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iCare Family Care Partnership Plan

2021 iCare Family Care Partnership

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

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

 

2021 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 independence, jobs, and to lead a full and meaningful life.

 

Heard About the iCare Benefits Card?

This prepaid card lets Family Care Partnership members buy Over-the-Counter (OTC) items in-store or through your OTC catalog all through 2021!

iCare Over The Counter OTC Card


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 have 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!

2021 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 items shipped to your home, free of charge, each month. That’s $180 a year to use towards your OTC needs!

You can buy approved OTC item through your OTC catalog. AND you can also buy OTC items at well-known retailers like Walgreens, Walmart, CVS and many more. Learn more about the new iCare Benefit Card for Family Care Partnership members. 

A new $15 in funds 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 year. Dollar amounts expire at the end of each calendar year OR if you  leave the plan before the end of the year.

To order your OTC items 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 items: Log on to 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 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 questions regarding your SilverSneakers 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. © 2021 Tivity Health, Inc. All rights reserved.

 

   Weight Watchers®

 iCare FCP offers Weight Watchers (WW)!

iCare will pay the WW membership fee and send you thirteen-weeks’ worth of WW vouchers to attend local meetings. It's easy to get started. Just call your Care Coordinator and ask if you are eligible. Once you are approved to attend meetings, your Care Coordinator will issue you a packet of vouchers. If at the end of the thirteen-week period you find you would like to continue attending meetings, please call your Care Coordinator at 1-800-777-4376 (TTY: 1-800-947-3529) to discuss. Be sure to check with your physician before getting started with any weight loss program.

   Dental

 

iCare includes added dental benefits like preventive and comprehensive care. They help with your basic dental needs. There may be limits on how much the plan will provide. We urge you to read your plan documents. The dental benefit costs you $0. 

Preventive Care:

  • Oral Exams: Up to 2 per calendar year.
  • Cleanings: Up to 2 per calendar year.
  • Fluoride Treatment: Up to 2 per calendar year.
  • Dental X-rays: Limited to either 1 panoramic or 1 full set per calendar year.

Comprehensive Dental:

  • Diagnostic Services: Up to 2 visits per calendar year.

The benefit cannot be combined with your Medicaid benefit.

You must use DentaQuest’s network of dentists for your Medicare dental services. If you need help selecting a dental provider, please call DentaQuest  at 1-800-508-6758 (TTY: 711). 

These services are on top of  the standard dental benefits provided by Medicaid and Medicare. Contact your Care Coordinator for more info about this benefit at 1-800-777-4376 (TTY: 1-800-947-3529). Please see your Summary of Benefits for more info 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).

   Vision

 

Our vision benefit provides you with $250 a year to use towards purchasing contact lenses, one set of eyeglasses (lenses and frames combined) and/or a contact lens exam. 

There's no waiting period for members, and you can choose from an extensive network of National Vision Administrators (NVA) care providers. NVA can be reached by calling 1-888-287-0116 (TTY: 711) or visit www.e-nva.com

There may be limits on how much the plan will provide. We urge you to read your plan documents.

To find an eye doctor near you or to book a visit, call 1-800-672-7723 (TTY: 711). You can also find a vision provider by using the “Find a Provider” tool on the iCare web site www.iCareHealthPlan.org

The benefit cannot be combined with your Medicaid benefit. 

   Free 24/7 Nurse Advice Line

Staying healthy starts by asking questions and getting up-to-date info. 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 book a visit
  • Need info about medicines or medical tests
  • Want to find ways to talk more clearly with your health care provider
  • Want to learn how to take care of a condition
  • Have questions about how you or your family can stay healthy

Trusted health info 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 recorded 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 in the Nurse Advice brochure.

How to ask for a Benefit or Service

Did you know you can ask for a benefit or service by sending iCare an Organization Determination request?
Or that you can appoint a representative?
 Learn More

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. They can help members with pharmacy referrals.  They help you know how to take medicines right. They 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 Healthy and Wellness.

Community Help
Everyone needs help from time to time.  Community Help is a 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.

Find a Provider

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

Find a Provider

H2237_IC2203_M_2021_A   DHS approved 10/12/20
Last Updated 10/12/20

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