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Ohio

Welcome to CareSource

CareSource offers Qualified Health Plans through the Health Insurance Marketplace.

Our Marketplace plan members:

  • Have access to affordable, high-quality health insurance with no limits due to pre-existing conditions or annual benefit caps
  • Are responsible for any deductibles, coinsurance or payments that apply to their coverage
  • May receive reduced premiums or cost-sharing amounts based on their income

Since we have purposely focused on the uninsured, we designed our Marketplace plans with low copayments and deductibles to improve access and reduce uncompensated care.

Site Navigation

We want to make doing business with us as easy as possible. Visit the links to the left to learn how we partner with you:

  • Plan Participation – Access our credentialing policies and recruitment kit materials
  • Plan Resources Learn more about CareSource and the resources we have available for our health partners
  • Patient Care – Find tools to provide the best level of care for our members
  • Authorization, Claims & Appeals Learn how to request prior authorization, submit claims and file appeals
  • Contact Us  Call us if you have questions about our plan or if you need to report fraud, waste and abuse

At any time, you can use the Quick Links for quick and easy access to the Provider Portal, Formulary Search Tool and our policies.

Service Area

In 2016 and 2017, CareSource Marketplace plans are available in the following Ohio metropolitan areas:

  • Akron Area  Ashland, Portage, Stark, Summit and Wayne counties
  • Chillicothe Area –Gallia, Meigs, Pike, Ross and Washington counties
  • Cincinnati Area – Adams, Brown, Butler, Clermont, Clinton, Hamilton, Highland, Scioto and Warren counties
  • Cleveland Area – Ashtabula, Cuyahoga, Geauga, Lake, Lorain and Medina counties
  • Columbus Area – Delaware, Fairfield, Fayette, Franklin, Licking, Madison, Morrow, Pickaway and Union counties
  • Dayton Area Clark, Greene, Miami, Montgomery and Preble counties
  • Toledo Area – Defiance, Fulton, Henry, Lucas, Sandusky and Wood counties
  • Youngstown Area  -Belmont, Columbiana, Jefferson, Mahoning, Monroe and Trumbull counties

Provider Network

A focused network of providers render services to CareSource members. Please use our Find a Doctor/Provider tool to locate in-network providers. Out-of-network services are not covered unless they are emergency services or prior authorized by CareSource.

Please review the NavigateHealth Partner Manual and plan resources to learn more about the plan and how you can help provide the best care to our members.

We are always looking for ways to improve our network. If you have any suggestions or would like to refer a provider to us, we want to hear from you. Share your ideas or referrals on the Access Opportunity Form. We will be sure to evaluate your submission within 72 hours.