...Implantable Pain Pump Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Influenza Testing Interest Payments Interest Payments Interest Payments Interest Payments J JW Modifier – Drug...

...Advantage® Zero Premium (HMO) CareSource Advantage® (HMO)   Covered/ Not Covered Copay/ Coinsurance Covered/ Not Covered Copay / Coinsurance Preventive Dental Covered $0 Copay Covered $0 Copay, $1,000 annual limit...

...rendered Retaining payments made in error by CareSource Payments stemming from kickbacks or Federal Stark Law violations Duplicate payments for services Member: Inappropriate use of Medicaid/Medicare purchased narcotics Forging prescriptions...

...25th of each month before the start of the coverage month. For example, pay by February 25 for your March coverage. What Payment Options Are Available? We accept payments online,...

...the grace period, if the member is terminated due to non-payment of premium, CareSource will recoup any payments made for claims received in the second and third months of the...

...their premium payment. CareSource will continue to process medical claims and pay providers during this grace period. After 30 days of nonpayment, the member’s eligibility will be flagged as delinquent...

Marketplace plans have two types of costs: premium and the cost for care. Premium is the monthly payment you make to keep your coverage and all the benefits and services...

...pay, but it can influence the amount you have to pay. If you go to a provider who charges more for services than others, the portion you have to pay...

Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...

...– A decision we make about the payment for a Part D drug or an exception to our formulary. Organization Determination – A decision we make about covering a medical...