Using the Plan Coverage with Other Insurance
Section 12. Subrogation or Other Claim
Section 13. Grievance, Appeal, and State Fair Hearing Process
Section 14. Definitions
How do I find a clinic, doctor, or other health care provider in PrimeWest Health's network?
- Read your Primary Care Network Listing to see a list of primary care clinics in the PrimeWest Health network.
- Read your Provider Directory to see a full list of health care providers (including specialists) in the PrimeWest Health network.
- Use our online search feature to see if a specific provider is in the PrimeWest Health network.
- To see if specific prescription drugs are covered by PrimeWest Health SNBC, use our online search feature. Note: If you have other insurance coverage, contact that insurance plan for information about its drug coverage. If you have Medicare, you must enroll in a Medicare Prescription Drug Plan (Part D) to receive most of your prescription drug services. PrimeWest Health will not pay for any Part D eligible drugs.
- To see if any of your over-the-counter drugs are covered by PrimeWest Health SNBC, see our Over-the-Counter drug list. The items on the list are covered when you have a prescription from your health care provider or pharmacist.
Fax: 1-320-335-5223
Mail: Member and Enrollment Services
PrimeWest Health
2209 Jefferson St, Ste 101
Alexandria, MN 56308