...as outpatient x-rays. This information is not a complete description of benefits. View Chapter 4 Medical Benefits (what is covered) of your Evidence of Coverage (EOC) on the Plan Documents...

...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...

...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....

...is available here. Notification Date Posted Summary of Drug Coverage Changes Effective October 1, 2024 08/13/2024 Summary of Drug Coverage Changes Effective July 1, 2024 06/01/2024 Unified PDL Changes Effective...

...care service. Plan – This is the health coverage you get through CareSource The HHW program covers children up to age 19 and some pregnant women. There is little or...

...health insurance coverage or prescription drug coverage in addition to our plan, you are required to tell us. Tell your doctor and other health care providers that you are enrolled...

...of multiple claims that involve the same or similar payment or coverage issues, regardless of the number of individual members or payment claims included in the bundled complaint or appeal....

...providers using guidelines from the Indiana Office of Medicaid Policy and Planning (OMPP) and the National Committee for Quality Assurance (NCQA).CareSource credentials providers using guidelines from the Indiana Health Coverage...

...guide the provision of clinical care to beneficiaries. CPGs do not create new benefits or coverage rules and shall not supersede or replace the requirements of the TRICARE Policy Manual,...

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...