These medical policies apply to the CareSource plan. Medical policies offer guidance on determination of medical necessity and appropriateness of care for approved benefits. Benefit determinations and coverage decisions are...

...member eligibility. These reimbursement policies apply to our CareSource North Carolina Co.® Marketplace plans on the Health Insurance Marketplace. Reimbursement policies are designed to assist you when submitting claims to...

Definitions CareSource provides several opportunities for you to request review of dispute or authorization denials. Actions available after a denial include: Claim Appeals A claim appeal is a written request...

...for more information. Limitations, copayments, and restrictions may apply. Benefits and/or copayments/coinsurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at...

...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...

...Indiana Plan (HIP) is an insurance program offered by the state of Indiana. HIP gives health care to low-income adults. Go to www.in.gov/fssa/hip to learn more about HIP income limits....

...C: Children’s Health Insurance Program (CHIP). Package C is a full-service plan for children up to age 19. There is a small monthly payment and copay for some services. This...

...require a password to log in before accessing information. CareSource complies with the privacy and security requirements under the Health Insurance Portability and Accountability Act (HIPAA). CareSource may use and...

...enacted as part of the American Recovery and Reinvestment Act of 2009 to promote the adoption and meaningful use of health information technology. HIPAA (Health Insurance Portability and Accountability Act...

...and the United Way of Greater Dayton Area Board of Directors, and is a past board member for Dayton Power & Light. She also served on the America’s Health Insurance...