Over-the-Counter (OTC) Benefit
$120/Month for Over-the-Counter (OTC) Items
New amount for 2020: As an iCare Medicare Plan member, you will receive $120 worth of OTC medications and supplies delivered to your home, free of charge, each month. That’s $1,440 a year to use towards your OTC needs!
More ways to buy for 2020: You can still purchase approved OTC item 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 $120 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 1-877-319-9667 (TTY: 1-800-526-0844) from 8:30 a.m. - 10:00 p.m. CST Monday -Friday.
To order your OTC medications online: Log onto your DrugSource Account.
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 70 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, the SilverSneakers shoe logotype and SilverSneakers FLEX are registered trademarks of Tivity Health, Inc. © 2020 Tivity Health, Inc. All rights reserved.
WW® (Weight Watchers®)
Added Dental Benefits
iCare partners with dental network DentaQuest to provide you with an extra $2,500 a calendar year for preventive and comprehensive dental services. As an iCare Medicare Plan member, when you use a DentaQuest provider, you can enjoy these added benefits:
- 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
- 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 Coordinator 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 or call DentaQuest Customer Service for a list of providers and locations at 1-800-508-6758 (TTY: 1-800-947-3529).
Added Vision Benefits
iCare partners with National Vision Administrators (NVA) to provide you with an extra $450 per calendar year towards vision hardware (eyeglass lenses & frames). NEW IN 2020: contact fitting and contact lenses.
As an iCare Medicare Plan Member, when you use an in-network NVA provider, you receive up to $450 a calendar year towards (1) set of contact lenses and/or eyeglass lenses and frames.
This benefit cannot be combined with your Medicaid benefit, cover the cost of non-medical, routine eye exams. Medical optometry services are covered through NVA.
For more info about NVA’s provider network or vision coverage, call NVA’s Member Services Department at 1-888-287-0116 (or TTY: 711).
Personal Emergency Response System (PERS)
90-Day Supply on Prescription Medications
90-day supply for a one month co-pay for Tier 1 and Tier 2 formulary medications!
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)
24/7 Nurse Advice Line
Chiropractic Care and Acupuncture
Health Education with Transportation
The iCare Health Education with Transportation 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.
Additionally, transportation is provided to and from health education sessions for up to 36 one-way trips annually, up to 35 miles. Prior authorization is required.
This program helps people transition back to their own home following a hospital or nursing home stay. Members may receive the following immediately after discharge.
- Medication Reconciliation
- In-Home Safety Assessment
- Information and training on self-care while recovering at home