...of the Ombudsman: is free of charge. is a neutral, independent advocate for CareSource members. helps coordinate services with local community/advocacy organizations. (This includes both covered and non-covered services.) provides...

...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...

...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 therapy, or...

Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...

f Clinical Practice Guidelines CareSource approves and adopts evidence-based nationally accepted standards and clinical practice guidelines to help inform and guide the provision of clinical care to members. CPGs are...

...drug covered by the plan or ask the plan to make an exception for you and cover your current drug. For more information about asking for a temporary supply, or...

...have details about what the plan covers, what drugs are covered and more. See Your Plan Documents Benefits at a Glance Benefits at a Glance See a list of all...

...covered services out-of-network if CareSource PASSE is unable to provide a necessary and covered service in-network for as long as it is unable to provide the service in-network. If you...

...drug covered by the plan or ask the plan to make an exception for you and cover your current drug. For more information about asking for a temporary supply, or...

...Is covered by an HSA-compatible health plan. Is not covered by other health insurance (except certain types of limited coverage). Is not enrolled in Medicare. Is not a dependent on...