South Carolina - Care Improvement Plus

Section 1 – Introduction
This directory provides a list of Care Improvement Plus’s network providers. To get detailed
information about your health care coverage, please see your Evidence of Coverage.
Care Improvement Plus has a network of doctors, specialists, hospitals and other health care
providers. However, we are an open access network, which means in addition to the
providers listed in this directory, our members may also use any Medicare provider who
will accept payment from Care Improvement Plus, with no referrals required for
Medicare-covered services.
Your Primary Care Physician/Provider (PCP) is the doctor who manages your general health
care, meets state requirements, and is trained to give you basic medical care.
As a member of Care Improvement Plus, you are encouraged to select a PCP. You may select
your PCP from within our Plan network, or you may select an out-of-network provider as your
PCP; however the provider must accept Medicare, and must also be willing to accept payment
from our Plan. If you don’t have a PCP or if you wish to find a new one, you may call Member
Services, and they will assist you in finding one. For the most current listing of Plan providers,
you can visit www.careimprovementplus.com or contact Member Services.
You may change your PCP for any reason, at any time. It is not necessary to notify the plan;
however, if you want us to update your membership record, you may contact Member Services
and we will update your information.
The “network providers” listed in this directory have agreed to provide you with your healthcare,
vision and dental coverage. This directory has been created for you based on your
permanent mailing address. You may go to any of our network providers listed in this
directory or for a complete list of network providers please visit our website at
www.careimprovementplus.com or call Member Services at 1-800-204-1002, TTY users 711.
If you have been going to one network provider, you are not required to continue going to that
same provider. In some cases, you may get covered services from non-network providers that do
not have a signed contract with our plan, so long as they agree to accept our terms and conditions
of payment, as described at section1.2 of Chapter 3 in your Evidence of Coverage. Care
Improvement Plus has an open access network; however, some services may require
authorization. Hospital admissions, Skilled Nursing Facility (SNF), LTAC, Home Health, and
select Durable Medical Equipment (DME) may require authorization. For a complete list and
detailed information on the services which require authorization, please see your Evidence of
Coverage.
It is important to remember we are an open access network, which means in addition to the
providers listed in this directory, our members may also use any Medicare provider who
will accept payment from our Plan with no referrals required for Medicare-covered
services.
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