Member Rights As a member of our health plan, you have the right to: We must provide information in a way that works for you (in languages other than English,...

...Plan Documents page. For more information about exceptions, appeals and complaints review your Part D Prescription Drug Plan Rights. What if I am taking a drug not on the formulary?...

...than FPL (100% and below FPL) HIP State Plan Plus members earning less than the FPL and who stop making monthly PAC will be moved to HIP State Plan Basic....

...Kentucky Marketplace Plans Information Brochure 2023 North Carolina Marketplace Plans Information Brochure 2023 Ohio Marketplace Plans Information Brochure 2023 West Virginia Marketplace Plans Information Brochure Benefits Brochure 2023 Georgia Marketplace...

...of pharmacy. Connecting with our communities as a plan is integral in providing better care for our members. CareSource values our pharmacy community, through working with students, residents and pharmacists...

...care facility that isn’t in your health plan’s network. “Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill...

Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...

...to be in the CareSource nework. Make sure the health care providers you plan to use are in the CareSource network. In most cases, CareSource does not pay for charges...

CareSource is proud to implement a corporate compliance plan that stresses personal, professional, ethical, and legal standards. The compliance plan and code of conduct demonstrates the principles and values by...

You + CareSource. Better Together. Managing your Medicare and Medicaid benefits can be overwhelming, but with our new CareSource® MyCare Ohio (HMO D-SNP) plan, you can not only simplify your...