2018 Benefits and Services
Multi-Level Care Management
Your Lakeland Care Team manages your medical and social services needs. Care management recognizes there are medical as well as non-medical needs that have to be addressed in order to maximize your health.
One Team To Manage All Your Care
If you are a Lakeland Care beneficiary, when you add Lakeland Care +Health, your same team can also manage your health care and other services available through the plan. Your Lakeland care team will be your resource to access the services you currently use as a Lakeland Care member.
Your care team can help you choose a health care support group, a specific community center, or address your housing needs. Your care team can also offer information and referrals to programs designed to help you get the most out of your health care coverage, such as exercise or smoking cessation programs.
Nurse Case Managers
Nurse case managers work with our staff when dealing with complex medical, behavioral or social needs. The care manager will continue to work with you while the nurse care manager is helping out.
Intervention and Outreach
If you are struggling with mental health issues or substance abuse, we may provide support for behavioral change and assistance locating community resources. Our health outreach works with members with special needs and assists them in accessing preventive services.
The Lakeland Care +Health plan offers you a wide choice of providers to choose from. Lakeland Care +Health provides medical services through Medicare-certified doctors, health care professionals, hospitals and other health care facilities. You must use plan providers except in emergency or urgent care situations. If you obtain routine care from out-of-network providers, neither Medicare nor the Lakeland Care +Health Plan will be responsible for the costs. Visit your Evidence of Coverage for more information.
- There may be No Plan Premium if you qualify for extra help from the State. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details
- No Plan Deductible
- Prescription Drug Coverage: If you are already a member of Lakeland Care, you qualify for a low-income subsidy, so you do not have to pay a copay for prescription drugs
- 90-day supply for a one month co-pay of Tier 1 and Tier 2 formulary medications
- Enhanced benefits: Additional coverage for costs not covered by Original Medicare (Parts A & B). Learn more about these Enhanced Benefits
Independent Care Health Plan (iCare) is a Medicare Advantage HMO SNP organization with a Medicare contract and a contract with the State Medicaid program. Enrollment in any iCare plan depends on contract renewal. Plans are available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Part B premium is covered by the State if you are a full-dual member. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
H2237_IC1586 Accepted 11/02/17, DHS Approved 12/18/17. Filed by Independent Care Heath Plan.