It’s the fifth time the company’s Medicare
Advantage HMO plan in Florida earns the highest possible rating,
recognizing its quality healthcare and customer service experience
for members
It’s the fifth time and fourth consecutive year that CarePlus
Health Plans, Inc.’s Medicare Advantage HMO plan in Florida has
achieved the highest possible quality rating, 5 out of 5 stars,
from the Centers for Medicare & Medicaid Services (CMS).
CarePlus is a subsidiary of Humana Inc. (NYSE: HUM).
The 5-star rating recognizes the continued emphasis the company
has placed on creating the highest possible quality healthcare and
customer service experience for its members. Based on her positive
experience, CarePlus member Maria Sanchez would rate CarePlus even
higher than 5 stars.
“Why I like CarePlus in the first place - the medical services
are great,” said Sanchez. “And I really like the way they treat you
when you call customer service. CarePlus is unique with customer
service. And I love it. My plan is not five stars; it is ten or
fifteen stars.”
This focus on quality has also led to CarePlus doubling the
number of members it serves across Florida over the last six years.
Today, the company serves approximately 200,000 members throughout
Florida.
“We’re incredibly proud of our employees and grateful to the
Medicare beneficiaries we are privileged to serve,” said Bruno
Piquin, CarePlus President. “Achieving the highest quality rating
four years in a row, and five times overall, is a true testament to
our company’s consistent focus on our members, which has remained
steadfast during the pandemic. This accomplishment also would not
have been possible without the quality team of value-based
physicians, pharmacists and clinical staff who are dedicated to
achieving the best possible health outcomes for our members.”
In a continuous effort to improve overall member experience,
CarePlus collaborates with its value-based partners on member
presentations designed to encourage proactive communications about
health care. The goal of these “Patient Experience Circle”
presentations is to close the circle between health plan, patient
and physician to achieve measurable results for CarePlus
members.
In addition to working closely with physicians to ensure members
completed important preventive screenings and received routine
care, either virtually or in person, throughout the pandemic,
Piquin said the company issued at-home tests for CarePlus members
in need of colorectal cancer screening and diabetic condition
management.
About Medicare Advantage
Medicare Advantage’s unique public-private structure creates an
atmosphere of competition that spurs innovation that can help drive
down costs and focus care on a person’s whole health.
Medicare Advantage plans are focused on coordinating care for
those with multiple chronic conditions, helping lead to
cost-effective interventions to address the unique health needs of
aging or disabled Americans. These are a few reasons why more than
40 percent of all Medicare beneficiaries choose to be covered by
Medicare Advantage plans.
About Medicare Advantage
Enrollment
The Medicare Advantage and Prescription Drug Plan Annual
Election Period (AEP) begins Oct. 15 and continues through Dec. 7,
2021. During this enrollment period, people eligible for Medicare
can choose Medicare Advantage and Prescription Drug Plans for the
upcoming year – with coverage that takes effect on Jan. 1,
2022.
People eligible for Medicare may make a one-time election to
enroll in a plan offered by an MA organization with a Star Rating
of 5 Stars during the year in which that plan has the 5-star
overall performance rating, provided the enrollee meets the other
requirements to enroll in that plan. This 5-star special election
is available December 8 through November 30 of the following
year.
For more information about enrolling in CarePlus health plans,
Florida residents can visit CarePlusHealthPlans.com or speak with a
licensed sales agent by calling 1-855-450-1352 (TTY: 711).
About CMS Star Ratings
The CMS rating system measures the excellence of Medicare plans
nationally each year. A plan may receive a rating between one and
five stars, with five stars representing the highest rating. CMS
uses information from member-satisfaction surveys, health plans,
and health care providers to assign overall Star Ratings to plans.
The rating system uses more than 40 different quality measures
across nine categories, including:
- Staying Healthy: Screenings, Tests and Vaccines
- Managing Chronic (Long Term) Conditions
- Member Experience with Health Plan
- Member Complaints and Changes in the Health Plan’s
Performance
- Health Plan Customer Service
- Drug Plan Customer Service
- Member Complaints and Changes in the Drug Plan’s
Performance
- Member Experience with Drug Plan
- Drug Safety and Accuracy of Drug Pricing
Additional information about the CMS Star Ratings can be found
at: www.medicare.gov.
About CarePlus Health
Plans
CarePlus Health Plans, Inc. is dedicated to improving the lives
of Medicare beneficiaries in Florida. We provide affordable,
reliable healthcare and prescription drug coverage that helps our
members maintain and improve their health so they can enjoy happy,
active, and independent lives.
CarePlus offers Medicare Advantage plans with comprehensive
benefits designed to meet a variety of needs. We partner with and
support our physicians, pharmacists, dentists, and other healthcare
providers who we trust to take good care of our community. Through
our partnership with the ACCESS Florida Department of Children and
Families, CarePlus Health Plans, Inc.’s Social Services department
assists members to apply for public assistance through a variety of
state and federal programs. This assistance and guidance is
completely voluntary and offered at no additional cost.
CarePlus has supported Florida residents with their Medicare
options for over 20 years. Based in Florida, with corporate offices
in Miami and Tampa, we serve approximately 200,000* members across
South Florida, West Florida, Central Florida and the Atlantic
Coast.
For more information, visit CarePlusHealthPlans.com.
Every year, Medicare evaluates plans based on a 5-star rating
system.
*According to the Centers for Medicare & Medicaid Services
(CMS) Medicare Advantage (MA) Membership Reports, Septemeber
2021.
CarePlus is an HMO plan with a Medicare contract. Enrollment in
CarePlus depends on contract renewal.
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Nancy A. Hanewinckel Humana Corporate Communications
941-585-4763 nhanewinckel1@humana.com
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