FCP-Enhanced Benefits

2018 iCare Family Care Partnership
Enhanced Services

  • FitnessSilverSneakers© Fitness
    SilverSneakers
     

    SilverSneakers is a fitness benefit that includes access to 11,000+ 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.

    Tivity Health, SilverSneakers, SilverSneakers FLEX and BOOM are registered trademarks or trademarks of Tivity Health and/or its subsidiaries. © 2017 Tivity Health. All rights reserved.

  • DentistDental Benefits

    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
    • 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
    • Emergency Office Visits & Diagnostic Services: Up to 2 per calendar year
    • Simple Restorative Services
      • Limited to Amalgams/Resins (No root canals or crowns): One restoration per tooth per calendar year
    • Simple Extractions (No Surgical Extractions)
    • Basic Partials and Basic Dentures are covered, no coverage for repair
    These services are in addition to the standard dental benefits provided by Medicaid and Medicare. Contact your Care team for more information about this benefit at 1-800-777-4376
    (TTY: 1-800-947-3529). Please see your Summary of Benefits for additional information about this benefit.
  • EyeVision 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

    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

  • 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!

  • Nurse Advice24-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 a week.

    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 (1-800-679-9874)!

    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.icarehealthplan.org

Modified: 10/24/2018
 

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

  • 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
  • All content and images unless otherwise indicated are
  • Copyright © 2018 Independent Care Health Plan