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Aurora CompleteCare

 

Building upon Aurora Health Care's history of providing high-quality care and iCare's model of care, Aurora CompleteCare will help you manage all of your benefits, so you get the care you deserve!

 

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Aurora CompleteCare is a Medicare dual eligible special needs plan (D-SNP) in Wisconsin

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Heard About the New OTC Benefits Card?

New prepaid card lets you buy through your OTC catalog or at stores and pharmacies. It's your choice!

iCare's OTC Benefits Card is a prepaid OTC Debit Card. Use in-store or order via catalog. 
Learn More

Benefits and Services

Benefits Include:

  • $0 plan premium (Your Medicare Part B Premium is paid by the State)
  • $0 plan deductible
  • 90-day supply for a one month co-pay of Tier 1 and Tier 2 formulary medications

Services Include:

  • Multi-Level Care Management 
  • Care Coordinators and Care Managers 
  • Nurse Case Managers
  • Intervention and Outreach
  • Provider Network

Visit your Evidence of Coverage for more information about your benefits/services, along with your in-network providers.

 

Added Benefits

These benefits are in addition to the regular benefits you get from Medicaid and Medicare. iCare provides these additional benefits at no cost to you!

 

Over-the-Counter Medications

Silver Sneakers® Fitness & WW® (formerly Weight Watchers®)

 

Dental Benefit

Vision Benefit

Meal Benefit

Non-Emergency & Health Education Transportation

24/7 Nurse Advice Line

and More!

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2019 Over-the-Counter (OTC) Benefit

 

As an Aurora CompleteCare member, you will 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, until the end of the current year. 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 Drug Source Account.

2020 Over-the-Counter (OTC) Benefit - MORE FOR 2020!

 

As an Aurora CompleteCare member, you will receive $135 worth of OTC medications and supplies delivered to your home, free of charge, each month. That’s $1,620 a year to use towards your OTC needs!

New amount for 2020: As an Aurora CompleteCare member, you will receive $135 worth of OTC medications and supplies delivered to your home, free of charge, each month. That’s $1,620 per year to use towards your OTC needs!

More ways to buy for 2020: You can still purchase approved OTC items through your OTC catalog, and in 2020 you can also buy OTC items at participating retailers like Walgreens, Walmart, CVS and many more. Learn more about the new OTC Benefit Card

A new $135 allowance will be issued to you each month. Unused portions of the monthly dollar amount will be carried over into the following month, until the end of the current year. 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 Drug Source Account.

SilverSneakers® Fitness

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. 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.

SilverSneakers and SilverSneakers FLEX are registered trademarks of Tivity Health, Inc. © 2019 Tivity Health, Inc. All rights reserved.

WW® (formerly Weight Watchers®)

 

WW delivers a holistic and personal approach to losing weight. As an Aurora CompleteCare member, you can request meeting voucher packs for local WW meetings from your Care Coordinator. These packs will contain thirteen-weeks' worth of meeting vouchers at a local, on-site WW location. The WW 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 WW. Please call your Care Coordinator 1-855-818-1129 (TTY: 1-800-947-3529) to request new voucher packs.

Added Dental Benefit

 

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)
  • 1 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: Limited to 2 visits per calendar year

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 1-855-818-1129.

(TTY: 1-800-947-3529). Please see your Summary of Benefits for additional information about this benefit.

2019 Added Vision Benefit

 

Receive an ADDITIONAL $450 Per Calendar Year Towards Lenses and Frames. 

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.

2020 Added Vision Benefit- MORE FOR 2020!

 

Receive an ADDITIONAL $450 Per Calendar Year Towards Lenses and Frames AND NEW IN 2020 - Contact fitting and Contact lenses!

As an Aurora CompleteCare member, you receive up to $450 a calendar year for contact fitting, contact lenses, the purchase of one (1) set of eyeglass lenses and frames, and/or upgrades. This benefit cannot be combined with your Medicaid benefit.

Personal 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.

Meal 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.

24-Hour Nurse Advice Line

 

Staying healthy starts by asking questions and getting up-todate information. When you need answers the 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

Health 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.

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.

Find a Provider

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

 

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Aurora CompleteCare is a Medicare dual eligible special needs plan (D-SNP)

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Last Updated 10/1/19

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