Legal Disclaimers
Learn more about CarePlus Medicare Advantage HMO benefit plans by calling
This website is for Medicare coverage use only.
CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal. Individuals must have both Part A and Part B to enroll. Medicare beneficiaries may enroll in the plan only during specific times of the year.
This website is intended to provide information to CarePlus’ members and prospective members about the benefit plans offered by CarePlus. Information contained in this site offers general health-related information and is not a substitute for professional healthcare. For individualized medical guidance, talk to your doctor.
Although CarePlus has made every effort to ensure that the contents of this site are correct and complete, CarePlus cannot be responsible for the accuracy of information contained herein. For the most current information available from CarePlus (only including updates made to date)
The benefit plan descriptions, if any, provided on the CarePlus website are not intended to constitute offers to sell or solicitations in connection with any product or service. Please note that all benefit plans are not available in all areas/counties and are subject to applicable laws, rules, and regulations.
Links to various other websites from this site are provided for your convenience only and do not constitute or imply endorsement by CarePlus of these sites, any products or services described on these sites, or of any other material contained therein. CarePlus disclaims responsibility for their content and accuracy.
Information on this website may contain inaccuracies or errors. Information may be changed or updated without notice. CarePlus only provides periodic updates to this site; therefore, any information presented may be out of date.
Please refer to your Summary of Benefits and/or Evidence of Coverage for detailed information about your benefits.
Our Medicare Advantage HMO benefit plans have some limitations; copayments and restrictions may apply
Your Plan Has a Network
You must use CarePlus network providers except in emergency or urgent care situations, or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare nor CarePlus will be responsible for the costs.
2025 Disclaimers:
CareNeeds Plus (HMO D-SNP): This plan is 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).
CareNeeds Platinum (HMO D-SNP): This plan is 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).
CareComplete (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.
CareComplete Platinum (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.
CareBreeze Platinum (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.
(001 CareOne Plus (HMO-POS); 043 CareOne Plus (HMO-POS); 135 CareFree Platinum Giveback (HMO-POS); 143 CareSalute (HMO-POS): This plan covers certain services received from out-of-network providers located within the plan's service area. 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.
CareNeeds Plus (HMO D-SNP): Plan sa a disponib pou nenpòt moun ki resevwa avantaj Medicare ak Medicaid: Benefisyè Medicare ki Kalifye yo (QMB/QMB+, akwonim li an angle), Benefisyè Medicare ki Gen Revni Fèb yo Presize yo (SLMB/SLMB+, akwonim li an angle), Moun ki Kalifye yo (QI, akwonim li an angle), Moun ki Andikape epi ki Ap Travay ki Kalifye yo (QDWI, akwonim li an angle) ak lòt Kalifye an Doub pou Tout Avantaj yo (FBDE, akwonim li an angle).
CareNeeds Platinum (HMO D-SNP): Plan sa a disponib pou nenpòt moun ki resevwa avantaj Medicare ak Medicaid: Benefisyè Medicare ki Kalifye yo (QMB/QMB+, akwonim li an angle), Benefisyè Medicare ki Gen Revni Fèb ki Espesifye yo (SLMB/SLMB+, akwonim li an angle), Moun ki Kalifye yo (QI, akwonim li an angle), Moun ki Andikape epi ki Ap Travay ki Kalifye yo (QDWI, akwonim li an angle) ak lòt Kalifye Doub pou Tout Avantaj yo (FBDE, akwonim li an angle).
CareComplete (HMO C-SNP): Plan sa a disponib pou nenpòt moun ki enskri nan Medicare epi yo dekouvri ki fè dyabèt, maladi kadyovaskilè oswa ensifizans kadyak kwonik.
CareComplete Platinum (HMO C-SNP): Plan sa a disponib pou nenpòt moun ki enskri nan Medicare yo dekouvri ki fè dyabèt, maladi kadyovaskilè, oswa ensifizans kè kwonik.
CareBreeze Platinum (HMO C-SNP): Plan sa a disponib pou nenpòt moun ki enskri nan Medicare yo wè ki gen maladi nan poumon kwonik.
Licensure
CarePlus Health Plans, Inc. is a Florida-licensed Health Maintenance Organization that is an indirect, wholly owned subsidiary of
