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Part D Prescription Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-d-prescription-plan-rights/...is not on the plan’s formulary. Asking us to waive restriction on the plan’s coverage for a drug such as limits on the amount of the drug you can get...
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Quick Reference Materials
https://www.caresource.com/providers/tools-resources/quick-reference-materials/...to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the CareSource PASSE plan. You will find key...
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Platinum Plans
https://www.caresource.com/plans/marketplace/plan-documents/platinum-plans/...cost sharing plan or a limited cost sharing plan. Access the plan details to learn more plan details to learn more. Select your state to view documents Indiana West Virginia...
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HAP CareSource Plans
https://www.caresource.com/plans/medicaid/benefits-services/hap-caresource-plans/...Crisis HAP CareSource Medicaid Plan Our HAP CareSource plan has the health benefits and services to help you get and stay healthy. It gives you the care you need when...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...if you receive “Extra Help.” How Do I Join? You can opt into the Medicare Prescription Payment Plan: Before the beginning of the plan year, In any month during the...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...calendar days. CareSource may also request an extension of up to 14 calendar days, if the extension is in the member’s best interest. The plan will make reasonable efforts to...
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Care And Disease Management
https://www.caresource.com/providers/education/patient-care/care-management-disease-management/CareSource® offers care coordination that can provide a broad spectrum of educational and follow-up services for your patients. You can access care plans online through the provider portal to easily...
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Healthy Indiana Plan (HIP) Benefits & Services
https://www.caresource.com/plans/medicaid/benefits-services/hip-benefits/...Plan includes HIP State Plan Plus and HIP State Plan Basic. It is for those who need enhanced benefits. These benefits are available for those with certain medical conditions that...
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Part C Medical Plan Rights
https://www.caresource.com/members/tools-resources/grievance-appeal/part-c-medical-plan-rights/...in Chapter 9, section 4 on Plan Documents page. How to Request an Organization Determination You have these options: Phone: Call Member Services at 1-833-230-2020 (TTY: 1-833-711-4711 or 711). Mail:...
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Planning for Baby
https://www.caresource.com/members/education/pregnancy/planning-for-baby/...early. If you are planning to become pregnant, set up a visit with your provider. They will go over: Issues you’ve had with pregnancy in the past. Medications you’re taking...
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