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CH

CarePlus Health Plans, Inc.

Plan ID: H1019-131-0

CareSalute (HMO)

2024 CareSalute (HMO) H1019131 0 is a Medicare Advantage plan . It has received a 4-out-of-5 star rating from CMS for 2024.

Learn more about CareSalute (HMO) H1019 - 131 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

4 / 5 stars for 2024

$0.00 /mo

Monthly premium

$0

Health deductible

$6350.00

Out-of-pocket maximum

Enroll online

Call to enroll

OR

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

Overview Icon

Plan Overview

2024 CareSalute (HMO) H1019131 0 is a Local HMO offered in Flagler and Volusia counties by CarePlus Health Plans, Inc.. It has a monthly premium of $0.00 and includes a Part B premium discount of $90.00.

Premium Breakdown

Standard Part B Premium

$174.70

Part B premium reduction

- $90.00

Monthly Plan Premium

$0.00

Total Premium:

$84.70

Note:

The standard Part B premium for 2024 is $174.70. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Higher-income beneficiaries may pay an income-related monthly adjustment amount (IRMAA). The Part B premium is required to be paid by everyone enrolled in Medicare Part B.

Special needs plan type

No

Out-of-pocket maximum

$6350.00

Plan Organization:

CarePlus Health Plans, Inc.

Plan Type:

Local HMO

Location:

Flagler and Volusia counties

Drugs Covered:

No

Drug Formulary:

Pharmacies:

Doctor Choice:

Plan Doctors for Most Services

Doctors Link:

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Health deductible

$0

Sign up for CareSalute (HMO)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

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Drug Coverage

CareSalute (HMO) does not provide drug coverage. If drug coverage is something you need, you should consider shopping for other plans that do provide cost sharing on drugs.

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Additional Benefits

CareSalute (HMO) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

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Comprehensive dental

Non-routine services
Not covered
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Diagnostic services
$0 copay
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Restorative services
$0 copay
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Endodontics
$0 copay
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Periodontics
$0 copay
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Extractions
$0 copay
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Prosthodontics, other oral/maxillofacial surgery, other services
$0 copay
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Preventive dental

Oral exam
$0 copay
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Cleaning
$0 copay
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Fluoride treatment
$0 copay
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Dental x-ray(s)
$0 copay
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Diagnostic procedures/lab services/imaging

Diagnostic tests and procedures
$0-250 copay
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Lab services
$0 copay
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Diagnostic radiology services (eg, MRI)
$0-250 copay
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Outpatient x-rays
$0-125 copay
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Doctor visits

Primary
$0 copay
Specialist
$30 copay per visit
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Emergency care/Urgent care

Emergency
$90 copay per visit (always covered)
Urgent care
$30 copay per visit (always covered)
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Foot care (podiatry services)

Foot exams and treatment
$30 copay
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Routine foot care
$30 copay
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Ground ambulance

Service
$175 copay
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Hearing

Hearing exam
$30 copay
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Fitting/evaluation
$0 copay
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Hearing aids
$0 copay
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Inpatient hospital coverage

Service
$300 per day for days 1 through 7 $0 per day for days 8 through 90 $0 per day for days 90 and beyond
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Outpatient hospital coverage

Service
$0-250 copay per visit
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Optional benefits

Service
No
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Medical equipment/supplies

Durable medical equipment (eg, wheelchairs, oxygen)
$0 copay or 20% coinsurance per item
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Prosthetics (eg, braces, artificial limbs)
20% coinsurance per item
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Diabetes supplies
$0 copay
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Medicare Part B drugs

Chemotherapy
0-20% coinsurance
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Other Part B drugs
0-20% coinsurance
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Part B Insulin drugs
0-20% coinsurance (up to $35)
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Mental health services

Inpatient hospital - psychiatric
$300 per day for days 1 through 7 $0 per day for days 8 through 90
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Outpatient group therapy visit with a psychiatrist
$30 copay
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Outpatient individual therapy visit with a psychiatrist
$30 copay
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Outpatient group therapy visit
$30 copay
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Outpatient individual therapy visit
$30 copay
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Preventive care

Service
$0 copay
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Rehabilitation services

Occupational therapy visit
$30 copay
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Physical therapy and speech and language therapy visit
$30 copay
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Skilled Nursing Facility

Service
$0 per day for days 1 through 20 $188 per day for days 21 through 100
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Transportation

Service
$0 copay
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Vision

Routine eye exam
$0 copay
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Other
Not covered
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Contact lenses
$0 copay
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Eyeglasses (frames and lenses)
$0 copay
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Eyeglass frames
Not covered
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Eyeglass lenses
Not covered
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Upgrades
Not covered
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Wellness programs (eg, fitness, nursing hotline)

Service
Covered
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Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

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Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

* 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. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.

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