Plan benefit documents
Read the Summary of Benefits for your plan to see how much you will pay for the services covered under your plan. For full terms and conditions, including limits and exclusions, review your plan’s Evidence of Coverage.
South Florida
- CareOne Plus (HMO-POS) (001)
- CareFree Giveback (HMO) (065)
- CareFree Platinum Giveback (HMO-POS) (135)
- CareComplete Platinum (HMO-POS C-SNP) (130)
- CareBreeze Platinum (HMO-POS C-SNP) (124)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Platinum HMO D-SNP (023)
- CareNeeds Extra HMO D-SNP (152)
- CareAccess (HMO) (148)
- CareSalute (HMO) (132)
- CareOne Plus (HMO) (006)
- CareFree Platinum Giveback (HMO) (136)
- CareComplete Platinum (HMO C-SNP) (121)
- CareBreeze Platinum (HMO C-SNP) (123)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Platinum (HMO D-SNP) (023)
- CareNeeds Extra (HMO D-SNP) (152)
- CareAccess (HMO) (148)
- CareSalute (HMO) (132)
Tampa Area
- CareOne Plus (HMO) (103-002)
- CareFree Platinum Giveback (HMO) (104-002)
- CareComplete Platinum (HMO C-SNP) (147-002)
- CareBreeze Platinum (HMO C-SNP) (151-002)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareNeeds Extra (HMO D-SNP) (153)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
- CareOne Plus (HMO) (103-001)
- CareFree Platinum Giveback (HMO) (104-001)
- CareComplete Platinum (HMO C-SNP) (147-002)
- CareBreeze Platinum (HMO C-SNP) (151-002)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareNeeds Extra (HMO D-SNP) (153)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
Orlando Area
- CareOne Plus (HMO-POS) (057)
- CareFree Giveback (HMO) (149)
- CareFree Platinum Giveback (HMO) (138)
- CareComplete Platinum (HMO C-SNP) (147-001)
- CareBreeze Platinum (HMO C-SNP) (151-001)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareNeeds Extra (HMO D-SNP) (153)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
Daytona and Jacksonville Areas
- CareOne Plus (HMO) (113)
- CareFree Platinum Giveback (HMO) (094)
- CareComplete Platinum (HMO C-SNP) (109)
- CareBreeze Platinum (HMO C-SNP) (118)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareNeeds Extra (HMO D-SNP) (153)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
Treasure Coast
- CareOne Plus (HMO-POS) (043)
- CareFree Giveback (HMO) (134)
- CareFree Platinum Giveback (HMO) (139)
- CareComplete Platinum (HMO C-SNP) (109)
- CareBreeze Platinum (HMO C-SNP) (118)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareNeeds Extra (HMO D-SNP) (153)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
South Florida
- CareOne Plus (HMO-POS) (001)
- CareFree Giveback (HMO) (065)
- CareFree Platinum Giveback (HMO-POS) (135)
- CareComplete Platinum (HMO-POS C-SNP) (130)
- CareBreeze Platinum (HMO-POS C-SNP) (124)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Platinum (HMO D-SNP) (023)
- CareAccess (HMO) (148)
- CareSalute (HMO) (132)
- CareOne Plus (HMO) (006)
- CareFree Platinum Giveback (HMO) (136)
- CareComplete Platinum (HMO C-SNP) (121)
- CareBreeze Platinum (HMO C-SNP) (123)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Platinum (HMO D-SNP) (023)
- CareAccess (HMO) (148)
- CareSalute (HMO) (132)
West Florida – Tampa Area
- CareOne Plus (HMO-POS) (103-002)
- CareFree Platinum Giveback (HMO) (104-002)
- CareComplete Platinum (HMO C-SNP) (147-002)
- CareBreeze Platinum (HMO C-SNP) (151-002)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
- CareOne Plus (HMO-POS) (103-001)
- CareFree Platinum Giveback (HMO) (104-001)
- CareComplete Platinum (HMO C-SNP) (147-002)
- CareBreeze Platinum (HMO C-SNP) (151-002)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
Central Florida – Orlando Area
- CareOne Plus (HMO-POS) (057)
- CareFree Giveback (HMO) (149)
- CareFree Platinum Giveback (HMO) (138)
- CareComplete Platinum (HMO C-SNP) (147-001)
- CareBreeze Platinum (HMO C-SNP) (151-001)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
- CareOne Plus (HMO-POS) (057)
- CareOne Plus Local (HMO-POS) (155)
- CareFree Giveback (HMO) (149)
- CareFree Platinum Giveback (HMO) (138)
- CareComplete Platinum (HMO C-SNP) (147-001)
- CareComplete Local (HMO C-SNP) (156)
- CareBreeze Platinum (HMO C-SNP) (151-001)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
Atlantic Coast – North Florida
- CareOne Plus (HMO) (113)
- CareFree Platinum Giveback (HMO) (094)
- CareComplete Platinum (HMO C-SNP) (109)
- CareBreeze Platinum (HMO C-SNP) (118)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
Atlantic Coast – Space Coast
- CareOne Plus (HMO-POS) (043)
- CareFree Giveback (HMO) (134)
- CareFree Platinum Giveback (HMO) (139)
- CareComplete Platinum (HMO C-SNP) (109)
- CareBreeze Platinum (HMO C-SNP) (118)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareNeeds Extra (HMO D-SNP) (153)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
- CareOne Plus (HMO-POS) (043)
- CareFree Giveback (HMO) (134)
- CareFree Platinum Giveback (HMO) (139)
- CareComplete Platinum (HMO C-SNP) (109)
- CareBreeze Platinum (HMO C-SNP) (118)
- CareComplete (HMO C-SNP) (150)
- CareBreeze (HMO C-SNP) (154)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
