CarePlus Health Plans, Inc. CareAccess (HMO) Medicare Advantage Plan H1019-144 • 2026 • Sumter County, FL
CarePlus Health Plans, Inc. CareAccess is a Medicare Advantage HMO plan offered by CarePlus Health Plans, Inc. for the 2026 plan year. It is identified by CMS Plan ID H1019-144 and uses a Health Maintenance Organization (HMO) provider network. The plan comes with prescription drug coverage.
CarePlus Health Plans, Inc. CareAccess Overview
Plan Overview for
H1019-144-0
|
|
|---|---|
| CMS Plan ID: |
H1019-144-0
|
| Plan Type: | HMO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $3750.00 (In-Network) |
| Part B Give Back: | −$3.00 reduction |
| Prescription Drug Coverage: | Enhanced, $615.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Sumter County, FL |
| Enrollment (Nationwide): | 42 beneficiaries |
| Enrollment (CMS – Local) | 0 beneficiaries in Sumter County |
| Provided By: | CarePlus Health Plans, Inc. |
Plan Overview for CarePlus Health Plans, Inc. CareAccess
CarePlus Health Plans, Inc. CareAccess is a Medicare Advantage Prescription Drug (MAPD) Health Maintenance Organization (HMO) plan that includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $0.00, and services are generally covered when received from in-network providers, except in emergency situations. The annual Part D deductible is $615.00.
Primary care visits have a $0 copay, specialist visits come with a $30 copay, urgent care services carry a $25 copay, and ambulance transportation is $0-$250 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $3750.00. After this limit is reached, in-network services are fully covered for the remainder of the year.
This plan is listed by CMS under Plan ID H1019-144. Cost-sharing details for key services are provided below.
Cost Sharing Expenses
CarePlus Health Plans, Inc. CareAccess has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H1019-144.
Certain preventive services are covered 100% by CarePlus Health Plans, Inc. CareAccess as a Part B benefit.
Prescription Drug Coverage
CarePlus Health Plans, Inc. CareAccess includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Deductible
This plan has a $615.00 annual Part D deductible. You'll pay this deductible at the pharmacy before CarePlus Health Plans, Inc. starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, CarePlus Health Plans, Inc. CareAccess may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $0.00 copay | Coming soon |
| Preferred Brand | $30.00 copay | Coming soon |
| Non-Preferred Drug | 40% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Ratings
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
How much does plan H1019-144 cost per month?
For 2026, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the annual out-of-pocket maximum (MOOP) for this plan?
The annual in-network MOOP is $3750.00 for 2026. After this limit is reached, covered in-network services are fully paid.
What is the CMS star rating for CarePlus Health Plans, Inc. CareAccess?
The 2026 CMS star rating for CarePlus Health Plans, Inc. CareAccess is ★4.5 out of 5.
How many beneficiaries are enrolled in this plan?
Total enrollment is 42 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
For 2026, the prescription drug deductible is $615.00.
Contact Information for CarePlus Health Plans, Inc.
| Contact Type | Details |
|---|---|
| Website: | CarePlus Health Plans, Inc. Plan Page |
| New Members: | 1-888-685-8607 |
| Existing Members: | 1-800-794-5907 |
| Plan Address: | P.O. Box 277810 | Miramar, FL 33027 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CarePlus Health Plans, Inc. (official source) | http://www.careplushealthplans.com | October 13, 2025 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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