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.
South Florida
- CareOne Plus (HMO POS) (001)
English Summary of Benefits PDF opens in new window Spanish Summary of Benefits PDF opens in new window English Evidence of Coverage PDF opens in new window Spanish Evidence of Coverage PDF opens in new window
- CareFree Giveback (HMO) (065)
- Carefree Platinum Giveback (HMO POS) (135)
- CareComplete Platinum (HMO C-SNP) (130)
- CareBreeze Platinum (HMO C-SNP) (124)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Platinum (HMO D-SNP) (023)
- CareAccess (HMO) (148)
- CareSalute (HMO) (119)
- CareOne Plus (HMO) (006)
- CareFree Giveback (HMO) (076)
- Carefree Platinum Giveback (HMO) (136)
- CareComplete Platinum (HMO C-SNP) (121)
- CareBreeze Platinum (HMO C-SNP) (123)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Platinum (HMO D-SNP) (023)
- CareAccess (HMO) (148)
- CareOne Plus (HMO POS) (001)
- CareFree Giveback (HMO) (065)
- Carefree Platinum Giveback (HMO POS) (135)
- CareComplete Platinum (HMO C-SNP) (130)
- CareBreeze Platinum (HMO C-SNP) (124)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Platinum (HMO D-SNP) (023)
- CareAccess (HMO) (148)
- CareSalute (HMO) (119)
Tampa Area
- CareOne Plus (HMO ) (103-002)
- CareFree Giveback (HMO) (104-002)
- CareComplete Platinum (HMO C-SNP) (147-002)
- CareBreeze Platinum (HMO C-SNP) (151-002)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- o CareAccess (HMO) (144)
- o CareSalute (HMO ) (132)
- CareOne Plus (HMO) (103-001)
- CareFree Giveback (HMO) (104-001)
- CareComplete Platinum (HMO C-SNP) (147-002)
- CareBreeze Platinum (HMO C-SNP) (151-002)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (132)
Orlando Area
- CareOne Plus (HMO POS) (057)
- CareFree Giveback (HMO) (149)
- Carefree Platinum Giveback (HMO S) (138)
- CareComplete Platinum (HMO C-SNP) (147-001)
- CareBreeze Platinum (HMO C-SNP) (151-001)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (133)
Daytona Area
- CareOne Plus (HMO) (098)
- Carefree Platinum Giveback (HMO) (140)
- CareComplete Platinum (HMO C-SNP) (108)
- CareBreeze Platinum (HMO C-SNP) (117)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO) (131)
Treasure Coast / Central Florida
- CareOne Plus (HMO POS) (043)
- CareFree Giveback (HMO) (134)
- Carefree Platinum Giveback (HMO) (139)
- CareComplete Platinum (HMO C-SNP) (108)
- CareBreeze Platinum (HMO C-SNP) (117)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
- CareSalute (HMO POS) (143)
Jacksonville/ North Florida
- CareOne Plus (HMO) (113)
- Carefree Platinum Giveback (HMO) (094)
- CareComplete Platinum (HMO C-SNP) (109)
- CareBreeze Platinum (HMO C-SNP) (118)
- CareComplete (HMO C-SNP) (150)
- CareNeeds Plus (HMO D-SNP) (073)
- CareNeeds Platinum (HMO D-SNP) (146)
- CareAccess (HMO) (144)
South Florida
CareOne Plus (HMO)
CareFree (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareSalute (HMO)
CareOne Plus (HMO)
CareFree (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareOne Plus (HMO)
CareFree (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareSalute (HMO)
Tampa Area
CareOne Plus (HMO)
CareFree (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareSalute (HMO)
CareOne Plus (HMO)
CareComplete Platinum (HMO-POS C-SNP)2
CareBreeze Platinum (HMO-POS C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareSalute (HMO)
CareOne Plus (HMO)
CareFree (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareSalute (HMO)
Orlando Area
CareOne Plus (HMO- POS)4
CareFree (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareAccess (HMO)
CareSalute (HMO)
CareOne Plus (HMO- POS)4
CareFree (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareAccess (HMO)
CareSalute (HMO)
Daytona Area
CareOne Plus (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareAccess (HMO)
CareSalute (HMO)
Treasure Coast
CareOne Plus (HMO)
CareOne Platinum (HMO- POS)5
CareFree (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
CareSalute (HMO-POS)
Jacksonville Area
CareOne Plus (HMO)
CareOne Platinum (HMO)
CareFree Platinum (HMO)
CareComplete Platinum (HMO C-SNP)2
CareBreeze Platinum (HMO C-SNP)3
CareNeeds Plus (HMO D-SNP)1
CareNeeds Platinum (HMO D-SNP)1
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.