...policy for potentially covering a drug you currently take that is not listed in our formulary. Coverage Determination Request Form – If you believe you are entitled to payment or...

You get extra benefits, just for being a member. All at no cost to you! Wellness Perks Healthy Benefits+ Allowance Get $210 each month in healthy allowances to help pay...

...you can keep receiving the services. The letter will also tell you when you may have to pay for the services. If your request for a covered service is not...

...any clinical records and other documentation that supports the argument for reimbursement. Non-contracted providers must mail the reconsideration within 90 calendar days of the explanation of payment (EOP) date or...

At TrueCare, we believe the best health care outcomes happen when providers and payors work together to improve your health and well-being. As Mississippi’s only nonprofit, provider-sponsored health plan, local...

...about the prescription program: $0 copay for all covered medications. Save a trip and get your medications delivered directly to you – mail order available at no extra cost for...

...non-Part D drugs 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...

...the state pays your providers directly for health care services you get. Populations Who Have the Option to Enroll Ages Supplemental Security Income (SSI) 0-19 Disabled Child Living at Home...

...or us to find out if you need an OK to go have services from a provider who is not in your network. CareSource may authorize and pay for out-of-network...

...including: Contracting and credentialing Claims processing and payment Referrals and triage Care management Contact Beacon at 1-877-380-9729 to: Verify available behavioral health and substance abuse benefits Seek an appointment Seek...