You do not need to select a primary care physician and you do not need referrals to see other providers in the network. About Careers Events Contact Report Fraud Blog 1-80 For Providers For Members Open Menu. View or download the Quick Reference Guide. iCare provides health care plans to families and individuals covered by Medicare, Medicaid, or both including dual-eligible Special Needs (D-SNP) plans. 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. Healthy Blue’s provider manual provides key administrative information including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies. Care Improvement Plus Medicare Advantage (Regional PPO) is a Regional PPO. This means that if you get sick or need a high cost procedure your co-pays are capped once you pay out of pocket $6,700 this can be a very nice safety net. The Care Improvement Plus Medicare Advantage (Regional PPO) has a monthly premium of $39.00 and has a in-network Maximum Out-of-Pocket limit of $6,700 (MOOP). This plan includes additional Medicare prescription drug (Part-D) coverage. 2016 Medicare Advantage Care Improvement Plus Medicare Advantage (Regional PPO) Care Improvement Plus Medicare Advantage (Regional PPO) R9896-012 is a 2016 Medicare Advantage or Medicare Part-C plan by Care Improvement Plus available to residents in Georgia South Carolina.
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