Independent Care Health Plan (iCare) Medicare Plan Features:

• Multi-Level Care Management - We look at your medical and social services needs. Care management recognizes there are medical as well as non-medical needs that have to be addressed in order to maximize your health.

• Care Coordinators and Care Managers

  When you join the iCare Medicare Plan, you will be assigned a care coordinator or care manager. We will call you to perform an assessment, but feel free to call and schedule an appointment. This person works with you and your family to help you get the medical care and community services information you need. Your care coordinator can help you choose a health care support group, a specific community center, or group housing program in your area. We also offer information and referrals to programs designed to help you get the most out of your health care coverage, such as exercise or smoking cessation programs.

• Nurse Case Managers

  Nurse case managers work with iCare staff when dealing with complex medical, behavioral or social needs. The care coordinator or care manager will continue to work with you while the nurse case manager is helping out.

• Intervention and Outreach

  If you are struggling with mental health issues or substance abuse, we may provide support for behavioral change and assistance locating community resources. Our health outreach works with members with special needs and assists them in accessing preventive services.

• Provider Network

  The iCare Medicare Plan offers you a wide choice of providers to choose from. The iCare Medicare Plan provides medical services through Medicare-certified doctors, health care professionals, hospitals and other health care facilities. You are not required to choose a primary care provider (PCP), but we strongly encourage your doing so. You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor iCare Medicare Plan will be responsible for the costs.

Benefits Include:

• No plan premium (Your Medicare Part B Premium is paid by the State) and no plan deductible
• $0, $1.25 or $3.35 co-pay for generic prescription drugs (depending on your income level and institutional status).
• For brand drugs, you will pay a co-pay of $0, $3.70 or $8.35 (depending on your income level and institutional status). After your yearly out-of-pocket drug costs reach $5,000, you pay a $0 co-pay.
• 90-day supply for a one month co-pay of Tier 1 and Tier 2 formulary medications

Enhanced Benefits Include:

• Access to $60 of OTC (Over-the-Counter) medications delivered to your home, free of charge, each month
• 24/7 Nurse Advice Line
• SilverSneakers© Fitness Program
• Weight Watchers©
• Supplemental dental care includes preventive and comprehensive dental services limited to a total of $2,500 per calendar year
• Supplemental vision services includes eye-wear of up to $150 per calendar year
• Personal Emergency Response System (PERS)^
• Meal benefit when transitioning from an inpatient hospital or skilled nursing facility^
• Chiropractic Care^
• Acupuncture
• Health Education with Transport^
• Readmission Prevention
• Telehealth

^Prior authorization is required to receive these benefits

For more information about these enhanced benefits click here.