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Plans & Benefits

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CareMore Contract with CMS

All Medicare Advantage Plans agree to stay in the program for a full year at a time. Each year, the plans decide whether to continue for another year and the Centers for Medicare and Medicaid Services (CMS) may also refuse to renew the plan’s contract, thus resulting in a termination or non-renewal. This may result in termination of the beneficiary’s enrollment in the plan. In addition, the plan sponsor may reduce its service area and no longer offer services in the area where the beneficiary resides. Even if a Medicare Advantage Plan leaves the program you will not lose Medicare coverage. If a plan decides not to continue, it must send you a letter at least 60 days before your coverage will end. The letter will explain your options for Medicare coverage in your area.

2012 Plan Benefits and Cost Sharing  

Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change from year to year. Benefits may change on January 1, 2012. All benefits are based on the 2011 calendar year, you must continue to pay your Medicare Part B premium. Enrollment Periods Page

 



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Plan Name

Description

County

Links

CareMore Value Plus

Details

For LA and Orange Counties:

CareMore Value Plus is available to all Medicare eligible beneficiaries. It's a plan that serves the health care needs of seniors as they age and helps them through the process by providing extraordinary care and attention. We deliver a full spectrum of care and an abundance of attention, along with innovative programs designed around the growing needs of Medicare beneficiaries.

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.

L.A. County
CareMore StartSmart

Details

For LA and Orange Counties:

With the StartSmart health plan from CareMore, we make health care simple and save you money at the same time! This Medicare Advantage Prescription Drug Plan features a monthly $75 Medicare Part B premium reduction. That’s up to $900 in annual savings!

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.

L.A. County
CareMore Reliance

Details

For LA and Orange Counties:

CareMore understands that life can be very challenging for patients who live with chronic illnesses. That’s why CareMore designed a plan specifically for individuals with Diabetes. With benefits including diabetes education, nutritional training, diabetic supplies and wound care, we have you covered from Head to Toenail!

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.

L.A. County
CareMore Breathe

Details

For LA and Orange Counties:

CareMore Breathe is a Special Needs Plan designed exclusively for the needs of Medicare beneficiaries who have chronic Lung Disorders. If you have a lung disorder such as Chronic Obstructive Pulmonary Disease (COPD), contact CareMore to see what benefits we have to help you manage your disease.

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.
L.A. County
CareMore ESRD

Details

For LA and Orange Counties:

CareMore ESRD (HMO) is a Special Needs Plan designed exclusively for the needs of seniors who have been diagnosed with End-stage renal disease requiring dialysis (any mode of dialysis). If you have been diagnosed, you may be eligible to join this plan. Please contact CareMore to see what benefits we have to help you manage your disease.

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.

L.A. County
CareMore Heart

Details

For LA and Orange Counties:

CareMore Heart (HMO) is a Special Needs Plan designed exclusively for the needs of seniors who have been diagnosed with Cardiovascular disorders, Chronic heart failure. If you have been diagnosed, you may be eligible to join this plan. Please contact CareMore to see what benefits we have to help you manage your disease.

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.

L.A. County
CareMore Connect

Details

For LA and Orange Counties:

Low-income Medicare eligibles have many good reasons to join CareMore Connect. As the plan name suggests, it "Connects" beneficiaries to programs and services specially designed for their needs and lifestyle. Coordinated care has never meant as much as it does now for a CareMore member. You must be eligible for Medicare and Medi-Cal to enroll in the CareMore Connect Plan.

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.

L.A. County
CareMore Touch

Details

For LA and Orange Counties:

CareMore offers a health plan specially designed for Medicare beneficiaries living in a nursing home or in a community or assisted living facility requiring the same level of care as someone in a nursing home. The CareMore Touch comprehensive care system offers extraordinary benefits, service and care designed to enhance the overall health and well being of nursing home residents.

Plan premiums, deductibles and cost sharing information for this plan may be found within the Summary of Benefits link to the right.

L.A. County
Dental or Vision Directory

Details

For LA and Orange Counties:

CareMore has contracted with SafeGuard to facilitate our participating dental and vision members' needs. SafeGuard, an industry leader for 30 years, offers an extensive provider network in your area. Please visit their website for more information at: www.safeguard.net

L.A. County

Y0017_061113A CHP CMS Approved (xxxxxxxx)
Last Updated On 01/03/2012