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MIAMI--(BUSINESS WIRE)--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..
。这些计划、福利和资源是CarePlus持续致力于改善全州健康状况的一部分。。
“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.”.
。“随着我们进入专门为佛罗里达州符合Medicare条件的人群服务的第25年,我们对2025年的健康计划选项将如何帮助我们的成员的整体福祉感到兴奋。”。
New for 2025:
2025年新增:
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
扩展访问:CareAccess(HMO)计划在奥兰多和代托纳首次推出后,将在所有服务领域提供。该计划允许会员在不需要转诊的情况下查看网络专家,从而增强了医疗保健的灵活性。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
减轻财务负担:CarePlus的B部分保费回馈福利将包含在2025年CarePlus计划的65%以上。它减少了成员为Medicare Part B.2支付的金额
$0 Premium on All Plans: CarePlus members will not have to pay an extra premium for their Medicare Advantage plan in 2025.
所有计划的保费均为0美元:CarePlus会员将不必为2025年的Medicare Advantage计划支付额外保费。
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.
展期基金:在包括它在内的CarePlus计划中,CareEssentials津贴基金如果在每个月底未使用,将展期,为杂货、公用事业和租金等基本购买提供更大的灵活性和消费能力。
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.*
新的慢性病计划:CareComplete(HMO C-SNP)计划3适用于管理糖尿病,心血管疾病或充血性心力衰竭的人。它适用于所有CarePlus服务领域,包括每月215美元的CareEssentials津贴*
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..
增强对同时拥有Medicare和Medicaid的人的支持:将在Careeneeds Platinum(HMO D-SNP)计划的消费卡上增加非处方津贴。4为确保可访问性,可在参与零售商处使用,也可通过CenterWell Pharmacy™进行邮寄,无需额外费用。。
Also Available on Most CarePlus Plans:
大多数CarePlus计划也提供:
Robust Dental Coverage: $0 copay for services including dentures, extractions, and fillings, with access to over 100,000 dentists nationwide.5
强大的牙科保险:包括假牙、拔牙和补牙在内的服务共付0美元,可接触全国超过100000名牙医。5
Vision and Hearing: Includes allowances for eyewear and hearing aids.
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Medical Coverage: $0 copay for primary care, podiatry, acupuncture, and chiropractic visits as well as a free meal delivery program after overnight hospital stays.
医疗保险:初级保健、足病治疗、针灸和脊医治疗费用为0美元,住院过夜后可享受免费送餐计划。
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.
负担得起的处方药:所有Medicare Advantage处方药计划中的一级药物共付0美元,受保药物的自付费用最高限额为2000美元。
Wellness Programs: Access to SilverSneakers®, free transportation to select locations, and a $50 gift card reward for completing certain healthy activities.
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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).
有关在10月15日至12月7日的Medicare年度登记期间登记CarePlus Medicare Advantage计划的更多信息,佛罗里达州居民可以访问www.CarePlusHealthPlans.com或致电1-855-450-1352(电话:711)联系获得许可的CarePlus销售代理。
1Certain services or medications may require preauthorization.
1某些服务或药物可能需要预先授权。
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.
2乙方保费减免福利支付乙方部分或全部保费,金额可能会根据您为乙方支付的金额而变化。
3This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.
3该计划适用于任何被诊断患有糖尿病、心血管疾病或慢性心力衰竭的参加医疗保险的人。
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).
4该计划适用于同时接受医疗保险和医疗补助的任何人:合格的医疗保险受益人(QMB/QMB+)、特定的低收入医疗保险受益人(SLMB/SLMB+)、合格个人(QI)、合格残疾人和工作人员(QDWI)和其他全额福利双重资格(FBDE)。
5Quantity limits and other restrictions apply.
5数量限制和其他限制适用。
*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.
*上述福利可能是针对患有以下疾病之一的慢性病成员的特殊补充计划的一部分:糖尿病,心血管疾病,慢性和致残性心理健康状况,慢性肺部疾病,慢性心力衰竭。这不是一个完整的资格条件列表。
Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply..
仅具备资格条件并不意味着您将获得福利。其他要求可能适用。。
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.
南佛罗里达州、西佛罗里达州、中佛罗里达州、北佛罗里达州和大西洋海岸。CarePlus是一项医疗保险合同的HMO计划。CarePlus的注册取决于合同续签。根据联邦医疗保险和医疗补助服务中心(CMS)的要求,礼品卡上的任何金额都不能兑换现金,也不能用于购买您计划中的任何处方药。
Rewards (gift cards) must be earned and redeemed in the same plan year. Rewards not redeemed by 12/31 will be forfeited..
奖励(礼品卡)必须在同一计划年内获得和兑换。12月31日前未赎回的奖励将被没收。。