Quick References COVID-19 information Pharmacy information, including our Preferred Drug Lists (PDLs) Medical, pharmacy, reimbursement and administrative policies We strive to make partnering with us simple. We’re aware things may...

...their health care costs. This is called a copayment or copay. Preferred drugs have a $0.50 copay. Non-preferred drugs are cost-based. Learn more about cost-based copays. Bring your member ID...

...and/or copayment or coinsurance for your prescriptions, depending on your plan. You can get your prescriptions at any pharmacy that accepts CareSource Marketplace. Use the Find a Pharmacy Quick Link...

Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...

...Prior Authorization Needed? Preferred Drug List Drugs Yes $3 copay generic, compound and sole source drugs. $10 copay brand-name drugs. Prior authorization is needed for some drugs that require step...

...by calling Member Services. You will get your ID card 7-10 days after we receive your first premium payment. Common copay and coinsurance amounts are shown on your ID card....

...cost for many of your prescriptions. Up to 102-day supply prescriptions for many drugs by mail or at retail pharmacies that you already use. You may have copayments for your...

Copayments and Fees As a CareSource Dual Advantage member, you have a $0 copay for in-network visits to a primary care provider, specialists, skilled nursing facility, ambulatory surgical center, urgent...

...emergency, CareSource will reimburse for the medical screening examination and facility fee only, and a copay will be applied. Providers can submit medical records or other supporting documentation within 120...

...keep coverage, but will need to make copays and will be billed for their monthly PAC contribution. This is called HIP State Plan Plus Copays. *HIP Basic does not have...