...and coverage. Formulary (List of Covered Drugs): A list of all drugs covered under your plan. Provider and Pharmacy Directory: A list of the participating (in-network) providers and pharmacies. You...

...two years. If you are over the age of 59, routine eye exams and eyewear are covered once a year. Routine hearing exams are covered. Hearing aids are covered by...

...health provider in our network for Medicaid-covered woman’s health services. To be able to get a second opinion for Medicaid-covered services from a qualified provider in our network. If a...

We make it easy for you to request services for your patients. See below for benefit information and instructions to obtain services that enable improved access to care. 9-8-8 Suicide...

...like hospitals, doctor’s offices, and health care clinics. Apps that providers like this offer will be covered by HIPAA. Are third-party apps covered by HIPAA? Most apps will not be...

...change. The rewards available to you will vary depending on your health care needs. Please note that not all reward activities are covered services annually. You may be responsible for...

...receive BOTH Medicare and Medicaid benefits. Our CareSource® MyCare Ohio (HMO D-SNP) plan combines your Medicare and Medicaid into one simple plan, giving you coverage that fits your needs and...

...fraud, waste and abuse. If you have any questions about these examples or Fraud, Waste and Abuse in general, please send an email to: Fraud@CareSource.com. Provider: Billing for non-covered, medically...

...a female, to be able to go to a woman’s health provider in our network for Medicaid-covered woman’s health services. To be able to get a second opinion for Medicaid-covered...

...necessity, investigational and experimental services. The following policies have moved to the Pharmacy Policy page: Medicaid Drug Rebate Program (MDRP) Coverage Rules – AC Reject Medical Necessity – Off Label...