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We know that changing plans can be confusing. CarePlus wants to make sure that you, as a new or existing member, safely transition into the new plan year. If you are not able to get your prescription drug because it is not in the current Prescription Drug Guide or it requires prior authorization because of quantity limits, step therapy requirements, or confirmation of your clinical history, we can help. To learn more about the transition process, please review our Transition Policy.
You can mail your request for prescription drug payment reimbursement along with any bills, receipts, and/or medical record documentation directly to us. To make sure you are giving us all the information we need to make a decision on your request for payment, you can fill out our Prescription Drug Claim Form provided below or call Member Services and ask for a form. Call 1-800-794-5907; TTY: 711. From October 1 - March 31, we are open 7 days a week; 8 a.m. to 8 p.m.. From April 1 - September 30, we are open Monday - Friday, 8 a.m. to 8 p.m. You may always leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within 1 business day. Using this form will help us process the information faster.
CarePlus Health Plans, Inc.
Attention: Member Services department
11430 NW 20th Street, Suite 300
Miami, FL 33172
Fax us: Our Toll Free Fax number is 1-800-956-4288
You can also find detailed information about requesting a prescription drug payment reimbursement in CarePlus' Evidence of Coverage, under Chapter 7. Section 2.1 or by reviewing our Prescription Drug Direct Member Reimbursement Policy below.