CareOne Plus (HMO-POS)

CAREPLUS HEALTH PLANS, INC. · 2027 plan year

Plan ID H1019-103-002

HMOPOS★ 4 CMS Stars
MOOP (in-network)
$1,500
MOOP (combined)
$1,500
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H1019-103-002
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$700/yr
Also owed
Your Medicare Part B premium, paid separately

Other segments for this plan:

More CAREPLUS HEALTH PLANS, INC. plans in FL

Benefits & cost sharing

Primary Care

BenefitIn-network
Chiropractic — Routine Care$15

Hospital

BenefitIn-network
Worldwide Urgent Care CoverageNo charge
Inpatient Hospital — Acute$50/day for days 1–5, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$50/day for days 1–5, $0 after

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$5
Mental Health — Group Sessions$5
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Cardiac & Pulmonary RehabilitationSee plan details
Skilled Nursing Facility (SNF)$0/day for days 1–20, $160/day for days 21–100
Pulmonary Rehabilitation — Additional Sessions$5
Supervised Exercise Therapy (SET)$5
Emergency Services$150
Urgently Needed ServicesNo charge
Worldwide Emergency Coverage$150
Worldwide Emergency Transportation$250
Partial Hospitalization Program$25
Intensive Outpatient Program (IOP)$25
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Chiropractic ServicesSee plan details
Occupational Therapy Services$5
Physician Specialist Services$5
Podiatry Services$5
Podiatry Services$5
Other Health Care Professional Services$0-$5
Psychiatric Services — Individual Sessions$5
Psychiatric Services — Group Sessions$5
Physical Therapy & Speech-Language Pathology$5
Additional Telehealth Services (Part B)$0-$5
Opioid Treatment Program Services$5
Diagnostic Procedures & Tests$0-$50
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$0-$100
Therapeutic Radiology$0-$5 copay + 20% coinsurance
X-Ray Services$0-$15
Outpatient Hospital Services$0-$75
Hospital Observation ServicesNo charge
Ambulatory Surgical Center (ASC)$0-$50
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$5
Substance Abuse — Group Sessions$5
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$0-$250
Air Ambulance20% coinsurance
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)10%-20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic DevicesNo charge
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Therapeutic Shoes & Inserts$10
Diabetic Monitors20% coinsurance
Dialysis Services20% coinsurance
Acupuncture$5
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Fitness BenefitNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Medicare-Covered Services$5
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — ComprehensiveSee plan details
Dental — Restorative ServicesNo charge
Dental — Removable Prosthodontics (Dentures)No charge
Dental — Oral & Maxillofacial SurgeryNo charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$0-$5
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Hearing — Exams$5
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Cardiac Rehabilitation — Additional Sessions$5
Intensive Cardiac Rehabilitation — Additional Sessions$5
Diabetic SuppliesNo charge
Worldwide Emergency & Urgent CoverageSee plan details
Psychiatric ServicesSee plan details
Diagnostic Tests & Lab ServicesSee plan details
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$0-$275
Hearing — OTC Hearing AidsNo charge

Service area

  • FL: 3 counties

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