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The iCare Medicaid SSI plan provides complete health care services for people with physical, developmental and/or emotional disabilities. As a member, you get the benefits you need to live your best life, from a recognized leader in serving Wisconsin residents. Based right here in Wisconsin, Independent Care Health Plan, or iCare, has been securing the wellness of people with complex conditions for over two decades.

Did you know? 

The iCare Medicaid SSI Plan was the highest-overall-ranked Medicaid SSI Health Maintenance Organization by the Wisconsin Department of Health Services in their 2017 HMO Report Card released June 13, 2019! 
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Included in your Plan

The iCare Medicaid SSI Plan includes programs and services that make it easy for you to get medical care.

Covered Services

 

Extra Care

Fitness & Wellness Programs

Credit for Home & Personal Products

Free 24/7 Nurse Advice Line

Transportation

Dental

Vision 

Pharmacy

Mental Health and Substance Abuse Treatment

Family Planning

Chiropractic

Podiatry (feet)

Hospice

Home health and personal care

Flu Shots

Women's Health

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   Extra Care

 

Health care can be hard. With iCare, at no cost, you have people to help you stay on top of it: your care team.

Your care team is everyone involved in your care — your care coordinator, your doctors, your family and friends, and right at the center, you! We’ll work together to help you manage your whole health, including your physical, behavioral, medical and social needs.

Your care team will help create a care plan designed just for you. We know the area, so we can help you learn about resources available to you.

Together, we’ll work help you sort out the care and services you need to help you meet your health goals. To contact your care coordinator, call 1-800-777-4376.

 

   Fitness and Wellness Programs

 

iCare Medicaid SSI plan members can receive up to $35 per month towards a health/fitness center membership.

iCare will only pay for the cost of the monthly dues or class fee. Start-up or annual fees are not included in the iCare Fitness Club Reimbursement Program. Members must submit a receipt for each month that they wish to be paid back.

Mail your receipts to:

iCare Marketing Department

1555 N. RiverCenter Dr. Ste 206

Milwaukee, WI 53212

Also, if you are interested in exercise programs or need help to stop smoking, iCare offers info and referrals to these community programs. We also provide a newsletter with healthy tips and information about your health care benefits.

   Credit for Home & Personal Products

 

As an iCare Medicaid SSI Plan member, you will receive $10 each month from your health plan to use for personal and home products delivered to your home at NO COST TO YOU. Examples include:

  • Dish soap
  • Combs and hair brushes
  • Shampoo
  • Razors
  • And many more items

A new $10 credit will be issued each month. Unused monthly dollar amounts will be carried over into the following month. Dollar amounts expire at the end of each calendar year OR if you disenroll from the iCare Medicaid SSI Plan. To order, call DrugSource at 1-877-319-9667 (TTY: 1-800-526-0844) from 8:30 am –10:00 pm CST, Monday through Friday and let them know you are an iCare Medicaid SSI Plan member.

   Free 24/7 Nurse Advice Line

 

As an iCare Medicaid SSI Plan member, you can talk to a Registered Nurse any time, day or night. A caring professional can help you make informed decisions about your health. NurseAdvice 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 learn how to take care of a new or chronic condition.

• Want to find ways to better talk with your healthcare provider.

• Have questions about how you or your family can stay healthy.

You can call 24 hours a day, 7 days a week! 1-800-679-9874

   Transportation

 

Non-emergency medical transportation (NEMT) is available through the DHS NEMT manager. The NEMT manager sets up and pays for rides to covered services for members who have no other way to receive a ride. Non-emergency medical transportation can include rides using:

  • Public transportation, such as a city bus
  • Non-emergency ambulances
  • Specialized medical vehicles
  • Other types of vehicles, depending on a member’s medical and transportation needs

Additionally, if you use your own private vehicle for rides to and from your covered health care appointments, you may be eligible to be paid back for miles.

Schedule routine rides at least two business days before your appointment. You can schedule a routine ride by calling the NEMT manager at 1-866-907-1493 (or TTY 1-800-855-2880), Monday through Friday, from 7:00 a.m. until 6:00 p.m. You may also schedule rides for urgent appointments. A ride to an urgent appointment will be provided in three hours or less.

   Dental

 

iCare partners with dental network DentaQuest to provide residents of Kenosha, Milwaukee, Ozaukee, Racine, Washington, and Waukesha counties with all covered dental services, but you must go to DentaQuest dentist. See the iCare Medicaid SSI Provider Directory for your region or call DentaQuest Customer Service at 1-888-291-3760 or iCare Customer Service at 1-800-777-4376 for the names of our in-network dentists.

As a member of iCare, you have the right to a routine dental appointment within 90 days of your request either in writing or over the phone to the iCare Customer Service Department at 1-800-777-4376. If you have a dental emergency, you have the right to obtain treatment within 24 hours of your request. A dental emergency is a need for immediate dental services to treat severe dental pain, swelling, fever, infection, or injury to the teeth. If you are having a dental emergency:

1. If you already have a dentist who is with DentaQuest:

  • Call the dentist’s office.
  • Tell the dentist’s office that you or your child is having a dental emergency.
  • Tell the dentist’s office what the exact dental problem is. This may be something like a severe toothache or swollen face.

Call iCare or DentaQuest if you need help with getting a ride to or from your dental appointment.


2. If you do not currently have a dentist who is with DentaQuest:

  • Call DentaQuest or iCare. Tell us that you or your child is having a dental emergency. We can help you get dental services.
  • Tell us if you need help with getting a ride to or from the dentist’s office.


For help with a dental emergency, call iCare at 1-800-777-4376 or DentaQuest at 1-888-291-3760.

If you live in a county that is not listed, you may get dental services from any dentist willing to accept your ForwardHealth ID card. Your dental services are provided by the State, not iCare or DentaQuest.

   Vision

iCare provides covered vision services, through National Vision Administrators (NVA).

Eye doctors in the NVA network may provide medical and routine vision care including eyeglasses; some limits apply.

For more info about NVA’s provider network or vision coverage, call NVA’s Member Services Department at 1-888-287-0116 or iCare’s Customer Service Department at 1-800-777-4376.

   Pharmacy

 

  • You may get a prescription from an iCare doctor, specialist, or dentist. You can get covered prescriptions and certain over-the-counter items at any pharmacy that will accept your ForwardHealth ID card.
  • You may have copayments or limits on covered medicines. If you cannot afford your copayments, you can still get your drugs.

 

   Behavioral Health and Substance Abuse

 

iCare provides behavioral health and substance abuse (drug and alcohol) services to all members. If you need these services, call our Behavioral Health team at 1-800-777-4376 , x 3067. If you need immediate help, you can call our 24-Hour Nurse Line at 1-800-679-9874, which is open seven days a week. All services provided by iCare are private.

   Family Planning

 

We provide private family planning services to all members, including minors. If you do not want to talk to your primary care physician about family planning, call our Customer Service Department at 1-800-777-4376, extension 3066 . We will help you choose an iCare family planning doctor who is different from your primary care physician. We encourage you to get family planning services from a iCare doctor so that we can better coordinate all your health care. However, you can also go to any family planning clinic that will accept your ForwardHealth ID card, even if the clinic is not part of iCare.

If you are planning on becoming pregnant in the next year, check out information about Reproductive Life Planning and Text4Baby programs on our Family Planning page

 

   Chiropractic

 

Chiropractic services are a covered benefit under the iCare Medicaid SSI Plan. You may get covered chiropractic services from a Medicaid-enrolled provider who will accept your ForwardHealth ID card. To find a Medicaid enrolled provider:

1. Go to https://www.forwardhealth.wi.gov/WIPortal/

2. Click on the Members link or icon in the middle section of the page.

3. Scroll down and click on the Resources tab.

4. Click on the Find a Provider link.

5. Under Program, select Medicaid SSI. Or, you can call ForwardHealth Member Services at 1-800-362-3002.

   Podiatry (feet)

 

iCare covers Podiatry: care of the feet and ankles. Many members who use podiatry services may be interested in canes, walkers and other durable medical equipment. To locate durable medical equipment providers near you, visit the Find a Provider page. Under “Specialty”, select “Durable Medical Equipment and Supplies.”

   Hospice

 

This benefit covers members and family members who are terminally ill. Note that Nursing home room and board is not a hospice service.

   Home Health & Personal Care

 

Medically-necessary home health services (skilled nursing, home health aide, and therapy) are covered following your inpatient hospital stay, if ordered by the doctor. However, you need prior authorization from iCare for this benefit. Please call us at 1-800-777-4376 for approval.

   Flu Shots

 

Each fall, iCare helps our members receive flu shots. A yearly flu shot is one of the best ways to protect your health and the health of your friends and family. Although getting a flu shot is a good idea for most people, it’s even more important for children, people with asthma or diabetes, and adults over age 50 to receive the shot.

   Women's Health

 

iCare and the Centers for Disease Control and Prevention recommend that women age 40 and older have a mammogram each year. A mammogram is an x-ray of the breast used to examine breast tissue. It is one of the best ways to detect breast cancer. Please call iCare Customer Service at 1-800-777-4376 to find out more about this program.

Learn More

For details on these covered services and more, please review your iCare Medicaid SSI Plan Member Handbook.

View Handbook

Find a Provider

Looking for a hospital, doctor or other provider in iCare’s broad network?

Find a Provider

Got questions?

Health coverage can be confusing. Many people have questions like:

  • What is Medicaid?
  • Am I eligible for Wisconsin Medicaid?
  • How do I apply for Medicaid in Wisconsin?

Taking a few minutes to get clear answers to your questions is one of the best choices you can make for your health!

Visit Medicaid Questions & Answers

IC200 DHS Approved 7/5/19
Last Updated 7/5/19

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