2012 HEALTH PLAN BENEFITS
GEORGIA Medicare Health Plan Benefits
Care Improvement Plus is a Medicare Advantage Prescription Drug (MAPD) health plan that offers Georgia Medicare beneficiaries a variety of Medicare health plans with complete health care coverage:
- Medicare Part A (Hospital)
- Medicare Part B (Medical)
- Medicare Part D (Prescription Drug Coverage)
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. You can go to any Medicare-approved provider that will accept payment from our plan.
In addition, Georgia Medicare beneficiaries also get:
- Vision benefits
- Dental Coverage
- Transportation benefits
- Podiatry care
- Care Management services, including a 24/7 Nurse Hotline, care coordination and health education
- 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.)
- Over-the-counter health benefit***
- 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.
Extra Help (Low Income Subsidy)
You may qualify for extra help paying your monthly drug plan premium and a portion of your prescription drug costs – and even prescription drug coverage through the coverage gap.
Extra help is provided by Medicare to pay prescription drug costs for people who meet specific income and resource limits. Resources include your savings and stocks, but not your home or car. If you qualify, you will get help paying for your Medicare drug plan’s monthly premium, yearly deductible, and prescription copayments. In most cases, if you get extra help, you won’t pay a premium. If you qualify for extra help, you won’t have a coverage gap either.
To see if you qualify, call: 1-800-MEDICARE (1-800-633-4227), TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week; the Social Security Administration at 1-800-772-1213 between 7:00 am and 7:00 pm, Monday through Friday, TTY/TDD users should call 1-800-325-0778; or your State Medicaid Office.
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.
Monthly Plan Premium if You Get Extra Help
Click
here
to find out what your monthly plan premium will be if you get extra help from Medicare.
Medicaid
Medicaid is a joint Federal and state government program that helps with medical costs for certain people with limited incomes and resources. Some people with Medicare are also eligible for Medicaid. Medicaid has programs that can help pay for your Medicare premiums and other costs, if you qualify. More information can be found in your Evidence of Coverage (Chapter 2, Section 6 – Medicaid).
2012 Benefits At A Glance
These charts show some key benefits and costs of our Care Improvement Plus Medicare Advantage (MAPD) health plans.
Learn more about Care Improvement Plus
To find out which Care Improvement Plus Medicare Advantage Prescription Drug (MAPD) health plan is right for a particular beneficiary, click here or review each plan's Evidence of Coverage (Chapter 4 – Medical benefits chart (what is covered and what you pay) and/or Summary of Benefits (Section II – Summary of Benefits) below.
2012 Evidence of Coverage
2012 Summary of Benefits
To learn more about Care Improvement Plus’ prescription drug benefit, go to the Prescription Information (Medicare Part D) section.
** Denture benefits are only available in the Silver Rx (Regional PPO SNP) (PPO SNP) Plan and the Dual Advantage (PPO SNP) plan.
*** The Over the Counter benefit is only available in the Silver Rx (Regional PPO SNP) (PPO SNP) Plan in Georgia.
This page was last updated on: 11/30/2011 3:38:31 PM
