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2022 iCare Family Care Partnership

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

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

 

2022 Added Benefits Self-Directed Supports Part D Drugs 

How to Enroll  Five Wishes

Main Content

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. 

The iCare Family Care Partnership team includes a nurse practitioner, registered nurse, care manager, and people you choose to include. They will work with you to help you live as independently as possible, so you can remain connected with family, friends and your community.

 

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.

 

2022 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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Dental

 

iCare includes $2,500/year towards dental benefits like preventive and comprehensive care to help with your basic dental needs. There may be limits on how much the plan will provide so we encourage you to read your plan documents.

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, 1 full set, or 1 bitewing set per calendar year.

Comprehensive Dental:

  • Diagnostic Services: Up to 2 visits per calendar year.
  • Simple Restorations are limited to Amalgams/Resins 1 restoration per tooth per calendar year.
  • Crowns are limited to 1 per tooth per 60 months.
  • Simple Extractions - No surgical extractions.
  • Basic Partials and Basic Dentures are covered 1 per 60 months. No coverage for repair.
  • No coverage for oral/maxillofacial surgery.

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 Team 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 added vision benefit provides you with $300 a year to use towards:

  • One (1) routine eye exam
  • One (1) contact fitting
  • Contact lenses
  • One (1) set of eyeglasses lenses and/or frames, upgrades combined

There's no monthly vision premium, $0 co-pay, $0 deductible and no waiting period for members, and you can choose from an extensive network of National Vision Administrators (NVA) care providers.

The benefit cannot be combined with your Medicaid benefit. Please refer to your iCare Medicare Plan Evidence of Coverage or EOC for more information or call your Care Team. You can also call iCare Customer Service at 1-800-777-4376 (TTY: 711).


There may be limits on how much the plan will provide. Please contact the plan for more information.

About the Vision Network:
You must use National Vision Administrators (NVA) network providers for your Medicare vision benefit. Friendly, helpful NVA representatives are available 24 hours a day, 7 days a week, 365 days a year. If you have a vision network question or need help finding a provider, call the NVA Customer Service Department at 1-888-287-0116 (TTY: 711). You can also visit www.e-nva.com or use the “Find a Provider” search tool on the iCare web site:  www.iCareHealthPlan.org/findprovider

Prescription Drug Savings Benefit

Because you receive Extra Help (you have Medicaid and are enrolled in Partnership), YOU HAVE NO CO-PAY ON PRESCRIPTION DRUGS. This includes Tier 1 (Preferred Generic), Tier 2 (Generic), Tier 3 (Preferred Brand), Tier 4 (Non-preferred Brand) and Tier 5 (Specialty Tier) drugs.

YOU ALSO DO NOT ENTER THE FOUR STAGES OF COVERAGE: 1. Deductible Stage, 2. Initial Coverage Stage, 3. Gap Coverage Stage and 4. Catastrophic Coverage Stage.

The formulary lists drugs that require prior authorization, quantity limits, and/or step therapy. Contact your Care Team for details.

Some over-the-counter (OTC) drugs are covered by Medicaid.

Over-the-Counter (OTC) Benefit

iCare Family Care Partnership plan members receive a Health and Wellness benefit called “Over-the-Counter” or OTC.
iCare will deposit $40 a month into an account that is linked to a prepaid benefits card so you can purchase Medicare-approved OTC items like bandages, pain relievers, cold medicine, toothpaste, vitamins, and much more. Any unused balance will automatically expire at the end of the year or upon disenrollment from the plan.

You can buy approved OTC items 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.

To order your OTC medications items: Log on to your MEDLINE Account.

Healthy Foods

NEW in 2022!  $50 allowance amount per month for Healthy Foods for members to spend at participating retailers toward the purchase of approved healthy foods.

Wellness and Health Care Planning

As an iCare member, you have access to an online advance care planning resource called Five Wishes. This resource helps you to create an advance directive where you can combine the elements of a living will, medical power of attorney, do not attempt resuscitation, and an organ donation form.

WW® (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 Team and ask if you are eligible. Once you are approved to attend meetings, your Care Team 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 Team 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.

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.

Your iCare Benefit Card comes with MORE!

NEW for 2022! As a member of the iCare Medicare Plan (HMO D-SNP) or iCare Family Care Partnership (HMO D-SNP), you
can purchase Medicare–approved Over-the-Counter (OTC) items AND Healthy Foods PLUS earn rewards to purchase wellness items through our Healthy Rewards program — all on ONE card.

iCare Benefit card can be used to purchase OTC items, groceries AND wellness products!
Learn More!

How to request a Benefit or Service

 

  • If you are enrolled in Medicaid only, please see the Family Care Partnership Member Handbook for people enrolled in Medicaid only.

 

 

More Help

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! Speak with your Care Management team to connect you with an iCare Pharmacist.

Healthy Links
Interested in healthy living tips for people with special needs, and other valuable resources?  Visit Health 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_DHS approved 12/10/21

Last Update 12/30/21

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