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iCare Family Care Partnership Plan

iCare Family Care Partnership

Peace of mind. Good health and well-being. Independence. 

These are your goals. So, they’re our goals too. 

 

Added Benefits Self-Directed Supports Part D Drugs How to Enroll

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iCare Family Care Partnership (FCP) is a health and long-term care (LTC) program that covers all aspects of health care. It is designed to meet the long-term care needs of frail older adults and adults who have physical, intellectual or developmental disabilities. 

Our team will work with you to help you live as independently as possible, so you can remain connected with family, friends and your community. We can help you achieve goals of employment, independence, and to lead a full and meaningful life.

 

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

iCare Family Care Partnership member benefits include health (primary and acute care), drugs and Long-Term Care services. Most services have no out-of-pocket costs except  drugs, where you may be responsible for a co-pay if you are on Medicare. To learn about eligibility, service area and how to enroll, go to the enrollment page.

Home health and personal care

Supportive home care

Assisted living/residential care services

Adult day and respite care

Home delivered meals

Home modifications

Rides

Physical, speech and occupational therapy

 

Wheelchairs and other equipment

Adult diapers and gloves

Mental health and drug and alcohol treatment

Daily living skills training

Communication aids/interpreter

Job services

Nursing home services

And many Added Benefits!

Added Benefits

iCare Family Care Partnership members who have Medicare receive added benefits. These extra benefits are in addition to the regular benefits you get from Medicaid and Medicare.

The best part: You do not need to give up the Medicaid and Medicare benefits you already get. 

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  Over-the-Counter (OTC) Benefit

As an iCare Family Care Partnership member, you will receive $15 worth of OTC medications and supplies delivered to your home, free of charge, each month. That’s $180 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 $15 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 DrugSource 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®

The new WW delivers a holistic and personal approach to losing weight. As an iCare Family Care Partnership 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. WW 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.

   Dental

 

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: 

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

  • 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 1-800-777-4376 or call DentaQuest Customer Service at 1-888-291-3760 (TTY: 1-800-947-3529). Please see your Summary of Benefits for additional information about this benefit.

   Vision

 

iCare partners with National Vision Administrators (NVA) to provide you with an extra $450 per calendar year towards eyeglasses.  NEW IN 2020:  contact fitting and contact lenses.

When you use an NVA network provider, you receive up to $450 a calendar year towards eyeglass lenses and frames, and starting in 2020, 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 cosmetic contacts, or 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).

   Free 24/7 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

You are the Star of the Team

iCare Family Care Partnership offers a member-centered care model, where you are the “star” of the team. Your support, or team mates, include a nurse practitioner, registered nurse, care manager, and anybody else you choose to include.

Our team will also help connect you to the services and self-directed supports  you want and need to live the way you want to live. iCare Family Care Partnership blends all aspects of health and long-term care.

Learn more about: 

Self Directed Supports  Accessing Providers Complaints, Grievances & Appeals

Help with your Drugs
iCare has a fully-staffed pharmacy department, who can assist members with pharmacy referrals, help them understand medications so it is taken correctly, answer questions, and more! Call 1-866-938-0406

Healthy Links
Interested in healthy living tips for people with special needs, and other valuable resources?  Visit our Health and Wellness Resources page.

Community Help
Everyone needs help from time to time.  Community Help is guide to resources right in the cities and towns that iCare serves.

After-Hours Service
If your condition is severe, go to the nearest emergency room (ER). If you are unable to get to the ER, call 911. For after-hours urgent or emergent care inquiries, please call us at 1-800-777-4376 (TTY 1-800-947-3529) and follow the prompts to get you in contact with a member of the Family Care Partnership care team.

Emergency response
If you have a health-related emergency or urgent issue, go to the nearest emergency room or call 911. If you are still in need of assistance, call us and we will immediately connect you with someone who will respond.

Customer Service
Questions? Call 1-800-777-4376 (TTY: 1-800-947-3529), 24 hours a day, 7 days a week for more information. Our office hours are Monday – Friday, 8:30 a.m. – 5:00 p.m.

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H2237_IC2203_M   DHS approved 07/18/19
Last Updated 07/18/19

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