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Medicare Advantage Plans

Why Choose CarePlus?

Good Reasons to Select CarePlus for Your Coverage

At CarePlus, we believe that the secret to good healthcare is preventive care. Now that you are looking for a healthcare partner, we hope you will put your trust in us and let us help take care of you. We understand that security and affordable options are important to you, and hope you have peace of mind knowing that we have helped our members navigate their Medicare Advantage options since 2000.

With CarePlus:

  • You may save on prescription drugs.
  • You get to choose your primary care physician (PCP) from a list of network providers.
  • Covered benefits include $0 copay for all in-network Medicare-covered preventive services, including but not limited to:

PHYSICAL EXAM AND HEALTH GUIDANCE

  • Welcome to Medicare Visit
    An initial preventive physical exam, which may include an electrocardiogram (EKG), that must take place within the first 12 months of getting Medicare Part B
  • Annual Wellness Visit
    Your yearly physical exam, after having Medicare Part B for 12 months
  • Adult BMI (Body Mass Index) assessment/obesity screening
    Total body fat calculation using height and weight measurements
  • Cardiovascular disease screenings
    Any one of the following counts for this screening:
    • Lipid panel
    • Lipoprotein
    • Cholesterol
    • Triglycerides
  • Bone mass measurement (osteoporosis test)
    Any one of the following counts for this screening:
    • Ultrasound bone mineral density measurement
    • Dual-energy X-ray (DEXA)
    • Single-energy X-ray (SEXA)
    • Radiographic absorptiometry
  • Depression screening
  • Medical nutrition therapy
    Nutrition counseling that a registered dietitian provides

VACCINES

  • Flu
  • COVID-19 vaccination

DIABETES SCREENING AND MANAGEMENT

  • Diabetes screening test

    Blood sugar test - HbA1c

  • Diabetes self-management training
    Classes to help you learn how to manage your blood sugar
  • Kidney health tests/Nephropathy screening
    Test of the kidneys for microalbuminuria
  • Diabetic retinal exam
  • Diabetic foot exam

CANCER SCREENINGS

  • Routine mammogram (breast cancer screening)
  • Colorectal cancer screening

CarePlus Members Get Additional Benefits

We strive to help our members live more active, independent lives. Most CarePlus Medicare Advantage plans have a $0 monthly plan premium¹. Depending on the CarePlus Medicare Advantage plans you choose, it might include:

  • Preventive dental benefits
  • SilverSneakers® fitness program
  • Coverage for hospital inpatient stays
  • Deliver Fresh Meal program available within 30 days of discharge from an inpatient stay from an inpatient hospital stay
  • Over-the-counter allowance
  • Our CarePlus Rewards program for preventive care
  • Transportation to approved locations
  • Telehealth services2
  • Routine Vision benefits
  • Routine Hearing benefits

Most CarePlus Medicare Advantage plans also include:

  • Prescription drug coverage with no deductible
  • Access to a preferred cost-sharing mail-order pharmacy with no shipping fees
  • Coverage for certain erectile dysfunction drugs and prescription vitamins
  • Meal program after hospital discharge

1 Most CarePlus plans do not have a premium. If you qualify for and enroll in a CareNeeds Plus plan for enrollees who get both Medicare and Medicaid (dual eligibles), your premium will likely be paid in full by Medicare’s Extra Help/Low Income Subsidy program. For some members, the premium is reduced. The premium you pay, if any, is determined by your income and resources.

2 This benefit may not be offered by all in-network plan providers. Check directly with your provider about the availability of telehealth services, or you can also visit our ”Find a Doctor” tool to access our searchable directory online.

CareNeeds PLUS (HMO D-SNP): Your premium depends on the amount of “Extra Help” you get. You must continue to pay your Medicare Part B premium. The Part B premium may be covered through your State Medicaid Program.