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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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Mental Health
https://www.caresource.com/members/education/behavioral-health/...My Benefits CareSource members get more with their benefits. Learn more about what’s covered. Member Handbook Evidence of Coverage and Schedule of Benefits Where to Get Care Substance Use Disorder...
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File a Grievance
https://www.caresource.com/members/tools-resources/grievance-appeal/file-grievance/...you have questions about your rights or need help, please refer to your Evidence of Coverage or call Member Services. These services include quality and standards of care, benefits, or...
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Cost Saving Tips
https://www.caresource.com/members/tools-resources/tips-to-lower-your-cost-for-care/Marketplace plans have two types of costs: premium and the cost for care. Premium is the monthly payment you make to keep your coverage and all the benefits and services...
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Pharmacy Residency Program
https://www.caresource.com/providers/education/patient-care/pharmacy/pharmacy-community-programs/pharmacy-residency-program/...or quality improvement project and presentation at a national conference Formulary management, including policy writing and creating coverage criteria Clinical innovation program monitoring and creation Prior authorization review Teaching certificate...
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Welcome
https://www.caresource.com/plans/marketplace/welcome/...buy an optional adult Dental, Vision and Fitness plans. These plans offer dental and vision coverage for all adults on your plan, plus give you an added a fitness benefit....
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Plan Documents
https://www.caresource.com/plans/mycare-snp/plan-documents/...you get as part of your plan. Coverage Determination Request Form If you think you should get payment or benefits on a certain drug, you can request a coverage determination....
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...coverage. Go to www.express-scripts.com/mppp and choose the opt-out option. You can also call 1-866-845-1803. After you leave the program, you will get an invoice each month for the amount you...
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Rights & Responsibilities
https://www.caresource.com/plans/medicaid/plan-documents/rights-responsibilities/...information on any appropriate or medically necessary treatment options and alternatives for your condition, regardless of cost or benefit coverage, in a manner appropriate to your condition and ability to...
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Pharmacy
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/...coverage information. You can still get your non-specialty medications through your local pharmacy. Do you have general questions about specialty pharmacy? Call Member Services. Your CareSource plan includes pharmacy benefits....
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Coverage