Who Can Enroll

Care Improvement Plus offers three Medicare Advantage Prescription Drug (MA-PD) plans.

Chronic Condition Special Needs Plans
Medicare/Full Medicaid Special Needs Plan
Medicare Advantage (Regional PPO) and (PPO)

Chronic Condition Special Needs Plans
Care Improvement Plus Chronic Condition Special Needs Plans are for Medicare beneficiaries with diabetes and/or heart failure. To be eligible for these plans beneficiaries must:

• be entitled to Medicare Part A and enrolled in Part B;
• have been diagnosed with diabetes and/or heart failure, and
• reside in Arkansas, Georgia, Maryland, Missouri, South Carolina and Texas

A choice of plan options
We offer a choice of options for the Care Improvement Plus Chronic Condition Special Needs Plans.

• Silver Rx (Regional PPO) - for Medicare beneficiaries with diabetes and/or heart failure who also have full Medicaid (QMB, QMB Plus)
• Gold Rx (Regional PPO) - for Medicare beneficiaries with diabetes and/or heart failure who do not have Medicaid or LIS (Low-Income Subsidy)
• Gold Rx Advantage (Regional PPO) - for Medicare beneficiaries with diabetes and/or heart failure who receive LIS (Low-Income Subsidy), but do not have full Medicaid

Note: Individuals with End Stage Renal Disease are generally not eligible to enroll in Care Improvement Plus Silver Rx (Regional PPO), Gold Rx (Regional PPO) or Gold Rx Advantage (Regional PPO) Plans unless they are members of our organization and have been since their dialysis began.

Click here to view plan benefits for the Chronic Condition Special Needs Plans.

Medicare/Full Medicaid Special Needs Plan
The Care Improvement Plus Dual Advantage (Regional PPO) Plan is a Medicare/Full Medicaid Special Needs Plan for Medicare beneficiaries who have both Medicare and Medicaid. To be eligible for this plan, beneficiaries must be:

• entitled to Medicare Part A and enrolled in Part B
• enrolled in state Medicaid (QMB or QMB Plus) and may include any other dual eligible beneficiaries for which the State holds harmless for Part A and Part B cost sharing, and
• reside in Arkansas, Georgia, Missouri, South Carolina and Texas.

Note: Individuals with End Stage Renal Disease are generally not eligible to enroll in Care Improvement Plus Dual Advantage (Regional PPO) Plan unless they are members of our organization and have been since their dialysis began.

Click here to view plan benefits for the Dual Advantage (Regional PPO) Plan.

Medicare Advantage (Regional PPO) and (PPO)
If you are a Medicare beneficiary who doesn't have a chronic illness or Medicaid, the Care Improvement Plus Medicare Advantage (Regional PPO) Plan may be the right plan for you. It was specifically designed for beneficiaries who don't qualify for one of 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. To be eligible for this plan, beneficiaries must be:

• entitled to Medicare Part A and enrolled in Part B, and
• reside in Arkansas, Georgia, Missouri, South Carolina or Texas.

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

Note: Individuals with End Stage Renal Disease are generally not eligible to enroll in Care Improvement Plus Medicare Advantage (Regional PPO) or Care Improvement Plus Medicare Advantage (PPO) unless they are members of our organization and have been since their dialysis began.

Click here to view plan benefits for the Medicare Advantage (Regional PPO) Plan and Medicare Advantage (PPO) Plan.