...Coverage Redetermination Request Form – If you are unhappy with the result of a coverage determination request, you can file an appeal. Use this redetermination form: online or hard copy....

...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...

...nation’s largest Medicaid managed care plans. CareSource, headquartered in Dayton, Ohio, has built a legacy of providing quality health care coverage for Medicaid consumers. In addition to Medicaid coverage CareSource...

...accepted guidelines to guide clinical decision making. We do not reward health partners or our own staff for turning down coverage or services. We do not offer financial rewards to...

...Your Plan: Five Things To Know! 1. Know what’s covered. Review your plan documents to get the most from your health plan! Evidence of Coverage (EOC): Details about what the...

...90 days 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...

...be $0. (This does not include any Medicare Part B premium you may have to pay.) This $0 premium plan includes coverage for both medical services and prescription drug coverage....

BRINGING YOU EVEN BETTER CARE Starting January 1, 2026, your HAP coverage, including Medicare and Medicaid benefits, will automatically continue through the HAP CareSource™ MI Coordinated Health plan. This program...

As a CareSource member, you can get the same services that are covered by other Georgia Pathways to Coverage health plans. These can include doctor visits, prescription drugs and hospital...

...local Women, Infants and Children (WIC) office A pharmacy to pick up prescriptions Renew your Medicaid coverage at your local county Job and Family Services Helpful tips: Call us two...