Disclaimers

General Disclaimers – Applies to All Plans Insured by iCare

• Before making an enrollment decision, it is important that you fully understand our benefits and rules. If you have any questions, you can call and speak to a customer service representative at 1-800-777-4376 (TTY: 1-800-947-3529).
• Review the list of benefits found in the Evidence of Coverage (EOC), or your member handbook, especially for those services for which you routinely see a doctor. To request a copy, click here or call 1-800-777-4376 (TTY: 1-800-947-3529)
• Review the online Provider/Pharmacy directory, if applicable, (or ask your doctor) to make sure the doctors you see now are in the network. If they are not listed, it means you will likely have to select a new doctor.
• Review the online Provider/Pharmacy directory, if applicable, to make sure the pharmacy you use for any prescription medicines is in the network. If the pharmacy is not listed, you will likely have to select a new pharmacy for your prescriptions.

Medicare Advantage Prescription Drug Plans (MA-PD) — HMO D-SNP

iCare insures the following Dual Eligible Special Needs Plans (D-SNP):

• iCare Medicare Plan HMO D-SNP (H2237-001)
• iCare Family Care Partnership HMO D-SNP (H2237-007)

Independent Care Health Plan (iCare) is an HMO with a Medicare contract. Enrollment in Medicare plans insured by iCare depends on contract renewal. In addition to holding a contract with Medicare, iCare also has a written agreement with the state Medicaid program to coordinate Medicaid benefits.

iCare Family Care Partnership (Long Term Care Plan) HMO D-SNP is available to anyone who has both medical assistance from the State and Medicare and is functionally eligible as determined by the State Long-Term Care Functional Screen. For more information about long-term care options available to you contact a local Aging & Disability Resource Center. The Resource Center can also assist you with information about eligibility and enrollment.

Before making an enrollment decision, it is important that you fully understand our benefits, limitations and exclusions. If you have any questions, you can call and speak to a customer service representative at 1-800-777-4376 (TTY: 1-800-947-3529).