Request a printed copy of an Evidence of Coverage, Provider Directory, or Prescription Drug Guide

Complete the form below and select the printed materials you want us to mail you for a specific CarePlus benefit plan and service area/county. In order to receive documents for the specific CarePlus benefit plan and service area/county you are interested in, please enter the contract and Plan Benefit Package (PBP) number. For example, H1019-054.

To find the contract and Plan Benefit Package (PBP) or plan number:

  1. Go to CarePlusHealthPlans.com.
  2. Enter your ZIP code to find a plan.
  3. Browse the list of plans for your ZIP code.
  4. View the name of the plan, such as "CareOne PLUS (HMO)."
  5. Locate the contract and PBP number underneath the name of the plan, as shown in the image.

For immediate access to current information about our provider network, we recommend using our online searchable directory.

We only use your name and mailing address to send you the requested materials, and not for any other purpose.

Required All fields are required.

Required Please choose the printed materials you would like to receive in the mail. Please note that Future Year documents are available by 10/1 of the current year.

CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal.