Medicare-Enhanced Benefits

iCare Medicare Plan (HMO SNP)
2019 Enhanced Benefits

  • OTCOver-the-Counter (OTC) Medications
    $60/Month for Over-the-Counter (OTC) Medications

    As an iCare Medicare Plan member, you will receive $60 worth of OTC medications and supplies delivered to your home, free of charge, each month. That’s $720 a year to use towards your OTC needs!

    A new $60 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. CST Monday through Friday.

    To order your OTC medications online:
    Log onto your account at

  • FitnessSilverSneakers® 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 70 SilverSneakers FLEX® class options including Latin dance, yoga, tai chi and walking groups are offered in settings outside the traditional gym. Three BOOM® classes, MIND, MUSCLE and MOVE IT, offer more intense workouts inside the 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

    *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.

    Tivity Health, SilverSneakers, SilverSneakers FLEX and BOOM are registered trademarks or trademarks of Tivity Health and/or its subsidiaries. © 2017 Tivity Health. All rights reserved.

  • WeightWatchersBeyond the Scale from Weight Watchers®

    The Weight Watchers® NEW Beyond the Scale program delivers a holistic and personal approach to losing weight.

    As an iCare Medicare Plan Member, you can request meeting voucher packs for local Weight Watchers meetings from your Care Coordinator. These packs will contain thirteen-weeks’ worth of meeting vouchers at a local, on-site Weight Watchers location.

    The NEW Beyond the Scale 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 Weight Watchers. Please call your Care Coordinator 1-800-777-4376 (TTY: 1-800-947-3529) to request new voucher packs.

  • MealsMeals 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 1-800-777-4376 (TTY: 1-800-947-3529). Prior authorization is required to receive this benefit.

  • Medical SymbolPersonal Emergency Response System (PERS)

    Feel more secure at home with access to help 24/7.

    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. Prior authorization is required to take advantage of this benefit.

    Contact your Care Coordinator for more information about this benefit at 1-800-777-4376 (TTY: 1-800-947-3529).

  • DentistDental Benefits

    An extra $2,500 a calendar year for preventive and comprehensive dental services from our network providers

    • 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.
  • EyeVision Benefits

    An extra $450 per calendar year towards eyeglass lenses and frames

    As an iCare Medicare Plan Member, you receive up to $450 a calendar year for lenses and frames. This benefit cannot be combined with your Medicaid benefit.

  • OTC90-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 OrderMail 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)

  • Nurse Advice24-Hour 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.
    Nurse Advice Line Audio Health Topics (Click to download an Excel file of topics)

  • AcupunctureChiropractic Care and Acupuncture
    Chiropractic Care

    You pay nothing for routine chiropractic services (limited to 40 visits every calendar year). Routine Chiropractic services may require a prior authorization.

    Radiology tests performed by a State licensed Chiropractor following practice guidelines must obtain a primary care provider order. These services would require prior authorization.


    Limited to 30 medically-necessary visits every calendar year. Questions? Call American Specialty Health Member Services at (800) 678-9133.

  • Health EducationHealth 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.

  • TransportationNon-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 authorization is required.

  • Readmission-PreventionReadmission Prevention

    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
  • TelehealthTeleHealth Benefit

    Telehealth is FREE video-based medical appointments with a doctor or other licensed provider of your choice, up to 12 telehealth visits.

    • iCare Partners with American Well to offer urgent care, primary care, behavioral health, and nutrition visits
    • There are three ways to connect to a medical provider online:
      • Access the American Well app via your cell phone or tablet
      • Access American Well’s website, 24 hours a day/7 days a week/365 day a year
      • Come to iCare’s Milwaukee office and have a telehealth appointment in our private telehealth clinic! (Monday – Friday, 8:30 a.m. to 5:00 p.m.)
    • Choose doctors from several medical specialties:
      • Primary Care (Internal Medicine, Pediatrics, Urgent Care, Emergency Medicine)
      • Psychiatry
    • Or, choose other clinical providers:
      • Physician Assistants, Nurse Practitioners, Psychologists, Nutritionists

    Contact your care manager today!

Contact Us

For full information on iCare Medicare Plan benefits, call our Customer Service Department at 1-800-777-4376 (TTY 1-800-947-3529) 24 hours-a-day, 7 days-a-week (office hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.).

Modified: 12/27/2018

Independent Care Health Plan (iCare) is a Medicare Advantage (HMO SNP) organization with a Medicare contract and a contract with the State Medicaid program. Enrollment in plans insured by iCare depends on contract renewal. Plans insured by iCare are available to anyone who has both Medical Assistance from the State and Medicare. For more information about long-term care options available to you, contact your local Aging and Disability Resource Center (ADRC). The ADRC can also assist you with information about eligibility and enrollment. This information is not a complete description of benefits. Call 1-800-777-4376 (TTY:1-800-947-3529) for more information. Independent Care Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-777-4376 (TTY: 1-800-947-3529). LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-777-4376 (TTY: 1-800-947-3529).

  • H2237_IC2029
  • Independent Care Health Plan
  • 1555 RiverCenter Drive, Suite 206
  • Milwaukee, WI 53212
  • Customer Service: 1-800-777-4376
    • 24 hours-a-day, 7 days-a-week
    • (Office Hours: Monday-Friday, 8:30 a.m. to 5:00 p.m.)
  • TTY: 1-800-947-3529
  • Fax: 414-231-1092
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