...accepted guidelines to guide clinical decision making. We do not reward health partners or our own staff for turning down coverage or services. We do not offer financial rewards to...

...covered services. If you have any other health insurance coverage or prescription drug coverage in addition to our plan, you are required to tell us. Tell your doctor and other...

...90 days of your membership and your medication is not on your new plan’s covered drug list (formulary) or coverage is limited in some way, such as prior authorization, step...

...be $0. (This does not include any Medicare Part B premium you may have to pay.) This $0 premium plan includes coverage for both medical services and prescription drug coverage....

As a CareSource member, you can get the same services that are covered by other Georgia Pathways to Coverage health plans. These can include doctor visits, prescription drugs and hospital...

...local Women, Infants and Children (WIC) office A pharmacy to pick up prescriptions Renew your Medicaid coverage at your local county Job and Family Services Helpful tips: Call us two...

...appeal. Refer to the plan’s Evidence of Coverage (Chapter 9) for information about how to ask for an appeal. The DMP may not apply to members that have certain medical...

...as outpatient x-rays. This information is not a complete description of benefits. View Chapter 4 Medical Benefits (what is covered) of your Evidence of Coverage (EOC) on the Plan Documents...

BRINGING YOU EVEN BETTER CARE Starting January 1, 2026, your HAP coverage, including Medicare and Medicaid benefits, will automatically continue through the HAP CareSource™ MI Coordinated Health plan. This program...

...Your Plan: Five Things To Know! 1. Know what’s covered. Review your plan documents to get the most from your health plan! Evidence of Coverage (EOC): Details about what the...