File a Grievance or Appeal
As a CareSource Medicare Advantage member, you have the right to submit a coverage determination, organization determination, appeal, or grievance as needed.
This section describes your plan rights, including grievances, coverage determinations, organization determinations, appeals and exceptions. For more detailed information, refer to Chapter 9 of the Evidence of Coverage. To locate this document and more, visit our Plan Documents page.
To read more, please select from the following:
- Medicare Advantage Part C Medical Plan Rights
- Medicare Advantage Part D Prescription Drug Plan Rights
- Ending Your Membership
CareSource is an HMO with a Medicare contract. Enrollment in CareSource Advantage® Zero Premium (HMO), CareSource Advantage® (HMO) and CareSource Advantage Plus® (HMO) depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.