Call now to get help signing up for plans from licensed insurance agents!
No obligation to enroll. Mon-Fri: 8am-11pm, Sat-Sun: 8am-11pm ET
TTY 711
Ready to Enroll Online?
iCare Medicare Plan (HMO D-SNP)
Wisconsin Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)
Monthly Premium
Your Cost
$48
by iCare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
3.5
out of 5 stars
Ready to Enroll Online?
Plan Overview
Plan Name
iCare Medicare Plan (HMO D-SNP)
Insurance Carrier
iCare
Plan Type
Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
Network Type
HMO
iCare Medicare Plan (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Wisconsin and offered by the health insurance company iCare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Monthly Premium
$48
Annual Deductible
$0 or $240 per year for in-network services.
Max Out-of-Pocket
$8,850
Primary doctor visit
0% or 20% coinsurance per visit
Specialist visit
0% or 20% coinsurance per visit
ER visit
$0 or $100 copay per visit (always covered)
Ambulance
$0 or $300 copay
iCare Medicare Plan (HMO D-SNP) has a monthly premium cost of $48 per month, with an annual deductible of $0 or $240 per year for in-network services. and a maximum out of pocket cost sharing of $8,850 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for iCare Medicare Plan (HMO D-SNP) are defined below.
Additional Benefits and Coverage
Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing
iCare Medicare Plan (HMO D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. iCare Medicare Plan (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. iCare Medicare Plan (HMO D-SNP) includes coverage for the following additional benefits:
Other benefits
Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Not covered
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Not covered
Comparing the Quality Score of iCare Medicare Plan (HMO D-SNP) to Other Plans in Wisconsin
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, iCare Medicare Plan (HMO D-SNP) received an overall government quality rating of 3.5 stars out of 5 stars.
iCare Medicare Plan (HMO D-SNP) performed worse than Wisconsin’s State average overall quality score of 4.0 stars.
This Plan’s 5-star Gov’t Quality Score
Wisconsin State Average Score
Overall Government 5 Star Quality Rating
3.5
4.0
Summary rating of health plan quality
3.5
3.9
Staying healthy: screenings, tests, & vaccines
3
3.6
Managing chronic (long term) conditions
3
3.5
Member experience with health plan
4
4.2
Member complaints & changes in the health plan's performance
4
3.6
Health plan customer service
4
4.0
Summary rating of drug plan quality
3.5
3.6
Drug plan customer service
2
3.5
Member complaints & changes in the drug plan's performance
4
3.7
Member experience with the drug plan
4
4.0
Drug safety & accuracy of drug pricing
3
3.3
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
iCare Medicare Plan (HMO D-SNP) received 3.5 stars for its health plan quality score which is worse than the Wisconsin State average health plan quality score of 3.9 stars.
iCare Medicare Plan (HMO D-SNP) received 3.5 stars for its drug plan quality score which is worse than the Wisconsin State average drug plan quality score of 3.6 stars.
In this article we rank Wisconsin Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Wisconsin is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Wisconsin.