Haris Ashley
CarePlus is a private health insurance company that provides Medicare Advantage plans to Florida residents. CarePlus offers standard HMO, HMO D-SNP, HMO C-SNP, and HMO-POS options, with plans available for those with chronic conditions such as asthma, heart disease, or diabetes. The costs of CarePlus plans vary depending on the specific plan and location. To apply for a CarePlus plan, individuals can contact the company directly or use the online tool to find out more about specific costs and coverage.
| Characteristics | Values |
|---|---|
| Type of Insurance | Medicare Advantage plans |
| Available Plans | Standard HMO, HMO D-SNP, HMO C-SNP, HMO-POS |
| Availability | Florida |
| Cost | Depends on the plan and location |
| Customer Service | 24/7 phone assistance, free language interpreter services |
| Website | www.careplushealthplans.com |
| Contact Number | 800-794-5907 |
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What You'll Learn
CarePlus Medicare Advantage plans
CarePlus is a private health insurance company that provides Medicare Advantage plans to residents of Florida. These plans are designed for people with Medicare and are available in 20 counties across the state, including South Florida, West Florida, Central Florida, North Florida, and the Atlantic Coast.
There are several types of CarePlus Medicare Advantage plans, including:
- HMO Dual Special Needs Plans (D-SNP): These plans include benefits such as free transportation to appointments. To be eligible, a person must be enrolled in both Medicare and Medicaid.
- HMO Chronic Condition Special Needs Plan (C-SNP): This plan is designed for individuals with chronic conditions such as asthma, heart disease, or diabetes.
- HMO Point-of-Service (POS): These plans provide coverage for out-of-network specialists and hospital visits.
- HMO POS C-SNP: This plan offers out-of-network coverage for people with certain chronic conditions.
- CareAccess (HMO): This plan is mentioned on the CarePlus website as an example of associated costs for people in Broward, South Florida, with a specific ZIP code.
- CareOne Plus (HMO-POS): This plan is mentioned for people in Orange, Central Florida, with a specific ZIP code.
- CareComplete (HMO C-SNP): This plan is for residents of Duval County, North Florida, with a specific ZIP code.
The costs of CarePlus plans vary depending on the specific plan and location. For example, the CareAccess (HMO) plan offers a $5 reduction in the Medicare Part B premium, resulting in a $5 refund each month. To find out more about the specific costs of each plan and the coverage offered, individuals can contact CarePlus directly or use the online tool provided on their website.
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Eligibility for CarePlus plans
Location
CarePlus offers Medicare Advantage plans in 21 counties across Florida, including South Florida, West Florida, Central Florida, North Florida, and the Atlantic Coast. To be eligible for a CarePlus plan, individuals must reside in one of these designated counties. The specific plan availability and costs may vary within Florida, so it is essential to check the coverage area for the desired plan.
Health Maintenance Organization (HMO) Plans
CarePlus specializes in HMO plans, which means enrollees must typically receive care from within the plan's network of approved providers. Unless it is a medical emergency, going outside the network may result in a lack of coverage. HMO plans usually require referrals from the primary care provider (PCP) for specialist visits to be covered.
Medicare Advantage Chronic Condition Special Needs Plans (C-SNPs)
C-SNPs are specifically designed for individuals with certain chronic conditions. CarePlus offers C-SNP plans for people with diabetes, heart disorders, chronic heart failure, or chronic lung disorders. These plans provide tailored coverage for specific health needs.
Medicare Dual Eligible Special Needs Plans (D-SNPs)
D-SNPs are Medicare Advantage plans for individuals who are dually eligible for both Medicare and Medicaid. These plans help coordinate benefits for those who qualify for both programs.
Non-Discrimination Policy
CarePlus Health Plans Inc. complies with applicable Federal civil rights laws and does not discriminate or exclude people based on race, color, religion, gender, gender identity, sex, sexual orientation, age, disability, national origin, military or veteran status, genetic information, ancestry, ethnicity, marital status, language, health status, or need for health services. They also provide free language interpreter services.
It is important to note that eligibility for CarePlus plans may have additional criteria, and specific details may change over time. Individuals interested in enrolling in a CarePlus plan should refer to the official CarePlus website or contact their Member Services for the most up-to-date and comprehensive information on eligibility requirements.
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Costs of CarePlus plans
The costs of CarePlus plans vary depending on the specific plan and location. CarePlus offers Medicare Advantage Health Maintenance Organization (HMO) plans in certain parts of Florida, with most plans providing hospital and medical insurance and
While all plans include Medicare Part A and Part B services, such as hospital stays, doctor visits, outpatient care, and preventive services, there are some differences in benefits and costs among plans. For example, some plans may offer additional benefits such as dental, vision, and hearing services, as well as wellness programs.
CarePlus plans have a $0 premium, meaning there is no additional premium for Medicare Advantage coverage. However, enrollees are still responsible for their monthly Medicare Part B premium payable to Medicare. The cost of prescription drugs depends on the tier in which the drug falls, with each plan having a formulary, or a list of covered drugs.
Coinsurance, or the percentage of treatment costs that a person must self-fund, is 20% for Medicare Part B. Copayment, a fixed dollar amount paid when receiving certain treatments, varies depending on the treatment and plan.
Additionally, CarePlus offers No Claim Bonus Shield and Inflation Shield add-ons for their Complete Plan. The No Claim Bonus Shield protects the No Claim Bonus (NCB) Super if the total payable claim amount in the policy year is less than 25% of the sum insured. The Inflation Shield increases the base policy sum insured based on the inflation rate from the previous year.
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CarePlus plan locations
CarePlus is a private health insurance company that provides Medicare Advantage plans in Florida. The company offers plans in 21 counties across the state, including:
- Jacksonville area: Clay, Duval, and St. Johns counties
- Orlando area: Lake, Marion, Orange, Osceola, Seminole, and Sumter counties
- South Florida: Broward, Miami-Dade, and Palm Beach counties
- Tampa area: Hillsborough, Pinellas, Pasco, and Polk counties
- North Florida: Duval County
- West Florida
- Central Florida
- Atlantic Coast
The costs of CarePlus plans vary depending on the specific plan and location. For example, the costs of the CareAccess (HMO) plan in Broward, South Florida (ZIP code 33024) include a $5 Part B premium reduction. Meanwhile, the CareOne Plus (HMO-POS) plan in Orange, Central Florida (ZIP code 34787) has different costs.
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Contacting CarePlus
CarePlus Health Plans Inc. complies with Federal civil rights laws and does not discriminate or exclude people based on race, colour, religion, gender, gender identity, sex, sexual orientation, age, disability, national origin, military status, veteran status, genetic information, ancestry, ethnicity, marital status, language, health status, or need for health services. They also provide free language interpreter services.
From October 1 to March 31, they are open 7 days a week, from 8 a.m. to 8 p.m. From April 1 to September 30, they are open Monday to Friday, 8 a.m. to 8 p.m. You can leave a voicemail outside of these hours, on weekends, and on holidays, and they will return your call within one business day.
You can reach their Member Services by phone at 800-794-5907 or by email at [email protected]. Please do not send personal or confidential information to this email address.
If you are a healthcare provider, you can contact the CarePlus provider services queue at 866-313-7587 or mail a written request to the following address:
CarePlus Claims
P.O. Box 14697
Lexington, KY 40512-4697
If you have questions about the form, please call Availity Client Services at 800-282-4548, Monday to Friday, 8 a.m. to 8 p.m. Eastern Time.
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Frequently asked questions
CarePlus is a private health insurance company that provides Medicare Advantage plans to Florida residents.
CarePlus offers standard HMO, HMO D-SNP, HMO C-SNP, and HMO-POS options. C-SNP plans are for people with certain chronic conditions, while D-SNP plans are for those enrolled in both Medicare and Medicaid.
You can search your ZIP code on Medicare's plan finder tool to see if CarePlus offers plans in your county and how much they will cost. You can also contact CarePlus directly for more information about plans and costs in your area.
All CarePlus plans include prescription drug coverage (except for the CareAccess HMO and CareSalute HMO-POS plans). Most plans also include $0 copay for certain dental services, including dentures, extractions, and fillings.
