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Care Improvement Plus
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Chronic Condition Special Needs Plan
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Medicare Advantage Prescription Drug Plan

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Medicare Advantage Prescription Drug Plan

Designed for beneficiaries who don't qualify for our Special Needs Plans (such as spouses and caregivers of our Special Needs Plan members). This plan focuses on helping beneficiaries proactively manage their health, so they can feel their best and stay active.

With every Care Improvement Plus Medicare Advantage (Regional PPO) plan beneficiaries get:
Complete health care coverage, including:
  • Medicare Part A (Hospital)
  • Medicare Part B (Medical)
  • Medicare Part D (Prescription Drugs)

Additional services – well beyond what's provided by Original Medicare:
Care Improvement Plus has an Open Access Provider Network, with no referral requirements for Medicare covered services. This lets beneficiaries go to any Medicare-approved provider that will accept payment from our plan. In addition, beneficiaries also get:

  • Vision benefits
  • Dental coverage
  • Transportation benefits
  • Podiatry care
  • 24/7 Nurse Hotline
  • Preventive health care
  • Emergency care
  • Durable medical equipment benefits
  • Social Service Coordinators program – to help members better manage out-of-pocket expenses for health care, prescription drugs, utility bills, and more. (With this program, members may be able to find assistance programs they qualify for, but didn't know about.)
    Social Service Coordinators program
  • And more...

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan.

Click the links below to find out what your monthly plan premium will be if you get extra help from Medicare.
Arkansas
Georgia
Illinois
Indiana
Iowa
Maryland
Missouri
New Mexico
New York
South Carolina
Texas
Wisconsin

In addition, we also offer a Medicare Advantage (PPO) Plan for Medicare beneficiaries who reside in certain counties in Arkansas (Ashley, Benton, Boone, Bradley, Carroll, Franklin, Jefferson, Lonoke, Madison, Miller, Ouachita, Pulaski, Sebastian, Washington) , Georgia (Clayton, DeKalb, Fulton, Muscogee, Newton, Richmond, Rockdale) , Missouri (Clay, Dade, Greene, Jackson, Polk, St. Charles, St. Louis, Webster), South Carolina (Richland) and Texas (Bexar, Bowie, Brazoria, Cass, Chambers, Collin, Culberson, Dallas, Denton, Dimmit, Duval, El Paso, Ellis, Fort Bend, Guadalupe, Harris, Hood, Hudspeth, Hunt, Jefferson, Jim Hogg, Johnson, Kaufman, Kennedy, Kleberg, Liberty, Montgomery, Navarro, Nueces, Orange, Polk, Presidio, Red River, Tarrant, Taylor, Titus, Van Zandt, Wilson, Wood, Zavala)

In addition, we also offer a Medicare Advantage (PPO) Plan for Medicare beneficiaries who reside in certain counties in Arkansas and Texas.

2012 Benefits At A Glance

These charts show some key benefits and costs of our Care Improvement Plus plans.

Arkansas Georgia Illinois Indiana Iowa Missouri New Mexico New York South Carolina Texas Wisconsin

Learn more about Care Improvement Plus
To find out which Care Improvement Plus is right for a particular beneficiary, click here or review each plan's Evidence of Coverage and/or Summary of Benefits below.

2012 Evidence of Coverage

Arkansas Georgia Illinois Indiana Iowa Missouri New Mexico New York South Carolina Texas Wisconsin

2012 Summary of Benefits

Arkansas Georgia Illinois Indiana Iowa Missouri New Mexico New York South Carolina Texas Wisconsin

This page was last updated on: 10/12/2011 10:12:07 AM
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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.