2015 HEALTH PLAN BENEFITS
Texas Medicare Advantage Health Plans
Care Improvement Plus is a Medicare Advantage Prescription Drug (MAPD) health plan that offers 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:
We offer a choice of plan options
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.
that include most or all of
the benefits and services listed below:
- Vision benefits
- Dental care
- Podiatry care
- Hearing coverage
- Over-the-counter health products
- 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.)
- And more...
Learn more about Care Improvement Plus
To find out which Care Improvement Plus Medicare Advantage Prescription Drug (MAPD) health plan is right for you, 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.
To learn more about Care Improvement Plus’ prescription drug
benefit, go to the
Information (Medicare Part D) section.
2015 Evidence of Coverage
2015 Summary of Benefits
2015 Annual Notice of Changes
The documents below are the Annual Notices of Changes for each plan. The information in these documents tells you about the differences between the 2014 and 2015 plan. Please note this is only a summary of changes. It is important to read the Evidence of Coverage to understand how the plan works. For any questions or concerns, please call Customer Service.
Medicare Plan Ratings Information
The Medicare Program rates how well Medicare health and drug plans perform in different categories (for example, detecting and preventing illness, ratings from patients, patient safety, drug pricing and customer service). The information provided below is an overall plan rating of our plan’s performance. This information is available to help you make the best choice. If you would like to get additional information on our plan’s performance, please contact us at 800-711-1656 (toll-free) or 800-713-1603 (TTY/TDD) for prospective members, 800-204-1002 (toll-free) or 800-713-1603 (TTY/TDD) for current members, or you may visit
Below is a summary of how our plan rated in quality and performance. Plan
performance star ratings are assessed each year and may change from one year to
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 (or Medical Assistance)
Medicaid is a joint Federal and state program that helps with medical costs for
some people with low incomes and resources. Some people with Medicare are also
eligible for Medicaid. Medicaid programs vary from state to state, but most
health care costs are covered if you qualify for both Medicare and Medicaid.
More information can be found in your Evidence of Coverage (Chapter 2, Section 6 – Medicaid).
This page was last updated on: 9/23/2014 11:04:41 PM