How to Enroll

CareSource Advantage

Enrollment with CareSource Advantage® is simple. Print the CareSource Advantage 2009 Enrollment Form or the 2010 Enrollment Form, complete it, and mail it to us at:

CareSource
P.O. Box 807
Dayton, OH 45401-807
1-800-708-8729
(TTY for the hearing impaired: 1-800-750-0750 or 711)
Monday through Friday, 8 a.m. to 8 p.m.

Am I eligible to enroll?

  • Are entitled to Medicare Part A and enrolled in Part B
  • Have full Medicaid benefits
  • Do not have end-stage renal disease (ESRD)
  • Live in our CareSource Advantage Service Area
  • Make a choice during a valid election period
  • Agree to the rules of the CareSource Advantage plan
  • You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party
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When can I enroll?

You may request enrollment in CareSource Advantage at the following times:

  • When you first become eligible for Medicare
  • Any month you are considered dual eligible
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What else should I know about CareSource?

CareSource Advantage is a Health plan with a Medicare contract. Our contract is renewed annually, and coverage beyond the end of the contract year is not guaranteed. If our contract is not renewed, you will be notified in 90 days and given your options for future coverage.

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What happens if I am enrolled with another company?

If you choose to enroll in CareSource Advantage and you are currently enrolled with another Medicare Advantage plan, you will be automatically disenrolled from that plan.

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Why do I have to select my PCP now?

As part of the enrollment process, you will be asked to select a Primary Care Provider (PCP) from our provider network. Your PCP will be responsible for coordinating all of your health care needs while you are enrolled with CareSource Advantage. It is important to know that as a CareSource Advantage member if you receive routine care from providers who are not a part of our network (except in emergencies), neither CareSource nor Medicare will be responsible for the cost of care. To see our list of PCP's, please view the 2009 Provider Directory or the 2010 Provider Directory.

We can help you select a PCP. Call Member Services at 1-800-708-8729, Monday through Friday, 8 a.m. to 8 p.m. (TTY users should call 1-800-750-0750 or 711).

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What should I expect after I mail the form?

You will receive several notices from us. Those include:

  • A letter that we received your completed enrollment form. It will also give you your coverage effective date.
  • A member identification card (ID card).
  • A request for more information if needed.
  • A letter that says your enrollment was approved.
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How do I find out about CareSource's Quality Assurance Program?

CareSource has a thorough Quality Assurance Program. To find out more, please view the 2009 Quality Assurance Program or the 2010 Quality Assurance Program.

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What if I have a grievance or appeal?

A grievance is a complaint that shows you are not satisfied with the plan or pharmacy's service. We do have a process to receive grievances, exceptions, and appeals. For information about that process, please view the 2009 Grievances, Exceptions, and Appeals Process or the 2010 Grievances, Exceptions, and Appeals Process. For instructions on how to file a grievance, exception or appeal, please view the 2009 Grievances, Exceptions, and Appeals Filing Instructions or the 2010 Grievances, Exceptions, and Appeals Filing Instructions.

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How do I contact CareSource?

If you would like more information about CareSource Advantage or have questions about the enrollment process you may contact Member Services at 1-800-708-8729, Monday through Friday, 8 a.m. to 8 p.m. (TTY users should call 1-800-750-0750 or 711).

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What if I decide CareSource Advantage is not for me?

You can ask to be disenrolled any time. However, it will be effective the first day of the month following receipt of the written request. View your 2009 Rights and Responsibilities upon Disenrollment or the 2010 Rights and Responsibilities upon Disenrollment online for more information.

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