...Dental Coverage   CareSource Advantage® Zero Premium (HMO) CareSource Advantage® (HMO)   Covered/ Not Covered Copay/ Coinsurance Covered/ Not Covered Copay / Coinsurance Preventive Dental Covered $0 Copay Covered $0...

...Coverage Requirements For certain prescription drugs, we have additional requirements for coverage or limits on our coverage. This ensures our members use these drugs in a safe way. The types...

...Got You! Like our other plans, if you qualify for Advance Premium Tax Credits (APTC), they can help lower your premiums. Every simple and affordable CareSource Marketplace plan offers coverage...

...drugs are covered for you. Price A Medication Tool – Check coverage limitations and price of medication. Prescription Drug Formulary – View the full Prescription Drug Formulary including any coverage...

CareSource MyCare Ohio allows individuals to select Medicaid only coverage from the plan managing their CareSource MyCare Ohio benefits. Individuals may choose to have CareSource MyCare Ohio either: Provide their...

...MI Health Link (Medicare-Medicaid) plan. Pharmacy policies offer guidance on determination of medical necessity coverage of pharmaceutical products. The coverage criteria are consistent with FDA-approved prescribing information, treatment guidelines and...

...Last updated on 3/01/2021 – If you believe you are entitled to payment or coverage on a certain drug, you can request a coverage determination by completing this form. Coverage...

...materials you received when you enrolled included your Schedule of Benefits and Summary of Benefits and Coverage. They show the costs for covered services on your plan and examples of...

...Deadlines FOR JANUARY 2026 COVERAGE Enrollment ends Dec. 15, 2025   FOR FEBRUARY 2026 COVERAGE Enrollment ends Jan. 15, 2026 Open Enrollment Period and Plan Effective Dates RENEWING MEMBERS NEW...

...My Prescriptions If CareSource does not cover a drug that you believe should be covered, you can request a coverage determination or decision Find a Pharmacy Use this tool to...