Aurora CompleteCare Enhanced Benefits

Aurora CompleteCare (HMO SNP)

2019 Enhanced Benefits and Services

Aurora CompleteCare Features:

  • OTCOver-the-Counter (OTC) Benefit

    As an Aurora CompleteCare member you receive $85 worth of OTC medications and supplies delivered to your home, free of charge, each month. That’s $1,020 a year to use towards your OTC needs! A new $85 allowance will be issued to you each month. Unused portions of the monthly dollar amount will be carried over into the following month. Dollar amounts expire at the end of each calendar year OR if you disenroll before the end of the year.

    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.

    To order your OTC medications online: Log onto your account at shopping.drugsourceinc.com/icareaurora/

  • WeightLifterSilverSneakers® Fitness Program
    SilverSneakers
     

    SilverSneakers is a fitness benefit that includes access to 15,000+ 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 50 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.

    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.

    *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.

    Tivity Health, SilverSneakers, SIlverSneakers FLEX and BOOM are registered trademarks or trademarks of Tivity Health, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries. © 2018 Tivity Health. All rights reserved.

  • WeightWatchersWeight Watchers®

    The Weight Watchers® NEW Beyond the Scale program delivers a holistic and personal approach to losing weight. As an Aurora CompleteCare 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 1-855-818-1129 (TTY: 1-800-947-3529) to request new voucher packs.

  • DentalEnhanced Dental Services

    An extra $2,500 a calendar year for preventive and comprehensive dental services from our network providers

    Preventive
    • Oral Exams and Cleaning: Up to 2 per calendar year
    • Prophylaxis (Cleaning): Up to 2 per calendar year
    • Dental X-Rays: Up to 1 per calendar year
    Comprehensive
    • Diagnostic Services: Up to 2 visits per calendar year
    • Simple Restorative Services, limited to Amalgams/Resins (No root canals/crowns): One restoration per tooth per calendar year
    • Extractions: Simple extractions only, no surgical extractions
    • Prosthodontics: Basic Partials and Basic Dentures are covered, no coverage for repair
    • Emergency Office Visits are limited 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 1-855-818-1129
    (TTY: 1-800-947-3529). Please see your Summary of Benefits for additional information about this benefit.
  • VisionEnhanced Vision Services

    An extra $450 per calendar year towards glasses and lenses

    As an Aurora CompleteCare member, you receive up to $450 a calendar year for lenses and frames. This benefit cannot be combined with your Medicaid benefit.

  • Medical SymbolPersonal Emergency Response System (PERS)

    Your PERS 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 1-855-818-1129 (TTY: 1-800-947-3529). Prior authorization is required to take advantage of this benefit.

  • MealsMeal Benefit

    If you are transitioning from an inpatient hospital or skilled nursing facility, you are eligible for up to 28 days of meals (maximum 84 meals provided). Contact your Care Coordinator for more information about this benefit at 1-855-818-1129 (TTY: 1-800-947-3529). Prior authorization is required to take advantage of this benefit.

  • Health EducationHealth Education Classes

    The iCare Health Education benefit provides members with the ability to attend health education sessions to reinforce healthy behaviors, which leads to better outcomes. The plan will pay registration fees for selected courses. Prior approval is required. Health education classes are eligible for Non-Emergency Transportation at no charge.

  • TelehealthTeleHealth Benefit
    Telehealth

    Telehealth is FREE video-based medical appointments with a doctor or other licensed provider of your choice, up to 12 telehealth visits.

    • iCare Partners with American Well to offer urgent care, primary care, behavioral health, and nutrition visits
    • There are three ways to connect to a medical provider online:
      • Access the American Well app via your cell phone or tablet
      • Access American Well’s website, 24 hours a day/7 days a week/365 day a year
      • Come to iCare’s Milwaukee office and have a telehealth appointment in our private telehealth clinic! (Monday – Friday, 8:30 a.m. to 5:00 p.m.)
    • Choose doctors from several medical specialties:
      • Primary Care (Internal Medicine, Pediatrics, Urgent Care, Emergency Medicine)
      • Psychiatry
    • Or, choose other clinical providers:
      • Physician Assistants, Nurse Practitioners, Psychologists, Nutritionists

    Contact your care manager today!

  • TransportationNon-Emergency Transportation
    Non-Emergency Transportation

    100 one-way trips up to 35 miles. Covered only for travel to and from health education classes and Weight Watchers meetings. Prior approval from your care coordinator is required.

Modified: 10/24/2018
 

Independent Care Health Plan (iCare) is a Medicare Advantage HMO SNP organization with a Medicare contract and a contract with the State Medicaid program. Enrollment in any iCare plan depends on contract renewal. Plans are 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.

  • H2237_IC1453 Approved
 
  • Independent Care Health Plan
  • 1555 RiverCenter Drive, Suite 206
  • Milwaukee, WI 53212
  • Customer Service: 1-855-818-1129
    • 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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  • Copyright © 2019 Independent Care Health Plan