...federal and state guidance. We will keep you informed of any changes that could affect your health care coverage. Attention Medicaid Members: Keep Your Health Coverage Due to COVID-19, the...

...about your plan’s costs and coverage. BACK TO PLAN DOCUMENTS SUMMARY OF BENEFITS AND COVERAGE The Summary of Benefits and Coverage is an easy-to-read summary that lets you make an...

...a certain drug, you can request a coverage determination. Fill out this form: online or hard copy ( English | Spanish). Coverage Redetermination Request Form If you are unhappy with...

...(with opt-in Medicaid coverage) To become a CareSource Provider, pharmacists must enter into a contract with CareSource. (Note: The contracting process may take several months from start to finish.) Instructions...

...or quality improvement project and presentation at a national conference Formulary management, including policy writing and creating coverage criteria Clinical innovation program monitoring and creation Prior authorization review Teaching certificate...

Marketplace plans have two types of costs: premium and the cost for care. Premium is the monthly payment you make to keep your coverage and all the benefits and services...

...you have questions about your rights or need help, please refer to your Evidence of Coverage or call Member Services. These services include quality and standards of care, benefits, or...

...your plan coverage. Evidence of Coverage (EOC) The EOC is an important legal document that describes the relationship between CareSource and members of CareSource Advantage® Zero Premium (HMO) and CareSource...

...CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get Care Substance Use Disorder The path...

...health care. Candidly discuss with your doctor the appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage. Voice complaints or appeals about the plan...