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Quick Start Steps for New Members
https://www.caresource.com/members/tools-resources/quick-start-guide/quick-start-steps/...from providers that are not part of our network. You can use the Find a Doctor/Provider search tool to find: Your primary care provider (PCP) Your primary dental provider (PDP)...
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Benefits & Services
https://www.caresource.com/plans/tricare-prime-demo/benefits-services/...every two years. Dental Care If you get your dental benefits through TRICARE, they are provided through United Concordia. Call 844-653-4060 to learn more. Pharmacy Your pharmacy benefits are provided...
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Prior Authorization
https://www.caresource.com/plans/medicaid/benefits-services/prior-authorization/...denial within 14 days. Your request must be approved before you get treatment or services. If you’re not approved, you may have to pay for the entire cost of your...
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Non-Participating Provider Appeals
https://www.caresource.com/providers/provider-portal/appeals/non-participating-provider-appeals/Appeals Non-participating providers may request reconsideration of a claim denial. You must request an appeal within 90 calendar days of the date of the remittance advice. Non-contracted providers have 90...
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ARP Special Edition Broker Newsletter
https://www.caresource.com/producers/tools-resources/newsletters/arp-special-edition-broker-newsletter/With President Biden’s signing of the American Rescue Plan Act, there are some changes to the Marketplace program that are important for you to know. Summary Many Marketplace members will...
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Plan Documents
https://www.caresource.com/plans/mississippican/plan-documents/...can find an eye doctor in their directory. Your dental benefits are provided through Avesis. You can find a dentist in their directory. Newsletters MemberSource, the TrueCare member newsletter, is...
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Pregnancy & Family Planning
https://www.caresource.com/members/education/pregnancy/We want you to have a healthy pregnancy. Family planning helps: You be healthy before getting pregnant. Put off pregnancy until you are ready. Protect you and your partner from...
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Drug Transition Policy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/drug-transition-policy/...cover the drug in the way you would like it covered. The plan will review the request and approve or deny. If denied, you may file an appeal. For questions...
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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/CareSource covers all medically necessary Medicaid-covered drugs at many pharmacies. CareSource also covers many commonly used over-the-counter (OTC) medications with a written prescription from your doctor. CareSource uses Preferred Drug...
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Early & Periodic Screening, Diagnostic & Treatment Wellness Visits
https://www.caresource.com/members/education/health-care-links/early-periodic-screening-diagnostic-treatment/...for those under the age of 21 at no cost to you. It includes: Healthchek screenings: Medical exams (physical and development screenings)* Vision exams Dental exams* Hearing exams Nutrition checks...
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