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iCare Family Care Partnership (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for iCare Family Care Partnership (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on iCare Family Care Partnership (HMO D-SNP) in 2026, please refer to our full plan details page.
iCare Family Care Partnership (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Eastern and South Central Wisconsin. This plan received an overall rating of 2.5 out of 5 stars in 2026.
It's important to know that iCare Family Care Partnership (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
iCare Family Care Partnership (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about iCare Family Care Partnership (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For iCare Family Care Partnership (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.90. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $2.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The iCare Family Care Partnership (HMO D-SNP) Medicare prescription drug coverage includes an annual drug deductible of $615. This means you will need to pay $615 out-of-pocket for your covered medications before your plan benefits kick in. Specific drug tier details, such as copays and coinsurance for generic or brand-name drugs, are not available for this plan. To fully understand your potential prescription costs, you should check the plan's formulary to see how your specific medications are categorized.
Additional Benefits
The iCare Family Care Partnership (HMO D-SNP) offers comprehensive coverage for core medical needs, featuring no copay alongside a standard 20% coinsurance for outpatient care, specialist visits, and diagnostic services. While emergency care requires a $115 copay, primary care visits have no copay, and inpatient hospital stays require set copayments of $2,230 for acute care and $2,080 for psychiatric care. Skilled nursing facility stays are also covered with no coinsurance, featuring no copay for the first 20 days and a daily copay of $218 for days 21 through 100. This plan also provides valuable extra benefits, including routine preventive care, home health services, and select over-the-counter items with no copay and no coinsurance. Comprehensive dental services are covered up to a $4,000 annual maximum with no copay and no coinsurance, and hearing benefits feature fully covered over-the-counter hearing aids. Vision services and routine hearing exams are available with no copay and a 20% coinsurance up to plan limits.
Inpatient Hospital See details
iCare Family Care Partnership (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per Medicare-covered acute stay and a $2,080 copay per psychiatric stay. Upgrades and non-Medicare-covered stays are not covered under this benefit, and prior authorization and referrals are required.
Outpatient Services See details
iCare Family Care Partnership (HMO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, outpatient substance abuse, and blood services, with no copay and a 20% coinsurance. Prior authorization and referrals are required for most of these services, and there is no deductible for outpatient blood services.
Partial Hospitalization See details
iCare Family Care Partnership (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
iCare Family Care Partnership (HMO D-SNP) covers ground ambulance services with a $335 copay and air ambulance services with a 20% coinsurance, with prior authorization required for both. Transportation services to plan-approved or any other health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by iCare Family Care Partnership (HMO D-SNP) with a $115 copay—waived if admitted to the hospital within 24 hours—and no coinsurance, while urgently needed services have no copay and a 20% coinsurance up to $40. Some worldwide emergency services are covered, but worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care See details
iCare Family Care Partnership (HMO D-SNP) covers primary care, specialist visits, physical and occupational therapy, mental health, and psychiatric services with no copay and a 20% coinsurance. Chiropractic and podiatry services are not covered, and several covered benefits require prior authorization or referrals.
Preventive Services See details
Preventive services are partially covered under the iCare Family Care Partnership (HMO D-SNP) with no copay and no coinsurance for annual physical exams, kidney disease education, glaucoma screenings, diabetes self-management training, digital rectal exams, and EKGs. For additional preventive services, some services are covered, but health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional or dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation counseling, fitness benefits, disease management, telemonitoring, remote access technologies, home safety modifications, and counseling are not covered.
Hearing Services See details
iCare Family Care Partnership (HMO D-SNP) covers hearing services with no deductible, offering routine hearing exams for a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance for up to two devices every three years, though inner ear, outer ear, and over the ear prescription hearing aids are not covered. Over-the-counter (OTC) hearing aids are fully covered with no copay and no coinsurance.
Vision Services See details
Vision services are partially covered by iCare Family Care Partnership (HMO D-SNP) with no copays and a 20% coinsurance for routine eye exams and contact lenses, up to annual maximums of $50 for exams and $400 for eyewear. While routine exams, complete eyeglasses, and contact lenses are covered with no deductibles, other eye exams, individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
iCare Family Care Partnership (HMO D-SNP) partially covers dental services, offering Medicare-covered dental with no copay and 20% coinsurance, and other preventive and comprehensive dental services with no copay and no coinsurance up to a $4,000 annual maximum. Maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
iCare Family Care Partnership (HMO D-SNP) covers home infusion bundled services, which require prior authorization and step therapy. Covered Medicare Part B chemotherapy, radiation, and other drugs have a 0% to 20% coinsurance, with Part B insulin requiring a $35 copay (and 0% to 20% coinsurance) and other Part B drugs featuring no copay.
Dialysis Services See details
Dialysis Services are covered by the iCare Family Care Partnership (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization and a referral are required to access this benefit.
Medical Equipment See details
Medical equipment is covered by iCare Family Care Partnership (HMO D-SNP), with durable medical equipment, prosthetics, and medical supplies requiring no copay and a 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes or inserts are covered with no copay and no coinsurance, though manufacturer limitations and prior authorization requirements apply.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by iCare Family Care Partnership (HMO D-SNP), subject to prior authorization and referral requirements. Most of these services require a minimum 20% coinsurance, alongside copayments such as $30 for lab services and a minimum of $200 for diagnostic radiological services.
Home Health Services See details
iCare Family Care Partnership (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no copay under the iCare Family Care Partnership (HMO D-SNP), but require a referral and prior authorization. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered by the plan and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
iCare Family Care Partnership (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization, a referral, and a prior three-day inpatient hospital stay are required for admission, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services covered by the iCare Family Care Partnership (HMO D-SNP) include acupuncture limited to 20 treatments per year, over-the-counter items, and meal benefits for chronic illnesses, all offered with no copay and no coinsurance. Prior authorization is required for acupuncture and meal benefits, while some other services under this category are not covered.
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