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Plan Documents
https://www.caresource.com/plans/plan-documents/...your plan coverage. Evidence of Coverage (EOC) The EOC is an important legal document that describes the relationship between CareSource and members of CareSource Advantage® Zero Premium (HMO) and CareSource...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/Please select your state. CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with adult vision and fitness coverage. Benefits...
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False Claims Act
https://www.caresource.com/providers/education/fraud-waste-abuse/false-claims-act/As an entity that offers Medicaid and Medicare coverage, CareSource® is required to comply with certain provisions of the Deficit Reduction Act. One such provision requires us to provide you...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...
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Updates & Announcements
https://www.caresource.com/providers/tools-resources/updates-announcements/...03/01/2026 Prior Authorization Requirement Update – Revised 02/20/2026 Ohio Medicaid Coverage of Itvisma 02/18/2026 Hospice Per Diem Billing 02/16/2026 Telehealth: Updates to the OAC Rule Effective Date January 1, 2026...
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LGBTQ+ Health Care Resources
https://www.caresource.com/members/education/lgbtq-resources/...helps them get to know you and give you the best care. Be prepared. Write down all the topics you want to cover and bring that to your visit. This...
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Additional Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/additional-services/Accidental Dental Services All CareSource marketplace plans cover pediatric and adult dental service when related to accidental injury. See your Evidence Of Coverage or Schedule of Benefits for more information...
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Tools & Resources
https://www.caresource.com/members/tools-resources/...see if your prescription medicine is covered by CareSource? With the following tools and resources, you can find doctors/providers/pharmacies, view covered medications, see where to get care, learn what your...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/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...
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Caregiver Resources
https://www.caresource.com/members/tools-resources/caregiver-resources/...or drug coverage information for your loved one. CareSource also covers respite care (planned or on an emergency basis) that gives short-term help to an unpaid caregiver. These resources will...
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