Pay less for certain Part B or Part D covered insulin and drugs.
If you use insulin that is covered under Medicare Part B (on all CarePlus plans) or Part D (on CarePlus plans with prescription drug coverage), the most you will pay for a one-month supply (up to 30 days) is $35.
All CarePlus plan members are eligible for this Part B insulin copay limit. It includes insulin dispensed through a pump or Medicare-covered durable Medicare equipment, but it does not apply to the pump itself.
Members enrolled in a plan with prescription drug coverage are eligible for this Part D insulin copay limit. It includes all prescription drug tiers and all coverage stages, even during Medicare’s coverage gap. If your plan has a prescription drug deductible, your insulin copay is no more than $35 per month even if you haven’t reached your deductible yet.
Every 3 months, Medicare determines a list of rebatable Medicare Part B drugs. Medications that Medicare lists ase rebatable have a reduced coinsurance amount, meaning the percentage you pay is lower than before.
All CarePlus plan members are eligible for these Part B medication savings. These savings do not apply to Part D prescription drugs.
Here is the current list of rebatable Medicare Part B drugs. We update this list every 3 months.
Previous rebate lists:
CarePlus plans with prescription drug coverage cover most Part D vaccines at no cost to you. This includes the shingles vaccine and all vaccines recommended by the Advisory Committee on Immunization Practices (ACIP).1
If your plan has a prescription drug deductible, your copay is $0 even if you haven’t reached your deductible.
Effective Jan. 1, 2024, CarePlus members will have a $0 copay for the following drugs once they reach the Catastrophic Stage:
Additionally, the 5% coinsurance requirement for Part D members will be eliminated and Part D plans will pay 20% of total drug costs in this phase.
1Restrictions based on age and vaccine availability may apply. Visit the
H1019_CPHPMKTG_M
04/04/2024
South Florida, West Florida, Central Florida, and Atlantic Coast.
CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal.
At CarePlus, it is important you are treated fairly.
CarePlus Health Plans, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, ancestry, ethnicity, sex, sexual orientation, gender, gender identity, disability, age, marital status, religion, or language in their programs and activities, including in admission or access to, or treatment or employment in, their programs and activities.
The following department has been designated to handle inquiries regarding CarePlus’s non-discrimination policies: Member Services, PO Box 277810 Miramar, FL 33027,
Auxiliary aids and services, free of charge, are available to you.
CarePlus provides free auxiliary aids and services, such as qualified sign language interpreters, video remote interpretation, and written information in other formats to people with disabilities when such auxiliary aids and services are necessary to ensure an equal opportunity to participate.
This information is available for free in other languages. Please call our Member Services number at
Español (Spanish): Esta información está disponible de forma gratuita en otros idiomas. Favor de llamar a Servicios para Afiliados al número que aparece anteriormente.
Kreyòl Ayisyen (French Creole): Enfòmasyon sa a disponib gratis nan lòt lang. Tanpri rele nimewo Sèvis pou Manm nou yo ki nan lis anwo an.
Every year, Medicare evaluates plans based on a 5-star rating system.
© 2023 CarePlus Health Plans, Inc.
