Members

2012 iCare Family Care Partnership
Enrolling in the Partnership Program

• Evidence of Coverage
• Provider Manual
• Provider/Pharmacy Directory
• Annual Notice of Change (ANOC)
• Comprehensive Formulary
• LIS Premium Summary Sheet
• Summary of Benefits

How Do I Sign Up?

The Aging & Disability Resource Centers of Milwaukee County will assist you in reviewing your options and will enroll you in the Partnership program if you choose. Membership is voluntary and you can disenroll at any time.

You can also call iCare Family Care Partnership (HMO SNP) at the number listed at the end of this introduction. You can call Medicare at 1-800-MEDICARE (1-800-633-4227), 24 hours-a-day, 7 days-a-week. Medicare TTY/TDD users should call 1-877-486-2048. You can also call Medicaid at 1-800-362-3002 for more information. Medicaid TTY users should call 1-888-701-1251.

Contact Us

Questions? Call us at 1-800-777-4376 (TTY 1-800-947-3529), 7 days-a-week, 8:00 a.m. to 8:00 p.m. Our mailing and walk-in address is: Independent Care Health Plan, 1555 N. RiverCenter Dr., Suite 206, Milwaukee, WI 53212.

The iCare Family Care Partnership (HMO SNP) is a Coordinated Care plan with a Medicare Advantage contract and a contract with the Wisconsin Medicaid program. You must use network plan providers except in emergent or urgent care situations. If your preferred provider is not in our plan, we will seek to include them in our network. If you obtain routine care from out-of-network providers, without first contacting your care team and getting prior authorization, neither Medicare, Wisconsin Medicaid or iCare Family Care Partnership (HMO SNP) will pay for these services. You must use network pharmacies to access your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use network pharmacies. Generally, benefits are only available at iCare-contracted network pharmacies. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1, 2013. Please contact iCare for details. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help that you receive, please contact the plan for further details. This plan is available to anyone who has both Medical Assistance from the State and Medicare. For more information about Medicare benefits and services, including general information regarding the health or Part D benefit, contact 1-800-MEDICARE (1-800-633-4227) or visit www.Medicare.gov; TTY users should call 1-887-486-2048, 24 hours a day, 7 days a week. For more information about Wisconsin Medicaid benefits call the Department of Health Services at 1-800-362-3002 (TTY 1-888-701-1251) or visit www.dhs.wisconsin.gov/Medicaid. For more information about long-term care options available to you in Milwaukee County, please call the Milwaukee County Disabilities Resource Center (people under 60 years of age) at 414-289-6897 (TTY: 414-289-8559) or the Aging Resource Center (ages 60 and over) at 414-289-6874 (TTY: 414-289-8591). The Resource Center can also assist you with information about eligibility and enrollment.

Last Updated: 11/03/2011

Family Care Partnership

• Plan Overview
• Benefits & Service
• Am I Eligible?
• Enrolling in the Partnership Program
• Provider Access
• Pharmacy Access
• Prescription Drug Information
• Formulary Search
• Plan Transition Process
• Appeals and Grievances Overview
• Coverage Limitations
• Potential Contract Termination