...health care. Candidly discuss with your doctor the appropriate or medically necessary treatment options for your conditions, regardless of cost or benefit coverage. Voice complaints or appeals about the plan...

Thank you for choosing us! We want you to be happy with your coverage. We offer a suite of online self-service tools, but you can always call Member Services with...

...have consistent care and benefit coverage with your providers. Here’s more about your 2026 plan year coverage: Pharmacy Pharmacy Enjoy broad coverage on a lengthy list of Medicare Part D...

...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,...

...way. Doing this gives you time to talk with your provider about the change in coverage and figure out what to do. During the first 90 days of enrollment, CareSource...

...on 03/18/2025 Coverage Determination Request Form – If you believe you are entitled to payment or benefits on a certain drug, you can request a coverage determination by completing this...

...or reduce coverage of the drug during the coverage year. There are times when this may change like when a new, less expensive generic drug becomes available or when new...

...you with Medicare and Medicaid coverage with no copays and extra perks that help save you money. Our Medicaid-Only plan provides standard coverage with no copays and select services. HIGHLIGHTS...

...Reserve Select coverage Individuals with TRICARE Retired Reserve coverage Individuals with TRICARE Young Adult coverage Beneficiaries who are eligible for Medicare Beneficiaries receiving services under the Extended Care Health Option...

...Some other facts about HIP Basic: HIP Basic benefits meet the minimum coverage rules. HIP Basic has less benefits than HIP Plus. It does not provide coverage for the HIP...