Medicare’s Star Rating for
CarePlus Health Plans
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The Centers for Medicare & Medicaid Services (CMS) now allows Medicare Advantage (MA) plans to apply step therapy for physician-administered and other Part B drugs.
Step therapy is a type of prior authorization for drugs that require patients to initiate treatment for a medical condition with the most preferred drug therapy. Patients then progress to other therapies only if necessary.
CarePlus will review some injectable drugs and biologics for step therapy requirements, in addition to current prior authorization review requirements. You can find a list of the drugs and biologics we will review, as well as alternatives to non-preferred drugs subject to step-therapy, here:
H1019_CPHPMKTG_M
01/04/2024
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.
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