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 coordinator or care manager will continue to work with you while the nurse case 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 qualify for Medicaid, 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 plans insured by iCare depends on contract renewal. Plans insured by iCare are available to anyone who has both Medical Assistance from the State and Medicare. For more information about long-term care options available to you, contact your local Aging and Disability Resource Center (ADRC). The ADRC can also assist you with information about eligibility and enrollment. This information is not a complete description of benefits. Call 1-800-777-4376 (TTY:1-800-947-3529) for more information. Independent Care Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-777-4376 (TTY: 1-800-947-3529). LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-800-777-4376 (TTY: 1-800-947-3529).