2011 CarePlus Medicare Advantage Plan Information
Explore and Compare the Florida Medicare Plans Available in Your Service Area
In 2011, CarePlus offered Medicare Advantage HMO benefit plans in the following service areas throughout Florida: Miami-Dade, Broward, Palm Beach, Hillsborough, Pinellas, Pasco, Orange, Osceola, Seminole, Brevard, Saint Lucie, Okeechobee, Indian River, Martin, Lake, Marion, Charlotte, Lee, Sarasota, and Polk counties. Please check the links provided below to review the Summary of Benefits and/or Evidence of Coverage for each specific Medicare benefit plan, which will provide you with the plan's description of benefits.
Individuals must have both Medicare Part A and Part B. You must continue to pay your Medicare Part B premium. Eligible beneficiaries must use network pharmacies to access their prescription drug benefits, except under non-routine circumstances. Limitations, copayments, and restrictions may apply.
You must use plan providers, except in emergency or urgent care situations, or for out-of-area renal dialysis or other services. You must receive all routine care from plan providers. If you obtain routine care from out-of-network providers neither Medicare nor CarePlus Health Plans, Inc. will be responsible for the costs. Limitations, copayments and restrictions may apply.
The benefits, products, and services described below may not be available in all CarePlus' service areas.
South Florida
Broward County Benefit Plans
- CareOne (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- CareFree (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- CareFree PLUS (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- *CareDirect (HMO SNP)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
Miami-Dade County Benefit Plans
- CareOne PLUS (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- CareFree PLUS (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- *CareDirect (HMO SNP)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
Palm Beach County Benefit Plans
- CareOne (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- CareOpen (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
Tampa Area:
Hillsborough and Pinellas Counties Benefit Plans
- CareOne (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- CareOne PLUS (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- **CareComplete (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
Pasco County Benefit Plans
- CareOne (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- **CareComplete (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
Polk County Benefit Plans
- CareOne (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
Orlando Area
Orange, Osceola, and Seminole Counties Benefit Plans
- CareOne (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
- CareOne PLUS (HMO)
- Summary of Benefits & Value Added Items & Services, English
- Evidence of Coverage, English
- Summary of Benefits & Value Added Items & Services, Spanish
- Evidence of Coverage, Spanish
Lake and Marion Counties Benefit Plan
Treasure & Space Coast:
Brevard County Benefit Plans
Indian River, Martin, Okeechobee, and Saint Lucie Counties Benefit Plan
Gulf Coast
Charlotte, Lee, and Sarasota Counties Benefit Plan
To learn more about 2011 CMS Plan Ratings information, click here.
+ These benefits plans are available to partial or full benefit dual eligible members. Premiums, copayments, coinsurance, and deductibles may vary based on the level of extra help you may receive and you should contact CarePlus Health Plans, Inc.'s Member Services department for further details.
++These benefit plans are available to full dual benefit members. Part B premium is covered by the state for full benefit dual eligible members.
* These benefit plans are available to all people with Medicare who have been diagnosed with Diabetes.
**This is an MA benefit plan only. This benefit plan does not offer prescription drug coverage.
The following plans will no longer be offering individual beneficiary coverage effective January 1, 2012:
CareDirect (HMO SNP) Plan in Miami-Dade county and CareComplete (HMO) Plan will not be renewing its Medicare contract effective January 1, 2012. You may choose to enroll in our plan, but your coverage will automatically end on December 31, 2011. Because this plan ends on December 31, 2011, if you decide to join, you are entitled to enroll in a new MA plan or PDP beginning December 8,2011 through February 29,2012. However, if you want your enrollment in the new plan to take effect on January 1, 2012, the new plan must receive your application by December 31st. You may also have the option of enrolling in a Medicare Cost Plan, if one is offered in your area. If you do not enroll in another MA plan, Medicare Cost Plan or PDP by December 31, 2011, you will be disenrolled from our plan and enrolled in Original Medicare on this date.
CareFree PLUS (HMO) Plan in Broward county will be combining with one of our other plans, CareFree (HMO). Enrolled members can choose a different Medicare Health Plan or switch to Original Medicare. However, if you don't choose another plan, we will automatically change your coverage to our CareFree (HMO) Plan on January 1, 2012.
If you have any questions or would like further information, please contact our Member Services department at 1-800-794-5907. If you use a TTY device, please call 711. We are open 7 days a week, from 8 a.m. to 8 p.m. From February 15 until the following Annual Election Period (AEP), you may leave us a voice mail message after-hours, Saturdays, Sundays and holidays and we will return your call the next business day.