Benefits and Services

CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with optional dental and vision coverage for adults.

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Benefits Update

For 2023, CareSource Marketplace Plans feature the following benefits:

    • TruHearing® provider network for hearing coverage is included with all plans.
    • EyeMed® provider network for vision services on all plans for pediatric vision and adults with optional Dental, Vision and Fitness plans.
    • DentaQuest® provider network for dental care is included with all plans for pediatric dental coverage, and for adults with optional Dental, Vision and Fitness plans.
    • Active&Fit® Fitness benefit included with all optional Dental, Vision and Fitness plans. It includes access to a network of participating fitness centers, including select LA Fitness®, Snap FitnessTM, Anytime Fitness®, Planet Fitness® – and more! To get more information about the Active&Fit program, visit www.ActiveandFit.com.

Benefits

See your benefits listed together in one place. See the Benefits at a Glance brochure.

Benefits At A Glance

Contact your provider for further details on when a prior authorization is required. You can also review our prior authorization list at www.caresource.com.

Services

We are here to help you. Your services include:

  • Member Services:  Our Member Services representatives are available toll-free to answer your questions and help Monday through Friday, from 7 a.m. to 7 p.m. Eastern Standard Time (EST). We also provide TTY access for members who are deaf or hearing impaired. Please call us at 1-833-230-2099 (TTY: 711).
  • CareSource24® Nurse Advice Line – Members may call any time of the day or night to speak to a registered nurse about health and medical concerns. Call the number on your member ID card 24 hours a day, 7 days a week.
  • Care Management Services – CareSource offers care management services to children and adults with special health care needs. Registered nurses, social workers and outreach workers can work with you one-on-one to help coordinate your care.

For more specific information about your benefits and services, please see your Evidence of Coverage and Member Handbook, found on the Plan Documents & Resources page. You may also call Member Services. We are happy to help.

Call for additional information:

  • If you need more information about your health benefits, call CareSource Member Services at 1-833-230-2099 (TTY: 711).
  • For help or more information about your pediatric and optional adult vision benefits, call EyeMed at 1-833-337-3129 or visit www.EyeMedVisionCare.com/csmp
  • For help or more information about the TruHearing program, call TruHearing at 1-866-202-2674.
  • For help or more information about your pediatric and optional adult dental services, call DentaQuest at 1-833-615-0434.

If you have our optional Dental, Vision and Fitness coverage and would like more information about Active&Fit®, call 1-877-771-2746 or visit www.ActiveandFit.com