Ancillary - Care Improvement Plus

There may also be times when you get a bill from a provider for the full cost of medical care
you have received. In many cases, you should send this bill to us so that we can pay our share
of the costs for your covered medical services.
If you have paid more than your share for covered services, or if you have received a bill for the
full cost of covered medical services, go to Chapter 7 (Asking the plan to pay its share of a bill
you have received for medical services drugs) of your Evidence of Coverage for information
about what to do.
If services are not covered by our plan, you must pay the full cost
Care Improvement Plus covers all medical services that are medically necessary, are covered
under Medicare, and are obtained consistent with plan rules. You are responsible for paying the
full cost of services that aren’t covered by our plan, either because they are not plan covered
services, or plan rules were not followed.
If you have any questions about whether we will pay for any medical service or care that you are
considering, you have the right to ask us whether we will cover it before you get it. If we say we
will not cover your services, you have the right to appeal our decision not to cover your care.
Chapter 9 (What to do if you have a problem or complaint) of your Evidence of Coverage has
more information about what to do if you want a coverage decision from us or want to appeal a
decision we have already made. You may also call Member Services at the number on the front
cover of this booklet to get more information about how to do this.
For covered services that have a benefit limitation, you pay the full cost of any services you get
after you have used up your benefit for that type of covered service. You can call Member
Services when you want to know how much of your benefit limit you have already used.
What is the service area for Care Improvement Plus?
The state and counties in our service area are listed below.
South Carolina
How do you find Care Improvement Plus providers in your area?
Our Provider Directory is divided into eight (8) types of providers: primary care physicians,
specialists, ancillary providers, hospitals, outpatient mental health providers, skilled nursing
facilities, dental providers, and vision providers. Under each type of provider, providers are
listed by state, county, by provider specialty, and then by provider name.
Providers that accept Medicare and Medicaid are noted with an (M) next to their name. Some
non-plan hospitals deemed “essential” by CMS are noted with an asterisk (*).
We may frequently add or remove plan providers from our provider directory. If you have
questions about Care Improvement Plus, please call our Member Service Department at 1-800-
204-1002, 7 days-a week, from 8:00am to 8:00pm. TTY users should call 711. Or visit
www.careimprovementplus.com.
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