CareFree Platinum Giveback (HMO) Medicare Advantage Plan H1019-094 • 2026
The Medicare Advantage plan identified by CMS Plan ID H1019-094 (CareFree Platinum Giveback) is a HMO Part C plan offered by CarePlus Health Plans, Inc. for the 2026 plan year. It uses a Health Maintenance Organization (HMO) provider network and comes with drug coverage (Part D prescriptions).
CareFree Platinum Giveback Overview
Plan Overview for
H1019-094-0
|
|
|---|---|
| CMS Plan ID: |
H1019-094-0
|
| Plan Type: | HMO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $3900.00 (In-Network) |
| Part B Give Back: | −$121.00 reduction |
| Prescription Drug Coverage: | Enhanced, $0.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | See List |
| Enrollment (Nationwide): | 3,415 beneficiaries |
| Provided By: | CarePlus Health Plans, Inc. |
Plan Availability
CareFree Platinum Giveback (H1019-094-0) is available in the following locations (click to open):
Plan Overview for CareFree Platinum Giveback
CareFree Platinum Giveback 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 $0.00.
Primary care visits have a $0 copay, specialist visits come with a $30 copay, urgent care services carry a $40 copay, and ambulance transportation is $0-$250 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $3900.00. 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 H1019-094. Cost-sharing details for key services are provided below.
Cost Sharing Expenses
CareFree Platinum Giveback 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 H1019-094.
Certain preventive services are covered 100% by CareFree Platinum Giveback as a Part B benefit.
Prescription Drug Coverage
CareFree Platinum Giveback 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 Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Advantage coverage.
| Basic Part D Premium: | $-41.60 |
|---|---|
| Supplemental Part D Premium: | $41.60 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $4.82 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program.
Prescription Drug Plan Deductible
This plan has a $0.00 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, CareFree Platinum Giveback 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 | 35% coinsurance | Coming soon |
| Specialty Tier | 33% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 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 |
Is there a monthly premium for this plan in 2026?
The 2026 monthly premium is $0.00. The Medicare Part B premium is paid separately.
What is the in-network MOOP for plan H1019-094?
The 2026 in-network MOOP is $3900.00. Once this limit is reached, covered in-network costs are fully covered.
What is the CMS star rating for this plan?
For 2026, plan H1019-094 has a CMS star rating of ★4.5 out of 5 stars.
What is the current enrollment for CareFree Platinum Giveback?
Total enrollment is 3,415 beneficiaries based on the latest CMS data.
What is the prescription drug deductible for 2026?
For 2026, the prescription drug deductible is $0.00.
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 | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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