Medicare/ Full Medicaid Special Needs Plan
Medicare Parts A, B and D
Are you a Medicare beneficiary who has both Medicare (Parts A and B) and Full Medicaid?*
Here's a plan that offers more benefits, care, and services to help you better manage your health.
Care Improvement Plus currently covers more than 20,000 members who have both Medicare and Full Medicaid. We understand it can be confusing as to what Medicare covers and what Medicaid covers. As a result, Medicare beneficiaries may not be getting all the benefits, care, and services they're entitled to. We can help Medicare beneficiaries get more benefits, care, and services with our Care Improvement Plus Dual Advantage (PPO SNP) plans.
Our Care Improvement Plus Dual Advantage Plan is for beneficiaries with both Medicare and Full Medicaid features:
- $0 monthly plan premium
- $0 cost sharing (no copayments, coinsurance, or deductibles) for Medicare covered services
To be eligible for our Dual Advantage (PPO SNP) Plans you must reside in the following counties:
Dual Advantage (PPO SNP) COUNTIES:
Arkansas: Ashley, Benton, Boone, Bradley, Carroll, Franklin, Jefferson, Logan, Lonoke, Madison, Miller, Ouachita, Pulaski, Scott, Sebastian, Washington
Additional services - well beyond what's provided by Original Medicare:
Care Improvement Plus has an Open Access Provider Network, with no referral requirements. This lets beneficiaries go to any Medicare-approved provider that will accept payment from our plan and Medicaid. In addition, beneficiaries also get:
- Vision benefits
- Preventive 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 benefit, members may be able to find assistance programs they qualify for, but didn't know about.)
- And more...
You must be entitled to Medicare Part A, enrolled in Part B, and enrolled in state Medicaid (specifically QMB or QMB Plus and SLMB Plus in Texas), and dual eligible beneficiaries whom the state holds harmless for Part A and Part B cost sharing. However, individuals with End Stage Renal Disease are generally not eligible to enroll in Care Improvement Plus Dual Advantage (Regional PPO SNP) (PPO SNP) unless they are members of our organization and have been since their dialysis began.
** 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.
This page was last updated on: 9/12/2011 11:04:03 AM
