CarePlus Announces Medicare Advantage Plan Offerings for 2025

Published 2 months ago via Business Wire

Marking 25 years of operation, CarePlus increases focus on affordable health and financial well-being through robust allowances, $0 copays, and a giveback benefit.

CarePlus Health Plans, Inc., a Florida-based provider of Medicare Advantage plans, is proud to announce enhancements to its Medicare Advantage plans for 2025. The plans, benefits, and resources are part of CarePlus’ ongoing commitment to improving health outcomes across the state.

“Our top priority is to provide affordable healthcare solutions that cater to the individual needs of our members,” said Steven Ruiz, President of CarePlus Health Plans. “As we enter our 25th year exclusively serving Florida’s Medicare-eligible population, we are excited about how our health plan options in 2025 will help contribute to our members’ overall well-being.”

New for 2025:

  • Expanded Access: The CareAccess (HMO) plan will be available across all service areas, following its initial launch in Orlando and Daytona. This plan allows members to see in-network specialists without needing a referral, enhancing healthcare flexibility.1
  • Easing Financial Burdens: CarePlus’ Part B premium giveback benefit will be included on more than 65% of CarePlus plans for 2025. It reduces the amount members pay for Medicare Part B.2
  • $0 Premium on All Plans: CarePlus members will not have to pay an extra premium for their Medicare Advantage plan in 2025.
  • Roll-Over Funds: On CarePlus plans that include it, CareEssentials Allowance funds will roll over if unused at the end of each month, providing greater flexibility and spending power for essential purchases like groceries, utilities, and rent.
  • New Chronic Condition Plan: The CareComplete (HMO C-SNP) plan3 is for people managing diabetes, cardiovascular disorders, or congestive heart failure. It is available in all CarePlus service areas and includes a $215 monthly CareEssentials Allowance.*
  • Enhanced Support for those who have both Medicare and Medicaid: An over-the-counter allowance will be added to the spending card on the CareNeeds Platinum (HMO D-SNP) plan.4 To ensure accessibility, it can be used at participating retailers or through CenterWell Pharmacy™ for mail delivery at no additional cost.

Also Available on Most CarePlus Plans:

  • Robust Dental Coverage: $0 copay for services including dentures, extractions, and fillings, with access to over 100,000 dentists nationwide.5
  • Vision and Hearing: Includes allowances for eyewear and hearing aids.
  • Medical Coverage: $0 copay for primary care, podiatry, acupuncture, and chiropractic visits as well as a free meal delivery program after overnight hospital stays.
  • Affordable Prescription Drugs: $0 copay for Tier 1 drugs on all Medicare Advantage Prescription Drug plans – and a $2,000 maximum limit on out-of-pocket costs for covered drugs.
  • Wellness Programs: Access to SilverSneakers®, free transportation to select locations, and a $50 gift card reward for completing certain healthy activities.

For more information on enrolling in a CarePlus Medicare Advantage plan during Medicare’s Annual Enrollment Period from Oct. 15 to Dec. 7, Florida residents can visit www.CarePlusHealthPlans.com or contact a licensed CarePlus sales agent at 1-855-450-1352 (TTY: 711).

1Certain services or medications may require preauthorization.

2The Part B Premium Reduction benefit pays part or all your Part B premium and the amount may change based on the amount you pay for Part B.

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

4This plan is 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).

5Quantity limits and other restrictions apply.

*Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

South Florida, West Florida, Central Florida, North Florida, and Atlantic Coast. CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal. In accordance with the federal requirements of the Centers for Medicare & Medicaid Services (CMS), no amounts on the gift cards shall be redeemable for cash and no amount may be applied toward the purchase of any prescription drug under your plan. Rewards (gift cards) must be earned and redeemed in the same plan year. Rewards not redeemed by 12/31 will be forfeited.

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