Provider Access

2017 iCare Family Care Partnership
Provider Access


iCare Family Care Partnership (HMO SNP) has formed a network of doctors, specialists, hospitals and long-term care providers. You must use plan providers except in emergent or urgent care situations. If you obtain routine care from out-of-network providers, without first contacting your Team and getting prior authorization, neither Medicare, Wisconsin Medicaid or iCare Family Care Partnership (HMO SNP) will pay for these services.

What are "network providers"?

Network providers are the doctors and other health care professionals, medical groups, hospitals, and other health care facilities and long-term care providers that have an agreement with us to accept our payment in full. We have arranged for these providers to deliver covered services to members in our plan.

Why do you need to know which providers are part of our network?

It is important to know which providers are part of our network because, with limited exceptions, while you are a member of our plan you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, out of the area), out-of-area dialysis services, and cases in which iCare Family Care Partnership (HMO SNP) authorizes use of non-network providers.

If you don’t have your copy of the Provider Directory, you can request a copy from Customer Service. You may ask Customer Service for more information about our network providers, including their qualifications. You can also search for providers using our Find a Doctor tool. Both Customer Service and the website can give you the most up-to-date information about changes in our network providers.

What Happens if I Go to a Doctor Who is Not in Your Network?

If you choose to go to a doctor outside of our network without first contacting your Team and getting prior authorization, you must pay for these services yourself. Neither iCare Family Care Partnership (HMO SNP), Original Medicare, nor Wisconsin Medicaid will pay for these services.

Every year that you are a member of our plan, we will send you a new Provider Directory upon request. This directory lists our network providers.

Contact Us

Questions? Call us at 1-800-777-4376 (TTY 1-800-947-3529), 7 days-a-week, 8:00 a.m. to 8:00 p.m. Our mailing and walk-in address is: Independent Care Health Plan, 1555 N. RiverCenter Dr., Suite 206, Milwaukee, WI 53212.


Notification:
By clicking the links above, you may be leaving the icarehealthplan.org website. Independent Care Health Plan (iCare) only provides these links and pointers for your information and convenience. When you select a link to an outside website, you are leaving the icarehealthplan.org website. These external links are not the responsibility of, or under the control of iCare. Independent Care Health Plan disclaims responsibility for the content and privacy policies of the owners/sponsors of the outside websites.

Modified: 7/24/2017
 

The iCare Family Care Partnership (HMO SNP) is a Coordinated Care plan with a Medicare contract and a contract with the State Medicaid program. Enrollment in iCare Family Care Partnership depends on contract renewal. The benefit information provided herein is a brief summary, not a comprehensive description of available benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1 of each year. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help that you receive, please contact the plan for further details. You must receive all routine care from plan providers. Limitations, copayments, and restrictions may apply. This plan is available to anyone who has both Medical Assistance from the State and Medicare and functionally eligible as determined by the State of Wisconsin Long-Term Care Functional Screen. For more information, contact the plan. For more information about Medicare benefits and services, including general information regarding the health or Part D benefit, contact 1-800-MEDICARE (1-800-633-4227) or visit http://www.medicare.gov; TTY users should call 1-887-486-2048, 24 hours a day, 7 days a week. For more information about State Medicaid benefits call the Department of Health Services at 1-800-362-3002 (TTY 1-888-701-1251) or visit http://dhs.wisconsin.gov/medicaid. For more information about long-term care options available to you in your county contact the Aging and Disability Resource Centers. The Resource Center can also assist you with information about eligibility and enrollment.

  • H2237_IC1453 Approved
 
  • Independent Care Health Plan
  • 1555 RiverCenter Drive, Suite 206
  • Milwaukee, WI 53212
  • Customer Service: 1-800-777-4376
    • 24 hours-a-day, 7 days-a-week
    • (Office Hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.)
  • TTY: 1-800-947-3529
  • Fax: 414-231-1092
  • All content and images unless otherwise indicated are
  • Copyright © 2017 Independent Care Health Plan