Care & Disease Management

CareSource offers care and disease management programs. These programs can help you learn about your health and how you can better manage your specific health conditions. Our goal is to make sure you have the right tools to stay as healthy as possible. These programs are available to you at no cost.

Care Management

CareSource has nurses, social workers, and community health workers who can work with you one-on-one to help coordinate your health and non-health care needs. They can contact you by phone:

  • If your doctor requests one to contact you
  • If you request a phone call
  • If our Care Management staff feels their services would be helpful to you or your family

Our staff is trained to help you and your family with any special medical problems like asthma, cancer, being medically frail or with other medical conditions. We can also work with you if you need help figuring out when to get medical care from your doctor, an urgent care center or the emergency room.

For more information about Care Management or to talk with a staff member, call Member Services at the number below.

Disease Management

CareSource offers a Disease Management Program. This program can help you learn about your health and how you can better manage your specific health conditions such as:

  • Asthma
  • Diabetes
  • High blood pressure

Our goal is to make sure you have the right tools to stay as healthy as possible. This program is available to you at no cost.

We may receive information from your doctor, pharmacy or other health care source, letting us know that you would benefit from this program. We will send you materials related to your health condition along with tips for use in the online MyHealth tool. We have health guidelines and information for asthma, diabetes, and high blood pressure.

The goals of our program include:

  • Helping you understand how to take good care of yourself
  • Helping you adopt a healthy lifestyle
  • Working with your doctor to reach your health goals

If you would like more information on these conditions or you would like to opt-out of the program, please call 1-844-438-9498 (TTY: 711) 8 a.m. to 5 p.m., Monday through Friday. We are committed to improving the health and wellness of our members.

Disease Management for Kids and Teens 

Kids and teens may need help if they are dealing with a chronic condition like asthma. Visit the KidsHealth page to find out more!

Member Services: 1-877-806-9284 (TTY: 1-800-743-3333 or 711)


DISCLAIMERS

CareSource is a Qualified Health Plan issuer in the Health Insurance Marketplace. This is not a Health Insurance Marketplace website. This website does not display all available Marketplace plans. To see all available Qualified Health Plan options available, go to www.healthcare.gov.

This website is subject to change at any time without prior notice. This website is intended only as general information and is not an offer or invitation to contract.

This is a solicitation for health insurance. CareSource Marketplace plans have exclusions, limitations, reductions and terms under which the policy may be continued in force or discontinued. Premiums, deductibles, coinsurance and copays may vary based upon individual circumstances and plan selection. Benefits and costs vary based upon plan selection. Not all plans and products offered by CareSource cover the same services and benefits. Covered services and benefits may vary for each plan. For costs and complete details of coverage, please review CareSource’s Evidence of Coverages and Schedules of Benefits documents at www.caresource.com/marketplace.

Specific policy benefits listed on this website are intended to be a summary of coverage and do not list or describe all the benefits covered under specific policies nor is every limitation, exclusion or reduction of benefits listed. The overview of benefits, coverage and member cost shares are based on benefits being received from an in-network provider. To be eligible for reimbursement, all health care services must be provided by an in-network provider, except when applicable federal and state law or the applicable Evidence of Coverage for each policy provide otherwise.

Rates, benefits, premiums, deductibles, co-payments, co-insurance, and out of pocket expenses may vary based upon a variety of factors, including but not limited to, age, county of residence, smoking status, and level of policy selected.

References to CareSource pertain to each individual company or other CareSource affiliated companies, such as CareSource, CareSource Kentucky Co., CareSource Indiana Inc., CareSource West Virginia Co., and CareSource Georgia, Co. Each company is a separate entity and is not responsible for another’s financial condition or contractual obligations.

CareSource does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.

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Last updated 10/23/2019