Hours: 8:00 AM - 8:00 PM 7 days a week
|
Sales: 1-800-711-1656
|
Members: 1-800-204-1002
|
TTY: 711
Care Improvement Plus
National Home Newsroom Press Releases ARKANSAS

National Study Reports Staggering Spending Increases Among Seniors with Chronic Conditions - Special Needs Plan Program Offers Solution For Those in Maryland

March 01, 2010

BALTIMORE (March 1, 2010) – The staggering rise in Medicare spending over the past two decades has been caused by treating seniors with chronic conditions, says a recent study appearing in the leading health policy journal Health Affairs. Millions of Medicare beneficiaries with chronic illness could benefit from customized care coordination offered through Medicare Special Needs Plans (SNPs), and absent from fee-for-service Medicare.
 

The study, presented at a National Press Club briefing, suggested that care coordination, evidence-based community prevention and support for patient self-management are the cornerstones for successful treatment of seniors with chronic illnesses.
 

Care Improvement Plus, Maryland’s largest SNP, today encouraged state Medicare beneficiaries with chronic illnesses to find out if they’re eligible for assistance under these coordinated care plans. They also called on Congress to consider the issues of coordinated care and chronic disease management for those on Medicare with chronic illnesses as they debate health reform.
 

“This study raises a red flag on an issue that will not go away unless addressed head-on and brought to the attention of the millions of seniors who are not aware of the care they should be receiving,” said Paul Serini, Executive Vice President, XLHealth Corporation, which owns and operates Care Improvement Plus. “This conversation on the effective management of chronically ill seniors is a critical component to improving the nation’s health care system.”
 

Care Improvement Plus’ Special Needs Plans provide preventive care, identifying problems before they become acute, and bridges gaps by coordinating care—ensuring physicians, caregivers and pharmacists are kept informed of member’s health status, and assisting those who are medically homeless to access necessary care.
 

Care Improvement Plus currently serves over 918 members in Maryland. 

The study, titled “Chronic Conditions Account for Rise in Medicare Spending from 1987-2006,” was published in the February online edition of Health Affairs, a prominent peer-reviewed monthly journal.


About XLHealth Corporation
XLHealth Corporation (http://www.xlhealth.com) is the owner and operator of Care Improvement Plus (http://www.careimprovementplus.com), a Medicare Advantage health plan committed to delivering quality health care benefits and serving the underserved. Focused on improving patient outcomes and reducing health care spending, Care Improvement Plus provides comprehensive Medicare coverage and a Part D prescription drug benefit, plus additional services such as dental and vision coverage, and care management support.



This page was last updated on: 9/22/2011 12:13:44 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.