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...

...view the on-demand training modules and more! Behavioral Health Behavioral Health Adult HEDIS Measures Information and education on Behavioral Health HEDIS measure for your adult population. View the presentation Behavioral...

...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...

...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...

...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...

...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 Links View...

...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...

...more specific information about any of these topics, please see your plan’s Evidence of Coverage on the Plan Documents page. What is an External Review? External reviews are conducted by...

...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...

Have more questions? Contact Member Services. We are here to help. Have more questions? Contact Member Services. We are here to help....