Legal Disclaimers

Learn more about CarePlus Medicare Advantage HMO benefit plans by calling 1-855-605-6171 (TTY: 711). From October 1 - March 31, we are open 7 days a week, 8 a.m. to 8 p.m. From April 1 - September 30, we are open Monday - Friday, 8 a.m. to 8 p.m. You may always leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within one business day.

This website is for Medicare coverage use only.

CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal. Individuals must have both Part A and Part B to enroll. Medicare beneficiaries may enroll in the plan only during specific times of the year.

This website is intended to provide information to CarePlus’ members and prospective members about the benefit plans offered by CarePlus. Information contained in this site offers general health-related information and is not a substitute for professional healthcare. For individualized medical guidance, talk to your doctor.

Although CarePlus has made every effort to ensure that the contents of this site are correct and complete, CarePlus cannot be responsible for the accuracy of information contained herein. For the most current information available from CarePlus (only including updates made to date) please contact CarePlus’ Member Services using the telephone number on your member ID card. For non-CarePlus members, please contact 1-855-605-6171 (TTY: 711). From October 1 - March 31, we are open 7 days a week, 8 a.m. to 8 p.m. From April 1 - September 30, we are open Monday - Friday, 8 a.m. to 8 p.m. You may always leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within one business day.

The benefit plan descriptions, if any, provided on the CarePlus website are not intended to constitute offers to sell or solicitations in connection with any product or service. Please note that all benefit plans are not available in all areas/counties and are subject to applicable laws, rules, and regulations.

Links to various other websites from this site are provided for your convenience only and do not constitute or imply endorsement by CarePlus of these sites, any products or services described on these sites, or of any other material contained therein. CarePlus disclaims responsibility for their content and accuracy.

Information on this website may contain inaccuracies or errors. Information may be changed or updated without notice. CarePlus only provides periodic updates to this site; therefore, any information presented may be out of date.

Please refer to your Summary of Benefits and/or Evidence of Coverage for detailed information about your benefits.

Our Medicare Advantage HMO benefit plans have some limitations; copayments and restrictions may apply

Your Plan Has a Network

You must use CarePlus network providers except in emergency or urgent care situations, or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers, neither Medicare nor CarePlus will be responsible for the costs.

2024 Disclaimers:

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.

110-CareOne Platinum (HMO-POS); 141-CareComplete Platinum (HMO-POS C-SNP)**; 142-CareBreeze Platinum (HMO-POS C-SNP)**; 143-CareSalute (HMO-POS): These plans cover 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); 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). Sponsored by CarePlus Health Plans, Inc. and the State of Florida, Agency for Health Care Administration.

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

Licensure

CarePlus Health Plans, Inc. is a Florida-licensed Health Maintenance Organization that is an indirect, wholly owned subsidiary of  Humana, Inc., a Delaware corporation and an insurance and health maintenance organization holding company and the ultimate controlling entity.