Medicare Advantage Plans

CarePlus Medicare Advantage Plans - Overview

Understanding How These Plans Work

At CarePlus, we have a holistic view of healthcare. We also believe that prevention is the best medicine, and health solutions come about when we work closely with our providers and members. We cover all Medicare-covered preventive services and screenings at no additional cost to you.

When you become a member of CarePlus, you must choose a general practitioner or family doctor from our network of providers to be your primary care physician (PCP). Your PCP is a physician who meets state requirements and is trained to give you basic medical care. You will get your routine or basic care from your PCP. Your PCP can also coordinate the rest of the covered services you need. In most cases, you must see your PCP to get a referral before you see any other healthcare provider.

CarePlus Medicare Advantage plans include:

  • $0 monthly plan premiums for most members *
  • 24-hour nurse advice line
  • Access to mail-order pharmacy
  • Dental benefits
  • Fitness & exercise classes
  • Inpatient hospitalization coverage
  • Over-the-counter allowance
  • Prescription drug coverage
  • Rewards Program
  • Transportation benefits (to plan approved locations)
  • Vision benefits

Most CarePlus Medicare Advantage plans also include:

  • Hearing benefits
  • Post-hospitalization meal program

* CareExtra plans in South Florida require low monthly premiums; however, if you receive “Extra Help,” you may pay a lesser premium or no premium at all.

You must use network providers except in emergency or urgent care situations. Emergency care can always be obtained in or out of the service area from the nearest available provider. When in the service area you must use plan providers for urgent care. When out of the service area, urgent care may be obtained from the first available provider. In addition, when out of the service area you can obtain dialysis treatment from any qualified dialysis provider. If you obtain routine care from out-of-network providers neither Medicare nor CarePlus will be responsible for the costs.

This information is not a complete description of benefits. In addition, not all benefits listed may be available on all plans or in a single plan benefit package. For more information, please call Member Services at 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 voice mail message after-hours, Saturdays, Sundays, and holidays and we will return your call within 1 business day.