2014 Care Improvement Plus Silver Rx (PPO SNP) H0084-014

Care Improvement Plus Silver Rx (PPO SNP) By Care Improvement Plus

Care Improvement Plus Silver Rx (PPO SNP) is a 2014 Medicare Advantage Special Needs Plan plan by Care Improvement Plus. This plan from Care Improvement Plus works with Medicare to give you significant coverage beyond original Medicare. If you decide to sign up you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Care Improvement Plus and not Original Medicare. All Medicare SNPs also provide Medicare additional Part-D drug coverage. Care Improvement Plus Silver Rx (PPO SNP) H0084-014 is a Chronic Condition SNP (C-SNP). A Chronic Condition SNP is for beneficiaries with the following severe or disabling chronic conditions: Chronic Heart Failure and Diabetes. If you have Medicare and you develop certain severe or disabling conditions you can join a Medicare SNP designed to serve people with those conditions at any time.

2014 Medicare Special Needs Plan Details

Plan Name:
Care Improvement Plus Silver Rx (PPO SNP)
Plan ID:
Special Needs Type: Chronic or Disabling Condition
Provider: Care Improvement Plus
Plan Year:2014
Plan Type: Local PPO
Monthly Premium C+D: $19.40
Chronic Condition:Chronic Heart Failure and Diabetes

Coverage Area for Care Improvement Plus Silver Rx (PPO SNP)


The Care Improvement Plus Silver Rx (PPO SNP) H0084-014 is available to residents in Indiana, Iowa, and all Medicare SNPs must provide Medicare additional prescription drug (Part-D) coverage. Care Improvement Plus Silver Rx (PPO SNP) is a Local PPO. A preferred provider organization (PPO) is a medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

Total Ratings for Care Improvement Plus Silver Rx (PPO SNP) H0084

2014 Overall Rating
Part C Summary Rating
Total Experience Rating
Complaints, Improvements
Total Customer Service Rating
Total Preventative Rating
Chronic And Long Term Care

Member Experience Rating for Care Improvement Plus Silver Rx (PPO SNP)

Total Experience Rating
Getting Needed Care
Timely Care and Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination

Member Complaints, Problems Getting Service and Improvements in Health Plans

Total Rating
Members Leaving the Plan
Complaints about Health Plan
Access to Service
Performance Problems
Health Plan Quality Improvement

Customer Service Rating for Care Improvement Plus Silver Rx (PPO SNP)

Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center

Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
Breast Cancer Screening
Colorectal Cancel Screening
Cardiovascular Screening
Diabetes Care
Glaucoma Testing
Annual Flu Vaccine
Improving Physical
Improving Mental Health
Monitoring Physical Activity
Adult BMI Assessment

Ratings For Managing Chronic And Long Term Care

Total Rating
Medication Review
Functional Status Assessment
Pain Screening
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Diabetes Care - Cholesterol
Controlling Blood Pressure
Rheumatoid Arthritis
Improving Bladder Control
Reducing Risk of Falling
Plan - Cause Readmissions

Part-C Premium

Care Improvement Plus plan charges a $0.00 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.

Part-D Deductible and Premium

The Care Improvement Plus Silver Rx (PPO SNP) plan has a monthly drug premium of $19.40 and a $310.00 drug deductible. This Care Improvement Plus plan offers a $19.40 Part D Basic Premium that is below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Care Improvement Plus above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $19.40. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.

Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Care Improvement Plus Silver Rx (PPO SNP) medicare insurance plan offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $4.80 for 75% low income subsidy $9.70 for 50% and $14.50 for 25%.

Part C Premium: $0.00
Part D (Drug) Premium: $19.40
Part D Supplemental Premium $0.00
Total Part D Premium: $19.40
Drug Deductible: $310.00
Tiers with No Deductible: 0
Benchmark: below the regional benchmark
Type of Medicare Health Plan: Defined Standard Benefit
Drug Benefit Type: Basic
Full LIS Premium: $0.00
75% LIS Premium: $4.80
50% LIS Premium: $9.70
25% LIS Premium: $14.50
Inital Coverage Limit:$2850
Gap Coverage: No Gap Coverage

Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plan's cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This Care Improvement Plus plan covers No Gap Coverage through the gap. No Gap Coverage means 0% of formulary drugs are covered through the gap or 15 or less brand name products are covered through the gap.

Source: CMS.

Plans as of September 3, 2013.

Star Rating as of September 27, 2013.

For More Information on Ratings Please See the CMS Tech Notes Here.

Plans are subject to change as contracts are finalized.

Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.

Call For A licensed Sales Agent

Or Enroll Online Here

Call to Enroll!