Members

2010 iCare Medicare Plan (HMO)
How Do I Enroll?

• Evidence of Coverage (EOC)/Member Handbook
• Provider Directory
• Pharmacy Directory
• Comprehensive Formulary
• Summary of Benefits
• LIS Premium Summary Chart

How Do I Enroll?

It is easy. If you are interested in joining the iCare Medicare Plan (HMO) (HMO), you can enroll at any time during the year. Simply complete our enrollment form and after your eligibility has been determined, we will send you a membership packet explaining how to access your iCare Medicare Plan (HMO) benefits and services.

Enroll over the phone by calling us at 1-800-777-4376 (TTY 1-800-947-3529), 7 days a week, 8:00 am to 8:00 pm. Our Member Services department will put you in touch with one of our licensed insurance agents who will help you to enroll in our plan.

Medicare beneficiaries may enroll in the iCare Medicare Plan (HMO) through the Centers for Medicare and Medicaid Services Online Enrollment Center located at www.medicare.gov. For more information about the iCare Medicare Plan (HMO), contact iCare’s Member Services department from 8:00 am to 8:00 pm, 7 days a week at 1-800-777-4376 (TTY: 1-800-947-3529.)

For more information contact our Member Services department at 1-800-777-4376 (TTY 1-800-947-3529), 7 days a week, 8:00 am to 8:00 pm.

You must enroll in both the iCare Medicare Plan (HMO) as well as a full Medicaid HMO plan (including iCare’s or another plan) to receive full benefit coverage. You can also remain in Medicaid Fee-For-Service, but you will be subject to small co-pays if you do so. To find out about a full Medicaid HMO Plan that is best for your health care needs you may contact the Medicaid Managed Care Enrollment Specialist at 1-800-291-2002 (TTY: 1-800-325-0778).

iCare Medicare Plan (HMO) 2010 Disclaimers - The iCare Medicare Plan is an HMO with a Medicare contract. Independent Care Health Plan (iCare) contracts with the Federal government to offer this Medicare Advantage program. If you live in the counties of Kenosha, Milwaukee, Ozaukee, Racine, Sheboygan, Washington or Waukesha; receive full Medicaid benefits, including assistance with Medicare premiums for Medicare Part A and B; are entitled to Medicare Part A and enrolled in Medicare Part B; and do not have End-Stage Renal Disease (some exceptions may apply), then you are eligible for our program. You must receive all routine care from plan providers. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1, 2011. Please contact iCare for details. You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call: 1-800-MEDICARE (1-800-633-4227), TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Administration at 1-800-772-1213 between 7:00 am and 7:00 pm, Monday through Friday, TTY/TDD users should call 1-800-325-0778; or your State Medicaid Office. The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. For full information on iCare benefits, call our Member Services Department at 1-800-777-4376 (TTY: 1-800-947-3529), from 8:00 am to 8:00 pm, 7 days a week.

Contact Us

For full information on iCare Medicare Plan (HMO) benefits, call our Member Services Department at 1-800-777-4376 (TTY 1-800-947-3529), 7 days-a-week, 8:00 a.m. to 8:00 p.m.

Medicare

• Benefits and Services
• How Do I Enroll?
• Part D Prescription Drug Coverage
• Prescription Drug Information and Formulary
• Grievance Policy
• Exception and Appeals Policy
• Coverage Limitation