CLAY COUNTY—CarePlus Health Plans, Inc., a Florida-based provider of Medicare Advantage plans, is proud to announce enhancements to its 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: Following its initial launch in Orlando and Daytona Beach, the CareAccess (HMO) plan will be available across all service areas. This plan allows members to see in-network specialists without needing a referral, enhancing healthcare flexibility. In Clay, Duval, and St. John’s counties, CarePlus is an HMO plan with a Medicare contract. Enrollment depends on contract renewal.
• Easing Financial Burdens: For 2025, CarePlus’ Part B premium giveback benefit will be included on more than 65% of CarePlus plans. This reduces the amount members pay for Medicare Part B.
• $0 Premium on All Plans: In 2025, CarePlus members will not have to pay an extra premium for their Medicare Advantage plan.
• 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) plan 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: The spending card on the CareNeeds Platinum (HMO D-SNP) plan will receive an over-the-counter allowance. To ensure accessibility, the card 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 more than 100,000 dentists nationwide.
• Vision and Hearing: Includes allowances for eyewear and hearing aids.
• Medical Coverage: $0 copay for primary care, podiatry, acupuncture, chiropractic visits, and 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 (855) 450-1352 (TTY: 711).

1. Certain services or medications may require preauthorization.
2. The Part B Premium Reduction benefit pays part or all of your Part B premium, and the amount may change based on the amount you pay for Part B.
3. This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.
4. This 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).
5. Quantity limits and other restrictions apply.

The 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, or Chronic heart failure. This is not a complete list of qualifying conditions. 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. Per the Centers for Medicare & Medicaid Services (CMS) federal requirements, no amounts on the gift cards shall be redeemable for cash. No amount may be applied toward purchasing 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. About CarePlus Health Plans Dedicated to enhancing the health and wellness of Florida’s Medicare beneficiaries, CarePlus Health Plans offers tailored Medicare Advantage plans that prioritize our members’ needs. As an ACCESS Florida community partner, CarePlus facilitates access to essential public assistance services, including Medicaid, Extra Help, Temporary Cash Assistance, and SNAP. In collaboration with our esteemed network of healthcare providers, we proudly commit to delivering exceptional care across our communities. Visit CarePlusHealthPlans.com to learn more about our services and join our community.