2026 Disclaimers

CareNeeds Plus (HMO D-SNP): This plan is available to anyone receiving both Medicare and Medicaid: Qualified Medicare Beneficiaries (QMB/QMB+), Specified Low-Income Medicare Beneficiaries (SLMB/SLMB+), Qualifying Individuals (QI), Qualified Disabled and Working Individuals (QDWI) and other Full Benefit Dual Eligibles (FBDE).

CareNeeds Platinum (HMO D-SNP): This plan is available to anyone receiving both Medicare and Medicaid: Qualified Medicare Beneficiaries (QMB/QMB+), Specified Low-Income Medicare Beneficiaries (SLMB/SLMB+), Qualifying Individuals (QI), Qualified Disabled and Working Individuals (QDWI) and other Full Benefit Dual Eligibles (FBDE).

CareNeeds Extra (HMO D-SNP): This plan is available to anyone receiving both Medicare and Medicaid covered services: Qualified Medicare Beneficiaries with Medicaid (QMB+), Specified Low-Income Medicare Beneficiaries with Medicaid (SLMB+), and other Full Benefit Dual Eligibles (FBDE).

CareComplete (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.

CareComplete Platinum (HMO C-SNP) and (HMO-POS C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.

 CareBreeze (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.

CareBreeze Platinum (HMO C-SNP) and (HMO-POS C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.

(001 CareOne Plus (HMO-POS); 043 CareOne Plus (HMO-POS); 124 CareBreeze Platinum (HMO-POS); 130 CareComplete Platinum (HMO-POS); 135 CareFree Platinum Giveback (HMO-POS); 143 CareSalute (HMO-POS)): This plan covers certain services received from out-of-network providers located within the plan's service area. Except in emergency or urgent situations, non-contracted providers may deny care. You will pay a higher copay for services received by non-contracted providers.
 (057-CareOne Plus (HMO-POS): This plan covers certain out-of-network services for members while visiting Puerto Rico. Except in emergency or urgent situations, non-contracted providers may deny care.
 

2025 Disclaimers 

CareNeeds Plus (HMO D-SNP): This plan is available to anyone receiving both Medicare and Medicaid: Qualified Medicare Beneficiaries (QMB/QMB+), Specified Low-Income Medicare Beneficiaries (SLMB/SLMB+), Qualifying Individuals (QI), Qualified Disabled and Working Individuals (QDWI) and other Full Benefit Dual Eligibles (FBDE). 

CareNeeds Platinum (HMO D-SNP): This plan is available to anyone receiving both Medicare and Medicaid: Qualified Medicare Beneficiaries (QMB/QMB+), Specified Low-Income Medicare Beneficiaries (SLMB/SLMB+), Qualifying Individuals (QI), Qualified Disabled and Working Individuals (QDWI) and other Full Benefit Dual Eligibles (FBDE). 

CareComplete (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure. 

CareComplete Platinum (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure. 

CareBreeze Platinum (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.

(057-CareOne Plus (HMO-POS): This plan covers certain out-of-network services for members while visiting Puerto Rico. Except in emergency or urgent situations, non-contracted providers may deny care.

(001 CareOne Plus (HMO-POS); 043 CareOne Plus (HMO-POS); 135 CareFree Platinum Giveback (HMO-POS); 143 CareSalute (HMO-POS): This plan covers certain services received from out-of-network providers located within the plan's service area. Except in emergency or urgent situations, non-contracted providers may deny care. You will pay a higher copay for services received by non-contracted providers.

CareNeeds Plus (HMO D-SNP): Plan sa a disponib pou nenpòt moun ki resevwa avantaj Medicare ak Medicaid: Benefisyè Medicare ki Kalifye yo (QMB/QMB+, akwonim li an angle), Benefisyè Medicare ki Gen Revni Fèb yo Presize yo (SLMB/SLMB+, akwonim li an angle), Moun ki Kalifye yo (QI, akwonim li an angle), Moun ki Andikape epi ki Ap Travay ki Kalifye yo (QDWI, akwonim li an angle) ak lòt Kalifye an Doub pou Tout Avantaj yo (FBDE, akwonim li an angle). 

CareNeeds Platinum (HMO D-SNP): Plan sa a disponib pou nenpòt moun ki resevwa avantaj Medicare ak Medicaid: Benefisyè Medicare ki Kalifye yo (QMB/QMB+, akwonim li an angle), Benefisyè Medicare ki Gen Revni Fèb ki Espesifye yo (SLMB/SLMB+, akwonim li an angle), Moun ki Kalifye yo (QI, akwonim li an angle), Moun ki Andikape epi ki Ap Travay ki Kalifye yo (QDWI, akwonim li an angle) ak lòt Kalifye Doub pou Tout Avantaj yo (FBDE, akwonim li an angle). 

CareComplete (HMO C-SNP): Plan sa a disponib pou nenpòt moun ki enskri nan Medicare epi yo dekouvri ki fè dyabèt, maladi kadyovaskilè oswa ensifizans kadyak kwonik. 

CareComplete Platinum (HMO C-SNP): Plan sa a disponib pou nenpòt moun ki enskri nan Medicare yo dekouvri ki fè dyabèt, maladi kadyovaskilè, oswa ensifizans kè kwonik. 

CareBreeze Platinum (HMO C-SNP): Plan sa a disponib pou nenpòt moun ki enskri nan Medicare yo wè ki gen maladi nan poumon kwonik.