Where To Get Care
CareSource has a network of providers. You must get health care services from a network provider to have them covered by your CareSource plan. The only exceptions are:
- In cases of emergency
- If you need medically necessary, covered urgent care services when traveling out of our service area
- When getting family planning services, from an Indiana Medicaid provider
- When specifically authorized by CareSource
You can use our Find a Doctor/Provider search tool to find a network provider or care location near you.
CareSource wants you to be happy with your doctor and the network of providers we offer. If you have suggestions that would make our network better, we want to hear from you. Share your ideas with us on the Access Opportunity Form. The form gives you a chance to suggest a doctor for our network. You can also tell us about things, like if it is easy to set up appointments, and more.
Before You Go, Know Where to Go and When
How to choose between… | |
---|---|
Primary Care |
|
Telehealth & Teladoc® |
|
Convenience Clinics |
|
Urgent Care |
|
Emergency Department |
|
Call the CareSource24® Nurse Advice Line anytime for advice and where to go for care. 1-844-206-5947 (TTY: 1-800-743-3333 or 711). |
Your Primary Medical Provider (PMP)
Each member of CareSource has a Primary Medical Provider (PMP). Your PMP is your main health partner. Your PMP will:
- Work with you to direct your health care
- Treat you for most of your health needs
- Send you to a specialist if needed
- Admit you to the hospital
Going to the same PMP each time you need care will help your PMP get to know you and your needs. The more familiar your PMP is with you and your medical history, the better your PMP will be able to treat you.
You can choose any PMP who is a network provider. Visit My CareSource® to choose or change your PMP. You can also choose a different PMP by calling Member Services. Call us at 1-844-607-2829 (TTY: 1-800-743-3333 or 711). If you are a new patient for your PMP, you should call to set up a visit. This will help your PMP get to know your health needs right away. You should go for your first visit within 90 days of joining CareSource.
You can find the most current list of network providers on the Find a Doctor/Provider tool. You can also get there on the left side of this web page under Quick Links.
CareSource24® Nurse Advice Line
CareSource24 offers around-the-clock access to a caring and experienced staff of registered nurses. You can call CareSource24 toll-free 24 hours a day, 7 days a week, 365 days a year. The number is 1-844-206-5947 (TTY: 1-800-743-3333 or 711).
Our nurses can help you:
- Decide when self-care, a doctor visit, or the emergency room is appropriate
- Understand a medical condition or recent diagnosis
- Find out more about prescriptions or over-the-counter medicines
- Transfer you to Teladoc if needed
Behavioral Health Crisis Line
Call the Behavioral Health Crisis line at 1-833-227-3464 and speak to a licensed behavioral health professional. You can call 24 hours a day, 7 days a week. We are here to help you when you are going through a mental health or substance use crisis. We want to make sure you get the right services as soon as possible.
Give us a call if you are:
- Feeling hopeless
- Feeling overwhelmed
- Feeling anxious
- Feeling alone
- Feeling depressed
- Feeling like there is no reason for living
- Using or abusing drugs or alcohol
- Having dramatic mood changes
Telehealth Provider Visits and Teladoc
Telehealth is a convenient option for care. Using telehealth may give you quick medical support that can prevent your condition from worsening. Your PMP may offer telehealth services on your phone or computer. Please check with your PMP for available options and details.
If your PMP doesn’t offer telehealth, or has set hours, you may use Teladoc® to speak with a board certified provider 24/7. Use Teladoc for common health problems and mental health care, like:
General Health | Behavioral Health* |
---|---|
Talk to a provider 24/7. Use for non-emergency health care needs like: | Talk to a therapist or prescriber seven days a week, 7 a.m. to 9 p.m. |
|
*Must be 17 years of age or older. |
How to get started with Teladoc:
- Create an account and complete your medical history.
- Call 1-800-TELADOC (835-2362) (TTY: 711).
- Visit www.Teladoc.com/CareSource.
- You can also access Teladoc using the CareSource mobile app.
- Talk to a provider. Request a time and a Teladoc provider will contact you.
- Feel better. The provider will diagnose symptoms and send a non-Drug Enforcement Agency (DEA) controlled prescription to your local pharmacy as needed.
Not sure if you need telehealth, Urgent Care or the ER? Call CareSource24 Nurse Advice Line first at 1-844-206-5947 (TTY: 1-800-743-3333 or 711). CareSource24 can help you decide the best course of action for your symptoms and can even transfer you to Teladoc. No need to make another call.
The CareSource mobile app is available for iPhone® and Android® systems. Get it through the Apple App Store® or Google Play®.
* iPhone is a registered trademark of Apple, Inc. The App Store is a service mark of Apple, Inc. Google Play and Android are registered trademarks of Google, Inc.
Convenience Care Clinics
If you can’t see your PMP, we want to make it easy for you and your family to get care when you need it most. A retail visit is quicker and cheaper than a visit to urgent care or an ER. You can go to clinics inside of CVS®, Kroger®, and Walmart® for basic care. At the clinic you can:
- Get a flu shot
- Get health screenings and physicals
- Get care for aches and pains, sicknesses, and minor injuries
Most clinics are open in the evening, 7 days a week. Visits can be scheduled for the same day. Often, walk-ins are welcome. Find one near you using our online Find A Doctor tool.
Urgent Care
Urgent care is for non-emergencies. They are for when you can’t see your PMP right away. They help keep an injury, sickness, or mental health issue from getting worse. If you think you need to get care urgently, you can:
- Call your PMP for advice.
- Call CareSource24, our nurse advice line.
- Go to a network urgent care center listed in our Find a Doctor/Provider tool.
After you go, always call your PMP to schedule follow-up care.
When you are outside the service area, you might not be able to get care from a network provider. In that case, our plan will cover urgently needed care you get from any provider within the United States or its territories.
Emergency Services
Call 911 or go to the nearest emergency room (ER) if you have an emergency. Emergency services are for severe health issues that must be treated right away. Some cases of when emergency services are needed include:
- Miscarriage/pregnancy with vaginal bleeding
- Severe chest pain
- Loss of consciousness
- Uncontrolled bleeding
- Major burns
Emergency care is covered both in and out of our service area, within the United States. You do not have to contact CareSource for an approval before you get emergency services. If you are not sure if you need to go to the emergency room, call your PMP or the CareSource24 Nurse Advice Line.
Healthy Indiana Plan (HIP) Members will be charged an $8 copay for non-emergency visits to the ER.
When You are Outside of our Service Area
Before seeking urgent care, we encourage you to call your PMP for guidance. This is not required but can help ensure you get the right care. You should get urgent care from the nearest and most appropriate health care provider.
If you have other questions about where to get care after hours or outside the service area, refer to the member handbook for your CareSource plan. You can also call Member Services: 1-844-607-2829 (TTY: 1-800-743-3333 or 711), 8 a.m. to 8 p.m., Monday – Friday Eastern Time.