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Care Improvement Plus
National Home Caregivers Frequently Asked Questions
 
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Frequently Asked Questions

When can someone enroll?
How can someone enroll?
How much are Care Improvement Plus’ monthly premiums?
Where can I find a copy of the Care Improvement Plus Evidence of Coverage?
Where can I find a copy of the Care Improvement Plus Summary of Benefits?
Where can I learn about getting extra help with prescriptions?
How can I change my loved ones plan options?

When can someone enroll?
The Centers for Medicare and Medicaid Services (CMS) has established limited periods throughout the year for Medicare beneficiaries to switch to or enroll for the first time in Medicare Advantage Prescription Drug (MA-PD) plans. If you have diabetes and/or heart failure* and it is your first time joining a Special Needs Plan, you may enroll in a Care Improvement Plus Special Needs Plan anytime of the year by exercising a "Special Election Period."

For additional information on Enrollment Periods, click here.

How can someone enroll?
Care Improvement Plus offers five enrollment options:
  • You can enroll online today by completing our online enrollment application.
  • You can enroll over the phone today by calling, 1-866-683-3321 (TTY: 711).
  • You can attend an information session in your area where you can learn more about Care Improvement Plus and Medicare benefits.
  • You can schedule an appointment with a Licensed Agent at a time that is convenient for you. The Licensed Agent can explain the benefits of our plan and assist you in completing your enrollment application.
  • Call us or email us and we’ll send you an enrollment kit. Your enrollment kit will contain more information about our programs and services, an enrollment application, and a postage-free return envelope.

    For additional information on enrolling a loved one, click here.

How much are Care Improvement Plus’ monthly premiums?
You can find information on Care Improvement Plus’ monthly premiums in the Health Plan Benefits section.

  • Click here to access the Chronic Condition Special Needs Plan Health Plan Benefits
  • Click here to access the Medicare/Full Medicaid Special Needs Plan Health Plan Benefits
  • Click here to access the Medicare Advantage Prescription Drug Plan Health Plan Benefits

Where can I find a copy of the Care Improvement Plus Evidence of Coverage?
You can find a copy of the Care Improvement Plus Evidence of Coverage in the Health Plan Benefits section.

  • Click here to access the Chronic Condition Special Needs Plan Health Plan Benefits
  • Click here to access the Medicare/Full Medicaid Special Needs Plan Health Plan Benefits
  • Click here to access the Medicare Advantage Prescription Drug Plan Health Plan Benefits

Where can I find a copy of the Care Improvement Plus Summary of Benefits?
You can find a copy of the Care Improvement Plus Summary of Benefits in the Health Plan Benefits section.

  • Click here to access the Chronic Condition Special Needs Plan Health Plan Benefits
  • Click here to access the Medicare/Full Medicaid Special Needs Plan Health Plan Benefits
  • Click here to access the Medicare Advantage Prescription Drug Plan Health Plan Benefits
Where can I learn about getting extra help with prescriptions?
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 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call 1-800-325-0778 or
  • Your State Medicaid Office.
How can I change my loved one’s plan options?
Members may change their current plan option during specified enrollment periods.
  • Members can change their plan option over the phone by calling 1-866-683-3321 (TTY: 711), 7 days a week from 8:30am – 5:00pm.

  • Complete a Plan Change Option Form, sign and date it, and return it to Care Improvement Plus.
  • Arkansas
    Georgia
    Missouri
    Illinois
    Indiana
    Iowa
    Maryland
    New York
    New Mexico
    South Carolina
    Texas
    Wisconsin

    Mailing Address:
    Care Improvement Plus
    P.O. Box 691350
    San Antonio, TX 78269-1350
    Attn: Enrollment Department

    For additional information on Enrollment Periods, click here.

* To be eligible for a Care Improvement Plus Chronic Condition Special Needs Plan, you must have diabetes and/or heart failure. Individuals with End Stage Renal Disease are generally not eligible to enroll in Care Improvement Plus unless they are members of our organization and have been since their dialysis began.



This page was last updated on: 10/5/2011 3:29:01 PM

Copyright © 2006 - 2012 Care Improvement Plus
Y0072_OE12_4511 CMS Approved 11/15/2011

Care Improvement Plus is a Medicare Advantage organization with a Medicare contract. The Care Improvement Plus contract with CMS is renewed annually and coverage availability beyond the end of the current contract year is not guaranteed. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2013.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. For more information contact the plan. To be eligible for a Care Improvement Plus plan you must be a Medicare beneficiary living in Arkansas, Georgia, Missouri, South Carolina, Texas and select counties in Illinois, Iowa, Indiana, Maryland, New Mexico, New York, Wisconsin and have both Medicare Part A and Part B to enroll.

To be eligible for a Care Improvement Plus Chronic Conditions Special Needs Plan, you must have diabetes and/or heart failure. To be eligible for Care Improvement Plus Dual Advantage, you must be enrolled in state Medicaid and be a dual eligible beneficiary whom the State holds harmless for Part A and Part B cost sharing.

Members may enroll in the plan only during specific times of the year. Contact Care Improvement Plus for more information. If you have diabetes, heart failure, or Medicaid/Low Income Subsidy, you may qualify to enroll in a Care Improvement Plus Special Needs Plan ANYTIME of the year by exercising a “Special Election Period.

You must continue to pay your Medicare Part B premium. If you are a full benefit dual beneficiary and your Part B premium is paid for by the State, you will not be responsible for paying your Part B premium. Premiums, copays, coinsurance and deductibles may vary based on the level of help received. Limitations, copayments and restrictions may apply.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

  • 1–800–MEDICARE (1–800–633–4227). TTY users should call 1–877–486–2048, 24 hours a day/7 days a week;
  • The Social Security Office at 1–800–772–1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1–800–325–0778; or
  • Your State Medicaid Office.

People with limited incomes may qualify for extra help to pay their prescription drug costs. If eligible, Medicare could pay for 75% or more of your drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this extra help, contact your local Social Security office, or call Social Security at 1–800–772–1213.TTY users should call 1–800–325–0778. You can also apply for extra help online at www.socialsecurity.gov/prescriptionhelp. If you qualify for extra help with your Medicare prescription drug coverage costs, Medicare will pay all or part of your plan premium. If Medicare pays only a part of this premium, we will bill you for the amount that Medicare doesn’t cover.

Premiums, copays, coinsurance, and deductibles may vary based on the level of help that beneficiaries may receive. Contact the plan for further details. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under nonroutine circumstances, and quantity and restrictions may apply. It may cost more to get care from out–of–network providers, except in an emergency. If there isn’t a network provider available for you to see, you can go to an out–of–network provider but still pay the in–network amounts except for members who live in our Maryland service areas. Those members can only use doctors, specialists, or hospitals in–network. The health providers in our network can change at any time.