Medicare Plan Documents | CarePlus Health Plans

CarePlus Medicare Advantage Plan Details

You deserve to know everything about your Medicare Advantage plan. The benefits you care about, no surprises.

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Plan Benefit Documents

Read the Summary of Benefits to see how much you will pay for the services covered under your plan. For full terms and conditions, including limits and exclusions, review your plan’s Evidence of Coverage.

2024

South Florida

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

Tampa Area

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO-POS C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO-POS C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

Orlando Area

CareOne Plus (HMO- POS)⁴

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareAccess (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareOne Plus (HMO- POS)⁴

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareAccess (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

Daytona Area

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareAccess (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

Treasure Coast

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareOne Platinum (HMO- POS)⁵

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareSalute (HMO-POS)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

Jacksonville Coast

CareOne Plus (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareOne Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareFree Platinum (HMO)

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareComplete Platinum (HMO C-SNP)²

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareBreeze Platinum (HMO C-SNP)³

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Plus (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

CareNeeds Platinum (HMO D-SNP)¹

English Benefits at a Glance (BAG)

Spanish Benefits at a Glance (BAG)

English Summary of Benefits

Spanish Summary of Benefits

English Evidence of Coverage

Spanish Evidence of Coverage

Covered Durable Medical Equipment Items and Brands

CarePlus generally covers all Durable Medical Equipment items and brands that Original Medicare covers. This includes certain items the doctor may order for your medical needs.

2024 Covered Durable Medical Equipment Items and Brands

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Disclaimers

¹CareNeeds Plus (HMO D-SNP) and CareNeeds Platinum (HMO D-SNP): These plans are 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) and CareNeeds Platinum (HM D-SNP) areis sponsored by CarePlus Health Plans, Inc. and the State of Florida, Agency for Health Care Administration.

²CareComplete Platinum (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders, or chronic heart failure.

³CareBreeze Platinum (HMO 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. This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders, or chronic heart failure.

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. This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.

⁸CareSalute (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.

H1019_CPHPMKTG_M

Last Updated:

01/04/2024