...is not listed in our formulary. Star Ratings Star Ratings are given to the CareSource Dual Advantage plan by the Centers for Medicare & Medicaid Services (CMS). Plans are rated...

Get $287 each month for healthy allowances when you use your Healthy Benefits+ card. You must have both your Medicare and Medicaid with CareSource to be eligible for this benefit....

CareSource rewards members for doing healthy activities! My CareSource Rewards Program As a CareSource Medicare and Medicaid member you are automatically enrolled in the My CareSource Rewards® program. You can...

Organization Determinations (Decisions) A decision we make about the coverage of a service. If you believe you are entitled to a medical service (Part C or Medicaid) you can request...

...B and full Medicaid benefits. It offers a generous monthly Healthy Benefits+ allowance, dental, vision, and transportation benefits. Visit our CareSource Dual Advantage plan page to learn more about our...

...The drug formulary changes noted below are historical. Effective October 1, 2022, the drug formulary and changes are managed by the Ohio Department of Medicaid (ODM) Pharmacy team and the...

...your plan or picking a new one. If you don’t have an agent or broker, call us at 1-855-494-2667 (TTY: 711). Marketplace Changes The Centers for Medicare and Medicaid (CMS),...

...office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call 1-800-325-0778 (applications); or Ohio Department of Medicaid (applications): https://medicaid.ohio.gov/families-and-individuals/coverage/01-how-to-apply Best Available Evidence If you...

...planning or emergency services, out-of-network health care providers need prior authorization (also called pre-approval). Go to www.caresource.com/in/plans/medicaid/benefits-services/referrals-prior-authorization/ for more details on prior authorization. Office Visits / Hospital Type of Service...

Get Your Prescriptions Delivered to Your Door! You can get many of your Medicare Part D drugs sent to your home through mail. We work with Express Scripts® to offer...