Members

2017 iCare Family Care Partnership
Benefits & Services


SilverSneakers© Fitness


SilverSneakers

SilverSneakers is a fitness benefit that includes access to 13,000+ fitness locations* nationwide, exercise equipment and other amenities, group exercise classes led by certified instructors, a support network and online resources. Signature SilverSneakers classes designed for all levels and abilities are offered in traditional fitness classrooms.

More than 70 SilverSneakers FLEX© class options including Latin dance, yoga, tai chi and walking groups are offered in settings outside the traditional gym. Three BOOM© classes, MIND, MUSCLE and MOVE IT, offer more intense workouts inside the gym. Eligible plan members simply show their personal SilverSneakers ID number at the front desk of any participating location to use the benefit. Members may get their SilverSneakers ID number and find locations and classes by calling SilverSneakers at 1-888-423-4632.

*At-home kits are offered for members who want to start working out at home or for those who can’t get to a fitness location due to injury, illness or being homebound.

If you have additional questions regarding your SilverSneakers eligibility or membership, call 1-888-423-4632 (TTY: 711) Monday through Friday, 8 a.m. to 8 p.m. ET.

Healthways, SilverSneakers, SilverSneakers FLEX and BOOM are registered trademarks or trademarks of Healthways, Inc. and/or its subsidiaries. © 2016 Healthways, Inc. All rights reserved.

Dental Benefits


Dentist

Receive an EXTRA $950 a Calendar Year for Preventive and Comprehensive Dental Services from Our Network Providers

Preventive
  • Oral Exams and cleaning:Up to 2 per calendar year
  • Dental X-Rays: Up to 1 per calendar year. X-Rays are limited to either 1 panoramic or 1 full set per calendar year
Comprehensive
  • Diagnostic services: Up to 2 per calendar year
  • Restorative services: Up to 2 per calendar year
  • Endodontics/Periodontics/ Extractions: Up to 2 per calendar year

These services are in addition to the standard dental benefits provided by Medicaid and Medicare.

Call your Care Team at 1-800-777-4376 for more information.


Covered Dental Services from the Dental Professionals of Wisconsin

iCare and Dental Professionals of Wisconsin (DPOW) are working together to bring you quality dental care. DPOW is a group of dentists working within your community.

  • Friendly dentists and staff
  • Specialty care referrals
  • Locations throughout Southeast Wisconsin
  • Trouble-free prior authorization process
  • Routine Dental Care (covered)
  • Exams (covered)
  • Cleaning (covered)
  • X-Rays (covered)

How to make an appointment to see the dentist:
Call DPOW to locate a dental provider for routine or emergency dental care at 1-877-389-9870. Your appointment may need to be scheduled 3-4 months in advance. Please keep your dental appointment and call to cancel or reschedule.

Vision Benefits

Receive an EXTRA $150 Per Calendar Year Towards Lenses and Frames

As an iCare Family Care Partnership member, you receive up to $150 a calendar year for lenses and frames, on top of the standard vision benefits provided by Medicaid and Medicare. This can be applied to any frames and lenses from our network of vision providers.

Call your Care Team at 1-800-777-4376 for more information.


Vision Care Benefits from Herslof Optical

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iCare and Herslof Optical Company are working to provide you with the ultimate in quality vision care. As an iCare Family Care Partnership member Herslof offers you:

  • One routine eye exam per 12 month period
  • One pair of eyewear from a selection of standard frames and lenses covered in full, once during a 12 month period
  • You may choose a frame from outside of the covered in full selection and receive a $25.00 credit towards that upgrade
  • A replacement pair of eyewear if you lose or break your original pair

To make an appointment for an eye exam or for any questions regarding your benefits, call the central scheduling phone number at 414-462-8818. Outside of Milwaukee call 1-800-501-0700.

Website for Herslof www.herslof.com

TeleHealth Benefit

WELCOME TO THE FUTURE OF HEALTHCARE

We are inviting you to try out a new exciting benefit for iCare Family Care Partner­ship members, where you can video chat with a provider from the comfort of your home or from a computer located at iCare’s Milwaukee office.

If you have high-speed Internet access you can connect to an Urgent Care Provider, a Behavioral Health Specialist, a Nutritionist, Nurse Practitioner, or Physician Assistant via a live, two-way video through your home computer or smart phone using Amwell’s telehealth application. You can have a two-way video conference with a provider 24 hours-a-day, 7 days-a-week. Urgent care can be accessed on demand, while behavioral health and nutrition ser­vices require a scheduled appointment. Members receive a maximum of 8 visits per calendar year.

The doctor is always in - midnight or midday. Sign up for free today!

Call iCare Customer Service or your Care Team at 1-800-777-4376 (TTY: 1-800-947-3529), 24 hours-a-day, 7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.) for more information on how to access this service. You must obtain approval from iCare to access this service.

24-Hour Nurse Advice Line

Staying healthy starts by asking questions and getting up-todate information. When you need answers the iCare Nurse Advice Line will be there for you 24 hours-a-day/7 days-aweek.

The Nurse Advice Line can give you peace of mind and help when you:

  • Wonder whether you need to make an appointment
  • Need information about medications, medical tests, or procedures
  • Want to find ways to talk more effectively with your healthcare provider
  • Want to learn how to take care of a new or chronic condition
  • Have questions about how you or your family can stay healthy

Reliable health information is a phone call away -- just call the toll-free number (1-800-6799-9874)!

The Nurse Advice Line service also provides an Audio Health Library that gives you access to hundreds of prerecorded messages on health care topics ranging from the common cold to heart disease. Each message is about three to five minutes long.
See the complete list of topics at www.icare-wi.org


iCare Family Care Partnership (HMO SNP) 2017 Disclaimers: The iCare Family Care Partnership (HMO SNP) is a Coordinated Care plan with a Medicare contract and a contract with the Wisconsin 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 Medicare.gov; TTY users should call 1-887-486-2048, 24 hours a day, 7 days a week. For more information about Wisconsin Medicaid benefits call the Department of Health Services at 1-800-362-3002 (TTY 1-888-701-1251) or visit dhs.wisconsin.gov/medicaid. For more information about long-term care options available to you in your county contact the Aging & Disability Resource Centers. The Resource Center can also assist you with information about eligibility and enrollment.

Notification:
By clicking the links above, you may be leaving the icare-wi.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 iCare-wi.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.

Pending CMS Approval

Modified: 3/29/2017

 

  
  
More Forms & Publications

Call 1-800-777-4376 (TTY: 1-800-947-3529), from 8:00 a.m to 8:00 p.m.,
7 days-a-week, for further information about iCare.