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Thank You for Being a Loyal Member of CarePlus Health Plans, Inc.

As a member of CarePlus, this page is just for you. Here you can find the information and forms you need to manage your health care decisions, and provide us with feedback.

We want to make it easy for you to stay in control of your health care. As one of our 68,000* members, you are the reason why we work hard to provide you with improved benefits, value and convenience each year. We have always believed that good health care starts with taking good care of your health. That's why we focus on prevention and giving you the benefits you need to stay healthy and happy.

*Medicare Advantage CPHP Membership Report (09/2013)

CMS Plan Ratings Information

The Overall Plan Rating gives you a single summary score that makes it easy for you to compare plans based on quality and performance. The information provided below is an overall plan rating for CarePlus’ performance. In addition, you can learn more about differences among plans by looking at the detailed ratings visiting www.medicare.gov.

2014 CMS Plan Rating Information
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Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

CarePlus Health Plans, Inc.'s Newsletter

Today newsletter is published twice a year for CarePlus Health Plans, Inc. members. The articles in this publication are primarily for educational purposes, and should not be considered specific medical advice. Should any beneficiary feel the need for medical advice, please consult your Primary Care Provider for specific health concerns.

CarePlus Health Plans, Inc.s' Member Newsletter – "TODAY"
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Summary of the Florida Patient's Bill of Rights and Responsibilities

CarePlus Health Plans, Inc. Summary of the Florida Patient's Bill of Rights and Responsibilities
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Exceptions, Grievances, Coverage Determinations, and Redeterminations Information

For important information and forms regarding Coverage Determinations, Redeterminations and how to appoint a representative, please click here.

Additional Resources

Grievance and Appeals Request Form
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Contact numbers for Enrollees and Physicians who have Questions and need to Inquire about the status of the Grievance, Coverage Determination and Appeal processes
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How to Obtain an Aggregate Number of Grievances, Appeals and Exceptions Filed with the Plan
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You can also find detailed information in Chapter 9 of the CarePlus Health Plans, Inc. Evidence of Coverage with regard to grievances, coverage determinations (including exceptions), and the appeals process. 2014 CarePlus Medicare Advantage Plan Information

Over-The- Counter (OTC) Products

If you are enrolled in a plan that offers OTC benefits, you can take advantage of a monthly allowance amount that you can use to order over-the-counter products. This includes things like cough medicine, pain relievers and first aid items. These products can be sent directly to your home through our easy-to-use OTC mail order service.

National Coverage Determinations

From time-to-time CMS makes changes to the services that are covered by Medicare. These changes are updated via National Coverage Determinations. You can access the NCD information by using the link below.

Plan Information

Call CarePlus Health Plans, Inc. at 1-800-794-5907; from 8 a.m. to 8 p.m., 7 days a week. From February 15th to September 30th, we are open Monday – Friday from 8 a.m. to 8 p.m. TTY users should call 711.

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H1019_CPHPEDUMKTG2014REV Approved
Last Updated: 03/06/2014