Medicaid SSI Benefits and Services

iCare Medicaid SSI Plan Benefits and Services

Welcome

Now that you are a member of the iCare Medicaid SSI plan, you should get all your health care from doctors and hospitals in the iCare network. You can go to the Find A Doctor Section or refer to your Provider Directory for a list of providers. You may also call Customer Service at 1-800-777-4376 and request a hard-copy of the Provider Directory if you do not have one. Providers not accepting new patients are marked in the Provider Directory.

  • Extra Benefits

    As a member of the iCare Medicaid Plan, you receive these extra benefits, at no cost to you!

    • Fitness Benefit

      Plan members can receive a reimbursement of up to $35/month for membership costs at a fitness center and/or exercise class of their choice.

      The Fitness Club Reimbursement benefit is one of the many ways iCare engages with its members to encourage healthy behavior and improve their quality of life.

      Independent Care will only reimburse for the cost of the monthly membership/class fee. Start-up or annual fees are not included in the iCare Fitness Club Reimbursement Program. Members must submit a receipt for each month that they wish to be reimbursed.

      • Mail your receipts to:
      • iCare, Attn: Marketing Department
      • 1555 N. RiverCenter Dr. Ste 206
      • Milwaukee, WI 53212
    • Home and Personal Products Benefit

      Plan members will receive $10 per month to use towards select personal and home products. Members can place their order over the phone and the items will be delivered to their home FREE of charge. A new $10 credit will be issued each month. Unused monthly dollar amounts will be carried over into the following month. Dollar amounts expire at the end of each calendar year OR if you disenroll from the iCare Medicaid Plan. To order, call DrugSource at 1-877-319-9667 (TTY: 1-800-526-0844) from 8:30 am –10:00 pm CST, Monday through Friday and let them know you are an iCare Medicaid Plan member.

    • Smart Phone

      Stay connected with family and friends, community resources and the Internet with a FREE smart phone! iCare has partnered with enTouch Wireless to provide our eligible members with free phone service through the Lifeline Federal government program! If you already have a Lifeline issued phone that is not a smart phone, you can upgrade to a smart phone for free! Call iCare today at 1-866-790-6520 to get started on obtaining your FREE smart phone. This plan has a 12 month port freeze before you can transfer your Lifeline benefit.

    • FREE 24/7 Nurse Advice Line

    For more information on how you can take advantage of these benefits, please call you Care Coordinator at 1-800-777-4376 (TTY: 1-800-947-3529)

  • TelephoneImportant Phone Numbers
    • Customer Service
      • 1-800-777-4376 TTY 1-800-947-3529
      • Call 24 hours a day, 7 days a week
    • Nurse Advice Line
      • 1-800-679-9874 Call 24 hours-a-day, 7 days-a-week
    • Interpreter Services
      • English – For help to translate or understand this, please call 1-800-777-4376 (TTY 1-800-947-3529)
      • Spanish – Si necesita ayuda para traducir o entender este texto, por favor llame al teléfono 1-800-777-4376 (TTY 1-800-947-3529)
      • Russian – Если вам не всё понятно в этом документе, позвоните по телефону 1-800-777-4376 (TTY 1-800-947-3529)
      • Hmong – Yog xav tau kev pab txhais cov ntaub ntawv no kom koj totaub, hu rau 1-800-777-4376 (TTY 1-800-947-3529)
      • Interpreter services are provided free of charge to you
  • TransportationTransportation

    Non-emergency medical transportation (NEMT) is available through the DHS NEMT manager. The NEMT manager arranges and pays for rides to covered services for members who have no other way to receive a ride. Non-emergency medical transportation can include rides using:

    • Public transportation, such as a city bus
    • Non-emergency ambulances
    • Specialized medical vehicles
    • Other types of vehicles, depending on a member’s medical and transportation needs

    Additionally, if you use your own private vehicle for rides to and from your covered health care appointments, you may be eligible for mileage reimbursement.

    You must schedule routine rides at least two business days before your appointment. You can schedule a routine ride by calling the NEMT manager at 1-866-907-1493 (or TTY 1-800-855-2880), Monday through Friday, from 7:00 a.m. until 6:00 p.m. You may also schedule rides for urgent appointments. A ride to an urgent appointment will be provided in three hours or less.

  • DentalDental Services

    Independent Care Health Plan provides all covered dental services in Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Waukesha counties, but you must go to an iCare dentist. See the Provider Directory or call Customer Service at 1-800-777-4376 for the names of our dentists.

    If you live in a county that is not listed, you may get dental services from any dentist who will accept your ForwardHealth ID card. Your dental services are provided by the State, not iCare.

    As a member of iCare, you have the right to a routine dental appointment within 90 days of your request either in writing or over the phone to the Customer Service Department. If you have a dental emergency, you have the right to obtain treatment within 24 hours of your request. A dental emergency is a need for immediate dental services to treat severe dental pain, swelling, fever, infection, or injury to the teeth. If you are experiencing a dental emergency:

    • If you already have a dentist who is with iCare:
      • Call the dentist’s office
      • Tell the dentist’s office that you or your child is having a dental emergency
      • Tell the dentist’s office what the exact dental problem is. This may be something like a severe toothache or swollen face
      • Call us if you need help with getting a ride to or from your dental appointment
    • If you do not currently have a dentist who is with iCare:
      • Call iCare. Tell us that you or your child is having a dental emergency. We can help you get dental services
      • Tell us if you need help with getting a ride to or from the dentist’s office. For help with a dental emergency, call 1-800-777-4376
  • OTCPharmacy Benefits

    You may get a prescription from an iCare doctor, specialist, or dentist. You can get covered prescriptions and certain over-the-counter items at any pharmacy that will accept your ForwardHealth ID card.

    You may have copayments or limits on covered medications. If you cannot afford your copayments, you can still get your prescriptions.

  • Additional Services Covered By iCare
  • iCare’s Quality Improvement Program

    Independent Care works to provide medically-necessary health care that is efficient, effective, safe, accessible, accountable and fair. Our Quality Improvement (QI) program provides structure and processes that make it possible for iCare to carry out our mission and commitment to ongoing improvements to the quality of care and services, availability and access to care and health status of our members. It is a program that changes with the changing needs of our members and standards set by the medical community and regulatory agencies.

    Please note that benefits and services offered are subject to change.

Modified: 7/24/2017
 

  • 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
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