...Dual Advantage Plus. OUR DUAL ELIGIBLE SPECIAL NEEDS PLANS INCLUDE: UP TO $0 $0 $8,095* MONTHLY PREMIUM COPAY COVERED MEDICAL*** PER YEAR ALLOWANCE AND REWARDS**** CHOOSE THE PLAN THAT FITS...

...scheduled. If you have questions about the prior authorization process or status, please call Member Services. Your provider can submit a request for a prior authorization using the Prior Authorization...

...use these drugs in a safe way. The types of additional requirements are listed below: Prior Authorization Criteria – For certain drugs, your doctor will need to contact us before...

...in the user account information section becomes the account administrator automatically. Account administrators can transfer the administrator role to another user later. 3. Read the terms of use, and choose...

...network, we invite you to consider joining us. Join Our Network If you provide routine vision services and want to be part of the CareSource PASSE network, please contact Superior...

...Dental’s EFT program. Evaluation Form for Comprehensive Orthodontic Treatment Use this form to evaluate a patient for comprehensive orthodontic treatment options. Evaluation Form to Scaling and Root Planning Use this...

...of restraint or seclusion used as a means of coercion, discipline, convenience or retaliation. Live in an integrated and supported setting in the community and have control over aspects of...

...assigned Care Coordinator who will be their point of contact for all care coordination needs. Members should expect outreach from a member of the care coordination team within the first...

...at risk for developing chronic kidney disease. Once a year Weight/Height Height and weight are used to calculate your body mass index (BMI). Your PCP can then use your BMI...

...you don’t use this year and use them to reduce out-of-pocket expenses in future years — even in retirement. Convenience. The bank that holds your account will provide you with...