Enter your ZIP code to learn about the CarePlus Medicare Advantage plans in your area.
Please check the links provided below to review the Summary of Benefits and/or Evidence of Coverage (EOC) for each specific Medicare Advantage plan, which will provide you with the plan's description of benefits.
You must use plan providers, except for emergencies, urgently needed care, or out-of-area dialysis services, and cases in which CarePlus authorizes use of out-of-network providers. You must receive all routine care from plan providers. If you obtain routine care from out-of-network providers without prior authorization, neither Medicare nor CarePlus will pay for the services.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or member cost-share may change on January 1 of each year.
Note: Our documents below are in Portable Document Format (PDF) and require Adobe Reader for viewing and printing. To get the plug-in, visit Adobe's Website to Download Adobe Reader.
Covered Durable Medical Equipment Items and Brands
Durable Medical Equipment (DME) is certain medical equipment ordered by your doctor for medical reasons. Generally, CarePlus covers any DME that is covered by Original Medicare. The list below tells you which brands and manufacturers of DME are covered under our benefit plans.
Beneficiaries must have both Medicare Part A and Part B. You must continue to pay your Medicare Part B premium. The Part B premium may be covered through your State Medicaid Program.
CareNeeds PLUS (Full Benefit D-SNP) - This plan is available to anyone receiving both Medicare and Medicaid-covered services: Qualified Medicare Beneficiaries (QMB+), Specified Low-Income Medicare Beneficiaries (SLMB+), and other Full Benefit Dual Eligibles (FBDE).
CareNeeds (Dual Eligible Subset) - This plan is available to anyone receiving both Medicare and some level of financial assistance from Medicaid: Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLMB), Qualifying Individuals (QI), and Qualified Disabled and Working Individuals (QDWI).
** CareHeart (HMO) plan is available to anyone with Medicare who has been diagnosed with cardiovascular disorders or chronic heart failure. CarePlus is a Coordinated Care plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal.
*** Your benefits may vary depending on your level of Medicaid eligibility. Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
CarePlus is a Coordinated Care plan with a Medicare contract and a contract with the Florida Medicaid program. Enrollment in CarePlus depends on contract renewal. CareNeeds (HMO SNP) and CareNeeds PLUS (HMO SNP) are sponsored by CarePlus Health Plans, Inc. and the State of Florida, Agency for Health Care Administration.
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