Enter your ZIP code to learn about the CarePlus Medicare Advantage plans in your area, or call us at 1-855-605-6171; TTY: 711.
CarePlus members may refer to their Annual Notice of Changes (ANOC) to find out about changes to their plan for the next year and other important information. We send the ANOC to our members every year in late September. These guides were last updated on our website on February 24,2023. Only the current document for each plan will display.
The ANOC includes information about how premiums, deductibles, medical benefits, and/or prescription drug benefits will change for the next year. Members should thoroughly review this document soon after they receive it.
Your Evidence of Coverage (EOC) is available on the 2023 CarePlus Medicare Advantage Plan Information page. The EOC provides you with details of your benefit plan for the new year beginning January 1. The EOC includes full descriptions of your benefits and costs and explains how to access your benefits.
Durable Medical Equipment (DME) is certain medical equipment ordered by your doctor for medical reasons. Generally, CarePlus covers any DME considered medically necessary, if Original Medicare covers the DME. Click on the following link for information about the DME we cover.
PDF2023 Covered Durable Medical Equipment Items and Brands(PDF opens in new window)
1CareNeeds Plus (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 Plus (HMO D-SNP): is sponsored by CarePlus Health Plans, Inc. and the State of Florida, Agency for Health Care Administration.
2CareComplete (C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.
3CareBreeze (C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.
4CareOne 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.
5CareOne Platinum (HMO-POS): This plan covers certain services received from out-of-network providers in Brevard and Indian River counties in Florida. 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
6CareComplete Platinum (HMO-POS C-SNP) 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.
7CareBreeze Platinum (HMO-POS C-SNP) 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.
Out-of-network/non-contracted providers are under no obligation to treat CarePlus members, except in emergency situations. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
