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Care Improvement Plus Milestones

Established in 2006, Care Improvement Plus, a Medicare Advantage plan offered by XLHealth Corporation, is committed to delivering quality health care benefits and serving the underserved. Originally established as a Chronic Conditions Special Needs Plan (C-SNP), Care Improvement Plus' success as a unique Medicare offering has led to rapid growth and expansion, including new service areas and additional SNP and MAPD offerings.Today, over seven million Medicare beneficiaries are eligible to become Care Improvement Plus members.

2003:

The Medicare Modernization Act (MMA) is signed into law. The MMA introduces several important changes to Medicare, including Special Needs Plans (SNPs). SNPs are Medicare Advantage plans that provide better coverage and preventive care for three specific groups of Medicare beneficiaries: those with chronic illnesses, those residing in nursing homes, and low-income individuals who qualify for both Medicare and Medicaid.

2005:

CMS grants XLHealth approval to market Care Improvement Plus, a new SNP that focuses on the unique health care needs of chronically ill Medicare beneficiaries living in Maryland. XLHealth is one of only a few companies throughout the nation approved by CMS to provide the Medicare Advantage plan, which combines traditional Medicare coverage with care management services and a Medicare Part D prescription drug benefit, for Medicare beneficiaries with illnesses such as diabetes and heart failure.

2006:

Care Improvement Plus launches services in eight counties in Maryland, with approximately 98,000 chronically ill beneficiaries eligible to join.

2007:

Care Improvement Plus expands its Maryland plan into three additional Maryland counties and launches services in five additional states: Arkansas, Georgia, Missouri, South Carolina and Texas, making the plan available to approximately 1.4 million Medicare beneficiaries. This is the first time a chronic illness Special Needs Plan is offered to residents of Arkansas, Georgia, South Carolina and Texas.

By March of 2007, Care Improvement Plus grows to become XLHealth's core business focus, with over 65,000 chronically ill members.

2008:

Care Improvement Plus continues to attract new members with its unique plan services, adding dental coverage to all plan options.

Care Improvement Plus launches its HouseCalls program for plan members. The program provides members with the option of receiving a free personal home visit from a licensed, specially trained local health care provider to review their medical needs, answer health related questions, and discuss important topics to address at their next doctor's visit.

Care Improvement Plus receives a perfect score from the Centers for Medicare & Medicaid Services (CMS) in the evaluation of its structure and process measures. The measures are the first in a series of new requirements evaluating the performance of SNPs in providing high quality care and improving health outcomes for Medicare beneficiaries.

2009:

Care Improvement Plus receives approval from CMS to expand its plan offerings to include a SNP for beneficiaries with both Medicare and full Medicaid, as well as a Medicare Advantage plan for those beneficiaries without special needs, such as spouses and caregivers of Care Improvement Plus SNP members.

2011:

Care Improvement Plus reaches its highest membership level since the plan was first launched – more than 107,000 enrolled and benefiting from our unique model of care.

Care Improvement Plus begins partnership with the National Family Caregivers Association (NFCA), the nation’s largest nonprofit caregiver organization, to address the growing needs of individuals caring for chronically ill seniors.

Care Improvement Plus expands its service area to include select counties in six new states: Illinois, Indiana, Iowa, New Mexico, New York and Wisconsin.



This page was last updated on: 9/27/2011 10:47:24 AM
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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.