South Florida, West Florida, Central Florida, and Atlantic Coast. CarePlus is an HMO SNP plan with a Medicare contract and a contract with the Florida Medicaid Program. Enrollment in CarePlus depends on contract renewal. Enrollment in CarePlus depends on contract renewal. Every year, Medicare evaluates plans based on a 5-star rating system.
CareNeeds Plus (HMO D-SNP) and CareNeeds Platinum (HMO D-SNP): These plans are available to anyone receiving both Medicare and Medicaid: Qualified Medicare Beneficiaries (QMB/QMB+), Specified Low-Income Medicare Beneficiaries (SLMB/SLMB+), Qualifying Individuals (QI), Qualified Disabled and Working Individuals (QDWI) and other Full Benefit Dual Eligibles (FBDE). Sponsored by CarePlus Health Plans, Inc. and the State of Florida, Agency for Health Care Administration.
CareComplete (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.
CareBreeze (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.
(057-CareOne Plus (HMO-POS)): This plan covers certain out-of-network services for members while visiting Puerto Rico. Except in emergency or urgent situations, non-contracted providers may deny care.
(110-CareOne Platinum (HMO-POS); 141-CareComplete Platinum (HMO-POS C-SNP);142-CareBreeze Platinum (HMO-POS C-SNP); 143-CareSalute (HMO-POS)): This plan covers certain services received from out-of-network providers in Brevard and Indian River counties in Florida. Except in emergency or urgent situations, non-contracted providers may deny care. You will pay a higher copay for services received by non-contracted providers.
Your premium depends on the amount of “Extra Help” you get. You must continue to pay your Medicare Part B premium. The Part B premium may be covered through the Florida Medicaid Program.
Important: At CarePlus, it is important you are treated fairly.
CarePlus Health Plans, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, ancestry, ethnicity, sex, sexual orientation, gender, gender identity, disability, age, marital status, religion, or language in their programs and activities, including in admission or access to, or treatment or employment in, their programs and activities.
The following department has been designated to handle inquiries regarding CarePlus’ non-discrimination policies: Member Services, PO Box 277810. Miramar, FL 33027, 1-800-794-5907 (TTY: 711).
Auxiliary aids and services, free of charge, are available to you. 1-800-794-5907 (TTY: 711).
CarePlus provides free auxiliary aids and services, such as qualified sign language interpreters, video remote interpretation, and written information in other formats to people with disabilities when such auxiliary aids and services are necessary to ensure an equal opportunity to participate.
This information is available for free in other languages. Please call our Member Services number at 1-800-794-5907. Hours of operation: October 1 - March 31, 7 days a week, 8 a.m. to 8 p.m. April 1 - September 30, Monday - Friday, 8 a.m. to 8 p.m. You may leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within one business day.
Español (Spanish): Esta información está disponible de forma gratuita en otros idiomas. Favor de llamar a Servicios para Afiliados al número que aparece anteriormente.
Kreyòl Ayisyen (French Creole): Enfòmasyon sa a disponib gratis nan lòt lang. Tanpri rele nimewo Sèvis pou Manm nou yo ki nan lis anwo an.