...by a Federal, state or local government entity. Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities. Note: Part A and...

Member Handbook The Member Handbook is a quick reference guide to your health care benefits. You can quickly look up information such as your covered benefits and services, where to...

...Brochure 2026 Nevada Marketplace Benefits Brochure 2026 Nevada Marketplace Supplemental Benefits Brochure 2026 Ohio Marketplace Benefits Brochure 2026 Ohio Marketplace Supplemental Benefits Brochure 2026 West Virginia Marketplace Benefits Brochure 2026...

...Preventive Care Planning Ahead Planning Ahead Planning Ahead for the future and the unexpected with advance directives and disasters. Learn how guardianship works. Planning Ahead Health Care Links Health Care...

...will only reimburse claims for Medicaid services. Claims for Medicare must be submitted to the plan managing the member’s Medicare benefits. Therefore, we recommend that you check member eligibility each...

...from that platform by choosing “Health Plan Resources” in the left menu bar. No Current Provider Portal Access: Go to Health Plan Resources to sign in using your NPI* and...

...examples of plans for which pharmacists can bill for medically necessary services: Kentucky Marketplace plans West Virginia Marketplace plans Ohio Medicaid and Ohio D-SNP (with opt-in Medicaid coverage) To become...

...Update For 2025, CareSource Marketplace Plans feature the following benefits: TruHearing® provider network for hearing services is included with all plans. EyeMed® provider network for vision services on all plans...

...in your plan’s Evidence of Coverage on the Plan Documents page. What is an External Review? External reviews are conducted by Independent Review Organizations. If you are unhappy with a...

...a covered benefit under Hoosier Healthwise, Healthy Indiana Plan (HIP) Plus, HIP State Plus and HIP State Basic, and HIP Maternity plans. Depending on the patient’s plan, additional benefits may...