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To learn about 2016 plans, click here.
To learn about 2015 plans, see below.

Hours: 8:00 AM - 8:00 PM 7 days a week
Sales: 1-855-633-4198
Members: 1-800-204-1002
TTY: 711

Medicare/ Full Medicaid Special Needs Plan

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

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.

We offer a choice of plan options that include most or all of the benefits and services listed below:

  • Vision benefits
  • Dental care
  • Podiatry care
  • Hearing coverage
  • Transportation
  • 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.)

    Social Service Coordinators program

  • And more...

To be eligible for our Dual Advantage (PPO SNP) Plans you must reside in the following Nebraska counties: Burt, Cass, Cuming, Douglas, Otoe, Pawnee, Sarpy, Saunders, Thurston, Washington.

* You must be entitled to Medicare Part A, enrolled in Part B, and enrolled in state Medicaid and dual eligible beneficiaries whom the state holds harmless for Part A and Part B cost sharing.

** 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: 6/28/2013 3:26:47 PM

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Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract. Enrollment in the plan depends on the plan’s contract renewal with Medicare. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or by another third party.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Medicare evaluates plans based on a 5-Star rating system. Star ratings are calculated each year and may change from one year to the next.

Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine 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. The health providers in our network can change at any time.

To be eligible for a Care Improvement Plus Regional PPO plan you must be a Medicare beneficiary living in Arkansas, Georgia, Missouri, South Carolina, or Texas and have both Medicare Part A and Part B to enroll.

To be eligible for a Care Improvement Plus Local PPO plan you must be a Medicare beneficiary living in select counties of: Arkansas, Georgia, Illinois, Indiana, Iowa, Missouri, Nebraska, New Mexico, North Carolina, South Carolina, Texas or 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 and/or, cardiovascular disorder. This plan is available to anyone having a qualifying chronic care condition. 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, cardiovascular disorder 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.

To be eligible for a Care Improvement Plus Dual Advantage Plan, 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. This plan is available to anyone who has both medical assistance from the state and from Medicare. 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, co-insurance and deductibles may vary based on the level of extra help you receive. Please contact the plan for further details.

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.

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