CarePlus HMO Plans
When you choose one of the CarePlus Medicare Advantage HMO benefit plans, you are making a smart investment in your health coverage.
Understanding How These Benefit Plans Work
CarePlus' Medicare Advantage HMO benefit plans let you choose your own Primary Care Provider from an extensive list of physicians. Together, you and your doctor coordinate all of your care. You even have the option to change your Primary Care Provider at any time. Your Primary Care Provider, called a PCP, is your partner in health and will send you to specialists or hospitals when you need specialized care.
Individuals must have both Medicare Part A and Part B to enroll in a CarePlus Medicare Advantage HMO plan. 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.
Some of the benefits that CarePlus Medicare Advantage HMO plans can provide you include:
- $0 monthly plan premiums
- Inpatient Hospitalization coverage
- Worldwide coverage for Emergency care
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 an out-of-network provider, neither Medicare nor CarePlus Health Plans, Inc. will be responsible for the costs. Limitations, copayments and restrictions may apply.