Plan Documents

Review the plan documents to make sure you get the most from your plan. If you would like a printed copy of any of these documents, call Member Services and we can send it to you. You can also find plan documents in your CareSource MyLife account.

Evidence of Coverage (EOC)

Your EOC is a guide to your health care benefits. It tells you how our plan works, the covered services you get, services that are not included and your rights and responsibilities.

Benefits at a Glance

Use the Navigate Benefits at-a-Glance to put your benefits to work for you! View the EOC for a full explanation of your benefits.

Summary of Benefits

The Summary of Benefits includes your covered benefits and any limitations. This is only a summary. View the EOC for a full list of benefits.

Annual Notice of Change

The Annual Notice of Change (ANOC) outlines changes to your benefits for the upcoming year:

2026 – Find Your County Below

Appling, Atkinson, Bacon, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Bryan, Burke, Butts, Camden, Candler, Charlton, Chattahoochee, Cherokee, Clarke, Clayton, Clinch, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, Dawson, Dodge, Dooly, Douglas, Echols, Elbert, Emanuel, Evans, Fannin, Fayette, Forsyth, Franklin, Fulton, Gilmer, Glascock, Greene, Gwinnett, Habersham, Hancock, Haralson, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Lincoln, Long, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Monroe, Montgomery, Morgan, Murray, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pike, Polk, Pulaski, Putnam, Richmond, Rockdale, Screven, Spalding, Stephens, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Tift, Toombs, Treutlen, Turner, Twiggs, Upson, Walton, Ware, Warren, Washington, Wayne, Wheeler, White, Wilcox, Wilkes, Wilkinson

2025 – Find Your County Below

Bibb, Clarke, Clayton, Cobb, Coweta, Dawson, Douglas, Fulton, Gwinnett, Habersham, Henry, Lumpkin, Rockdale, Stephens

Baldwin, Barrow, Cherokee, Fayette, Forsyth, Greene, Houston, Jackson, Madison, Monroe, Morgan, Newton, Oconee, Oglethorpe, Paulding, Peach, Putnam, Spalding, Walton

Provider and Pharmacy Directory

The Find a Doctor tool has our most up-to-date list of network providers. You will find office hours, whether the office is on a bus line, if the provider is seeing new patients and more. The Find a Pharmacy tool has the most updated list of pharmacies.

You can also get a directory mailed to you. Our listings are updated daily, so the Find a Doctor tool has our most up-to-date list of network providers.

Forms

Visit the Forms page to find forms when you need them.

Prior Authorization List

Prior authorization is the approval that may be needed before you get a service. The service must be medically necessary for your care. Your provider will take care of this for you.

Your provider can submit a request for a prior authorization using the Prior Authorization Request Form.

Prescription Drug Benefit Documents

Star Ratings

Star Ratings are given to the CareSource Dual Advantage plan by the Centers for Medicare & Medicaid Services (CMS). Plans are rated on a 5-point scale. Go to www.medicare.gov to learn more about Star Ratings.