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CarePlus Announces Medicare Advantage Plan Offerings for 2026

via Business Wire

CarePlus continues its commitment to affordable, high-quality care with expanded plan options, comprehensive benefits, and strong financial value for Florida’s Medicare beneficiaries.

CarePlus Health Plans, Inc., a provider of Medicare Advantage plans in Florida, today announced its 2026 Medicare Advantage plan offerings. With up to 12 plan options in each of the 20 Florida counties it serves, CarePlus remains focused on delivering robust coverage, preventive services, and exceptional member support.

“At CarePlus, we strive to simplify healthcare and ensure our members can access high-value benefits to meet their needs,” said Steven Ruiz, President of CarePlus Health Plans. “For 2026, we are introducing new plan options and strengthening our core benefits to further support the well-being of Florida’s Medicare-eligible community.”

New for 2026:

  • New plan for people with Medicare and full Medicaid: CarePlus is introducing a new Dual Eligible Special Needs Plan (D-SNP) for full Medicaid-eligible beneficiaries. This is an addition to CarePlus’ existing D-SNP options for those who qualify for full or partial Medicaid.
  • New plan for chronic lung conditions: CarePlus is adding a second Chronic Condition Special Needs Plan (C-SNP) option for Medicare beneficiaries diagnosed with qualifying chronic lung conditions such as asthma, COPD, bronchitis, and emphysema. The new plan features the addition of the CareEssentials Allowance.** CarePlus also continues to offer C-SNPs for those diagnosed with diabetes, heart conditions or cardiovascular disorders.
  • Out-of-network flexibility added to some C-SNPs: In certain areas, this gives members even more options when seeing an out-of-network specialist to care for their condition.
  • Go365 member rewards: Beginning January 1, CarePlus members will be able to participate in the Go365® wellness program, earning rewards for completing eligible activities. Members can redeem rewards in the Go365 Mall for gift cards from retailers such as Walmart, CVS, Shell, and Applebee’s.
  • Mental health: Select plans now feature a $0 copay for in-network mental health visits.

Key Plan Features:

  • $0 premiums: All CarePlus plans feature a $0 monthly premium.
  • $0 copays: Members pay $0 for in-network primary care physician visits, dental services on select procedures (including new coverage for bridges on some plans), and on hundreds of prescriptions at in-network retail pharmacies (on plans with prescription drug coverage1).
  • $0 prescription drug deductibles: Select plans offer a $0 deductible for all covered medications.1
  • Part B premium giveback: Many plans include this benefit, helping to reduce out-of-pocket costs for Medicare Part B.*
  • Over-the-counter allowance2 or CareEssentials Allowance**: Available on many plans, offering spending power for eligible purchases.
  • Routine coverage: All plans include dental, hearing, and vision benefits.
  • Transportation: All plans provide transportation benefits, with unlimited rides on D-SNPs.***
  • SilverSneakers® exercise and fitness program: Available across all CarePlus plans to support active lifestyles.

For more information or to enroll during Medicare’s Annual Enrollment Period (Oct. 15–Dec. 7), Florida residents may visit CarePlusHealthPlans.com or call a licensed CarePlus sales agent at 855-450-1352 (TTY: 711).

About CarePlus Health Plans, Inc.

CarePlus Health Plans, Inc. has been serving Medicare beneficiaries in Florida for more than 25 years. CarePlus is dedicated to advancing health equity, supporting preventive care, and empowering members to lead healthier lives through innovative Medicare Advantage benefits and personalized service.

Through our partnership with the ACCESS Florida Department of Children and Families, CarePlus Health Plans, Inc.’s Social Services department assists members to apply for public assistance through a variety of state and federal programs. This assistance and guidance is completely voluntary and offered at no additional cost.

Available in South Florida, West Florida, Central Florida, North Florida and Atlantic Coast. CarePlus is a Medicare Advantage HMO organization with a Medicare contract. CarePlus is also a Dual Eligible Special Needs HMO SNP plan with a Medicare contract and a contract with the Florida Medicaid Program. Enrollment in any CarePlus plan depends on contract renewal. Quantity limits and other restrictions may apply. Out-of-network/non-contracted providers are under no obligation to treat CarePlus members, except in emergency situations. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. 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. Rewards (gift cards) must be earned and redeemed in the same plan year. Rewards not redeemed by 12/31 will be forfeited.

*The Part B Premium Reduction (Giveback) benefit pays part or all your Part B premium and the amount may change based on the amount you pay for Part B.

**This spending allowance is a special program for members with specific health conditions. Qualifying conditions include diabetes mellitus, cardiovascular disorders, chronic and disabling mental health conditions, chronic lung disorders, or chronic heart failure, among others. Some plans require at least two conditions and other requirements apply. See the plan's Evidence of Coverage for details. If you use this program for rent or utilities, Housing and Urban Development (HUD) requires it to be reported as income if you seek assistance. Contact your local HUD office if you have questions.

***Quantity limits and other restrictions may apply.

1 Prescription drug coverage can vary across plans. $0 copay may be limited to specific tiers, coverage stages, “Extra Help” eligibility, 3-month supply and/or certain pharmacies.

2 Available only through mail-order from CenterWell Pharmacy®.

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