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Effective January 1, 2009
Plan Overview
What is the
iCare
Medicare Plan-Northeast?
The
iCare
Medicare Plan-Northeast is a health care benefits program for all eligible
Medicare beneficiaries. Independent Care
is a Health plan with a Medicare contract.
When you join our Plan, you will have a zero dollar
monthly Plan premium, and a one dollar generic prescription drug
co-pay for a one-month supply ($1 generic co-pay applies until you reach
the $2,700 annual limit, then you pay 100% until your yearly out-of-pocket
drug costs reach $4,350, then you pay the greater of a $2.40 co-pay or 5%
coinsurance.) You must continue to pay your Medicare Part B premium if not
otherwise paid for under Medicaid or by another third party. We provide you
with all of the benefits offered by the Original Medicare Plan as well as
attentive customer service.
iCare
Medicare Plan - Northeast Features
Provider Network - The
iCare
Medicare Plan offers you a wide choice of providers to choose from. We have
over 2,600 providers in our network. The iCare
Medicare Plan-Northeast provides medical services through Medicare-certified doctors, health care professionals, hospitals and other health care
facilities. You are not required to choose a primary care provider (PCP),
but we strongly encourage your doing so. You must receive all routine
care from plan providers. If you obtain routine care from non-plan
providers, neither Medicare nor iCare
Medicare Plan-Northeast will be responsible for the costs.
Member Services - Our Member Services
department is your link to everything you want to know about
iCare. You can contact 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.
Benefits Include:
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No premium for medically necessary services
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One dollar co-pay for generic
prescription drugs (One dollar generic co-pay applies until you reach
the $2,700 annual limit, then you pay 100% until your yearly
out-of-pocket drug costs reach $4,350, then you pay the greater of a
$2.40 co-pay or 5% coinsurance.)
Independent Care contracts with the
Federal government to offer this Medicare Advantage program.
Independent Care's contract with the Centers for Medicare and
Medicaid Services (CMS) is renewed on a yearly basis and benefit coverage
beyond the end of the current contract year is not guaranteed.
Benefits, formulary, pharmacy, network premium and/or copayments/co-insurance
may change on January 1, 2010. Please contact
iCare for
details.
Notice for Potential Contract
Termination
Independent Care Health Plan (iCare)
is authorized by law to refuse to renew its contract with the Centers for
Medicare and Medicaid Services (CMS). CMS may also refuse to renew its
contract with iCare.
If the contract between
iCare and CMS is not
renewed or terminated, this may result in the termination of your enrollment
in the iCare
Medicare Plan-Northeast. In addition,
iCare
may reduce its service area and have the right to no longer offer services
in the area where the beneficiary resides.
If this occurs, you will receive another notice and instructions for
continuity of care.
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.
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