Members

2017 iCare Medicare Plan
Additional Benefits and Services


Over-the-Counter (OTC) Medications

$42/Month for Over-the-Counter (OTC) Medications

WeightWatchers

Starting in January, you will receive $42 worth of OTC medications and supplies delivered to your home, free of charge, each month. That’s $504 a year to use towards your OTC needs!

A new $42 allowance will be issued to you each month. Unused portions of the monthly dollar amount will be carried over into the following month.

To order your OTC medications by phone:
Call DrugSource, Inc. at 1-800-854-8764 (TTY: 1-800-526-0844) from 8:30 a.m. - 10:00 p.m. CST Monday through Friday.

To order your OTC medications online:
Log onto your account at www.drugsourceinc.com/iCare

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 at silversneakers.com.

*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.

Beyond the Scale from Weight Watchers©

WeightWatchers

The Weight Watchers© NEW Beyond the Scale program delivers a holistic and personal approach to losing weight.

As an iCare Medicare Plan Member, you can request meeting voucher packs for local Weight Watchers meetings from your Care Coordinator. These packs will contain thirteen-weeks’ worth of meeting vouchers at a local, on-site Weight Watchers location.

The NEW Beyond the Scale program moves beyond what you weigh, so you can eat healthier, move more, live happier, AND lose weight.

You can request new voucher packs near the end of each thirteen-week period if you would like to continue to use Weight Watchers. Please call your Care Coordinator 1-800-777-4376 (TTY: 1-800-947-3529) to request new voucher packs.

New Meals Benefit

If you are transitioning from an inpatient hospital or skilled nursing facility, you are eligible for up to 28 days of meals (maximum 56 meals provided).

Contact your Care Coordinator for more information about this benefit at 1-800-777-4376 (TTY: 1-800-947-3529).

Philips Lifeline©


Lifeline

Feel more secure at home or on the go with access to help 24/7 from one of the top medical alert service in the U.S.

AutoAlert automatically places a call for help if it detects a fall and you can’t push your help button.

If a fall is detected, it’s designed to get you 24/7 access to help even if you are disoriented, immobilized or unconscious.

Contact your Care Coordinator for more information about this benefit at 1-800-777-4376 (TTY: 1-800-947-3529).

Dental Benefits


Dentist

An extra $750 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. Contact your Care Coordinator for more information about this benefit at 1-800-777-4376 (TTY: 1-800-947-3529).

Vision Benefits


ManOnThePhone

An extra $150 per calendar year towards glasses and lenses

As an iCare Medicare Plan Member, you receive up to $150 a calendar year for lenses and frames. This can be applied to any frames and lenses from our network of vision providers.

These services are in addition to the standard vision benefits provided by Medicaid and Medicare. Contact your Care Coordinator for more information about this benefit at 1-800-777-4376 (TTY: 1-800-947-3529).

90-Day Supply on Prescription Medications


OTC

90-day supply for a one month co-pay for Tier1* and Tier 2 formulary medications! (*some restrictions apply)

This saves you money and means less trips to the pharmacy!

Mail Order Pharmacy

Save time and money with NoviXus, our mail-order pharmacy. As a member, you can count on:

  • FREE home delivery
  • 90-day supply for a one month co-pay
  • No up-front costs
  • Friendly refill reminders
  • Speak to a live pharmacist
  • 100% satisfaction guarantee

Once the prescription is received from the doctor, deliveries average 5 days. If you order does not arrive within the estimated time frame, please contact NoviXus at 1-877-668-4987. You can receive a 90-day supply at all in-network retail pharmacies also. This saves you money and means less trips to the pharmacy!

To order your prescriptions by phone call: 1-877-668-4987 (24-hour automated line)

*Certain restrictions apply

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

Contact Us

For full information on iCare Medicare Plan benefits, call our Customer Service Department 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.).


iCare Medicare Plan 2017 Disclaimers -The iCare Medicare Plan HMO SNP is a Coordinated Care plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in the iCare Medicare Plan depends on contract renewal. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Part B premium is covered by the State if you are a full-dual member. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. For more information about iCare, contact Customer Service 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.).

Modified: 5/1/2017

Pending CMS Approval

 

  
 
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.