Rewards
How many points do they need to earn before the end of the year?
Members must earn a total of 1,000 points before the end of the year to redeem a $50 gift card
What are the 4 things a CPHI can do for a member?
A CPHI may schedule a trip, activate a trip, or edit/cancel a trip. They may not submit a grievance or request an organization determination.
This allowance is added to the member’s account on the first of each month
What is the name of our vision Vendor?
Premier Eye Care
Can we disclose the MyCarePlus portal username?
The MyCarePlus portal username should never be disclosed to a member and/or authorized representative.
For what date is highly recommended to complete all qualifying activities?
It is highly recommended to complete all qualifying activities by October 31 to allow sufficient time for the claims to be processed before December 31
How many hours in advance does a member need to schedule a ride?
They need to schedule a ride 72 hrs prior an appointment
Does any unused amount roll over to the next month? and when does it expire?
Any unused amount rolls over to the next month and expires at the end of the plan year
If a member is calling to get a Dentist near their area, where do we transfer?
We must transfer to Humana Dental
Mention 3 actions a member can do on the Careplus Website?
· View plan benefits and coverage details
· Print their ID card
· Review medical and prescription claims history
· Access medical authorization information and track processing status
· Search for Providers
· Manage prescription mail orders and OTC
· Track CarePlus Rewards points
How many slideshows can a member view per benefit year?
Members can view up to 4 slideshows per benefit year
Mention 3 valid Reasons to Submit Exception Request
Chemotherapy/Dialysis · Surgery/Wound care · Discharge from hospital/SNF o Discharge from an ‘Inpatient’ stay · Out of a needed medication (Needs prescription from doctor)
What can members pay with the Spending Account Card besides food?
Household supplies, the card may also be used to pay for non-medical transportation; general support for living such as rent assistance, internet, and utilities; and aging support including household assistive devices, air-quality equipment and pest control.
What is VAIS?
Value Added Items & Services (VAIS), is a special benefit offered through the CarePlus plan to enhance the overall experience for its members. VAIS provides access to exclusive discounts on a wide range of items and services that members may need or want.
Mention 3 items that may NOT be purchased with the Spending Account Card
Tobacco/vaping products and alcohol
· Lottery or gaming tickets
· Restaurants & fast food
· Clothing items
· Medicare premiums
· Prescription medications
· Gasoline
· Firearms
· Cash withdrawals
How many days can a claim take to be processed?
Claims can take up to 60 calendar days to process.
What are the level of services?
OnDemand, curb-to-curb, door-to-door, Wheelchair/ALS/BLS transportation
Mention 5 qualifying conditions for Careessentials Allowance
Chronic alcohol and other drug dependence, Autoimmune disorders, Cancer, Cardiovascular disorders, Chronic heart failure, Dementia, Diabetes, End-stage liver disease, End-stage renal disease (ESRD), etc.
What is the name of the Fitness Program?
Silver Sneakers Program
What is the name of the Careplus Website?
Members can access the MyCarePlus Member Portal by visiting the CarePlus website at www.CarePlusHealthPlans.com.
What are the 3 activities a member can earn points on Sharecare?
Completing the RealAge Test, ShareCare Nutrition Slideshows and Quarterly Steps Challenge
How many trips do they need to have left to request additional trips?
Members can request additional trips when they have only 6 trips left
How often is the OTC Allowance credited to members?
This allowance is added to the member’s account on a quarterly basis and expires at the end of the calendar year
What is the name of the card that members receive for a specific Supplemental Benefit besides the Member Id Card?
Dental ID Card
Who will be the new vendor for the Spending Card in 2026?
the CarePlus Spending Account Card will transition to Nations Benefit as the new vendor