...treat you fairly. You are not satisfied with the quality of care you received. CareSource denies a service. CareSource gives partial approval to cover a service. CareSource denies payment of...

...- Kymriah CAR-T Medications - Tecartus CAR-T Medications - Yescarta CAR-T medications – Kymriah (tisagenlecleucel) CAR-T medications – Tecartus (brexucabtagene autoleucel) CAR-T medications – Yescarta (axicabtagene ciloleucel) Clinical Trial Coverage...

Claims Claims Submit claims, find processes and access time-saving tools. Submit or Find A Claim Check Eligibility Check Eligibility Verify patient eligibility for coverage and learn more about health statuses....

...The Summary of Benefits (Last Updated 10/22/2025) is a summary of your covered benefits and any limitations. Your Evidence of Coverage (EOC) or Member Handbook has more information on the...

...our network. Scroll down to Ohio and filter the results under Medicare by selecting Medicare Advantage from the list. Learn more about out-of-network coverage by reviewing your Evidence of Coverage...

...Medicaid List of Covered Drugs The Medicaid List of Covered Drugs outlines the coverage for certain OTC items and non-Part D drugs included in your plan. This list is what...

Organization Determinations (Decisions) A decision we make about the coverage of a service. If you believe you are entitled to a medical service (Part C or Medicaid) you can request...

...start you on Medical Nutrition Therapy, which is helpful for managing diabetes. Initial and as needed *These services may have some exclusions. For a complete description of covered benefits, please...

CareSource® covers vision services for our Ohio Medicaid members. Our vision providers can access the following tools to help them provide efficient and quality care. Superior Vision (Versant Health) Routine...

...the hospital covered services for behavioral health services. MyCare and Medicaid CBHC (Community BH Centers) Benefit Grid – Use this benefit grid to understand the community behavioral health center covered...